Subacute posttraumatic complaints and psychological distress in trauma patients with or without mild traumatic brain injury

M. E. de Koning, Barzi Gareb, M. El Moumni, M. E. Scheenen, H. J. van der Horn, M. E. Timmerman, J. M. Spikman, J. van der Naalt*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

27 Citations (Scopus)

Abstract

Objective: To identify the frequency, nature and profile of complaints for trauma patients with and without mild traumatic brain injury (mTBI), and to assess their relation to anxiety and depression.

Methods: A prospective cohort study in a level-one trauma centre was conducted. Mild traumatic brain injury patients and trauma controls were approached for participation. Two weeks after injury, The Head Injury Symptom Checklist (HISC) and the Hospital Anxiety and Depression Scale (HADS) were administered.

Results: Two-hundred seventy two patients with mTBI and 125 TC patients completed the questionnaires. Differences were demonstrated between the two trauma populations on frequency and nature of reported complaints. Ordinal common factor analysis on the mTBI scores yielded three factors: mental distress, physical discomfort, and sensory disbalance, which were all significantly correlated to anxiety and depression scores. Discriminant analyses identified a subset of complaints which could allocate almost 80% of patients to the correct group.

Conclusions: Patients with mTBI showed a different pattern of complaints than orthopaedic control patients. A mental distress factor consisting of both somatic and cognitive complaints proved to be most discriminating and showed high correlations with anxiety and depression. (C) 2016 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)2041-2047
Number of pages7
JournalInjury-International Journal of the Care of the Injured
Volume47
Issue number9
DOIs
Publication statusPublished - Sep-2016

Keywords

  • Mild traumatic brain injury
  • Trauma
  • Posttraumatic complaints
  • Symptom checklist
  • Anxiety
  • Depression
  • POST-CONCUSSION SYMPTOMS
  • POSTCONCUSSIVE SYMPTOMS
  • HEAD-INJURY
  • CONSTRUCT-VALIDITY
  • BASE-RATE
  • QUESTIONNAIRE
  • PREDICTORS
  • ILLNESS
  • ANXIETY
  • SCALE

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