TY - JOUR PY - 1998// TI - Mood disorders following traumatic brain injury: identifying the extent of the problem and the people at risk JO - Brain injury A1 - Bowen, A. A1 - Neumann, V. A1 - Conner, M. A1 - Tennant, A. A1 - Chamberlain, M. A. SP - 177 EP - 190 VL - 12 IS - 3 N2 - The extent of mood disorders following traumatic brain injury (TBI), and the possible risk factors, are investigated. New data are presented from a prospective study of consecutive hospital admissions. Six months post-TBI, 99 adults completed a standardized assessment of emotional state, the Wimbledon Self-Report Scale. Cognitive performance and the impact of the injury on everyday functioning were also assessed. The rate of clinically significant mood disorders (caseness) was 38%. Of the demographic or injury characteristics, only pre-injury occupational status predicted post-injury caseness. Those unoccupied pre-injury were more likely to report mood disturbance post-injury. In contrast, post-injury occupational status was not related to caseness either for the whole group or the subgroup of those previously occupied, despite the adverse effects on occupational functioning for a significant proportion of subjects. Associations were found between emotional state and cognitive and everyday functioning 6 months post-injury. Psychosocial disabilities appeared more strongly associated to mood disorders than did physical disabilities. A significant level of unmet need has been highlighted, and possible risk factors identified, which may inform the purchase and provision of TBI rehabilitation services. Follow-up data on these subjects are available and will be reported separately.
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/ ID - ref1 ER -