TY  - JOUR
PY  - 2016//
TI  - Patients "at risk" of suffering from persistent complaints after mild traumatic brain injury: the role of coping, mood disorders and post-traumatic stress
JO  - Journal of neurotrauma
A1  - Scheenen, Myrthe Elisabeth
A1  - Spikman, Jacoba M.
A1  - de Koning, Myrthe Elisabeth
A1  - van der Horn, Harm Jan
A1  - Roks, Gerwin
A1  - Hageman, Gerard
A1  - van der Naalt, Joukje
SP  - 31
EP  - 37
VL  - 34
IS  - 1
N2  - Although most patients recover fully following mTBI, a minority (15-25%) of all patients  develop persistent post-traumatic complaints (PTC) that interfere with the resumption of previous activities. An early identification of patients that are at-risk for PTC is currently performed by measuring the number of complaints in the acute phase. However, only part of this group will actually develop persisting complaints, stressing the need for studies on additional risk factors. This study aimed to compare this group of patients with many complaints  to patients with few and no complaints to identify potential additional discriminating characteristics and to evaluate which of these factors have the most predictive value for being at-risk. We evaluated coping style, presence of psychiatric history, injury characteristics, mood-related symptoms and post-traumatic stress. We included 820 patients (Glasgow Coma Scale [GCS] score 13-15) admitted to three level 1 trauma centers as part of the UPFRONT-study. At two weeks after injury, 60% reported three or more complaints (PTC-high), 25% reported few complaints (PTC-low) and 15% reported no complaints (PTC-zero). <br><br>RESULTS showed that PTC-high consisted of more females (78% vs. 73% and 52%, p<.001), were more likely to have a psychiatric history (7% vs. 2% and 5%) and had a higher number of reported depression (22% vs. 6% and 3%, p<.001), anxiety (25% vs. 7% and 5%)and post-traumatic stress (37% vs. 27% and 19%, P<.001) than the PCC-low and PCC-zero groups. We conclude that in addition to reported complaints, psychological factors such as coping style, depression, anxiety and post-traumatic stress symptoms had the highest predictive value and should be taken into account in the identification of at risk patients for future treatment studies.<p />  <p>Language: en</p>
LA  - en
SN  - 0897-7151
UR  - http://dx.doi.org/10.1089/neu.2015.4381
ID  - ref1
ER  -