TY  - JOUR
PY  - 2023//
TI  - The somatic factor drives elevations on the Beck Depression Inventory-2 in mild traumatic brain injury
JO  - Archives of clinical neuropsychology
A1  - Glisky, Martha L.
A1  - Caughie, Cali
A1  - Chu, Zoey
A1  - Hayden, Abigail
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: The Beck Depression Inventory-2 (BDI-2) is used to identify depression, which is common following a mild traumatic brain injury (mTBI). This study explored the specific type of symptom cluster (Affective, Cognitive and Somatic) most commonly endorsed in mTBI. <br><br>METHOD: A sample of 138 individuals diagnosed with an mTBI completed the BDI-2 during a clinical neuropsychological evaluation. A one-way repeated measures Analysis of Variance (ANOVA) was conducted to examine whether the type of symptoms reported on the BDI-2 differed in our mTBI sample. <br><br>RESULTS: The sample included 63% females, with mean age of 46.93 (SD = 13.28) and a mean education level of 15.08 (SD = 2.65).There was a significant main effect of BDI-2 factors, F (1.74, 238.5) = 199.211, p < 0.001, partial η2 = 0.25. Post-hoc pairwise comparisons (with Bonferroni correction) revealed differences between all three clusters, with significantly more somatic symptoms endorsed (M = 11.07, SD = 4.77, p < 0.001) compared to cognitive symptoms (M = 6.51, SD = 5.44, p < 0.001) and affective symptoms (M = 5.01, SD = 2.81, p < 0.001). <br><br>CONCLUSION: High scores on the BDI-2 were driven primarily by somatic symptoms, followed by cognitive symptoms, and lastly affective symptoms in our mTBI sample. The overlap between the BDI-2 somatic symptoms and post-concussive symptoms raises the question as to whether mTBI patients have higher rates of depression or just higher physical mTBI symptoms elevating the BDI-2. The implications for rates of depression in mTBI, and appropriate treatments will be discussed.<p />  <p>Language: en</p>
LA  - en
SN  - 0887-6177
UR  - http://dx.doi.org/10.1093/arclin/acad067.159
ID  - ref1
ER  -