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Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome

BACKGROUND: It is well-known that severe brain injury can make people susceptible to psychological symptoms. However, mild traumatic brain injury (MTBI) is still open for discussion. OBJECTIVES: This study aimed to compare psychological symptoms of MTBI patients with those without MTBI considering d...

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Autores principales: Shafiei, Elham, Fakharian, Esmaeil, Omidi, Abdollah, Akbari, Hossein, Delpisheh, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5038154/
https://www.ncbi.nlm.nih.gov/pubmed/27703960
http://dx.doi.org/10.5812/atr.29729
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author Shafiei, Elham
Fakharian, Esmaeil
Omidi, Abdollah
Akbari, Hossein
Delpisheh, Ali
author_facet Shafiei, Elham
Fakharian, Esmaeil
Omidi, Abdollah
Akbari, Hossein
Delpisheh, Ali
author_sort Shafiei, Elham
collection PubMed
description BACKGROUND: It is well-known that severe brain injury can make people susceptible to psychological symptoms. However, mild traumatic brain injury (MTBI) is still open for discussion. OBJECTIVES: This study aimed to compare psychological symptoms of MTBI patients with those without MTBI considering demographic auxiliary variables. PATIENTS AND METHODS: This prospective cohort study was conducted on 50 MTBI patients and 50 healthy subjects aged 15 - 65 years. Psychological assessment was carried out six months post-injury using a series of self-report measures including the brief symptom inventory (BSI) scale. Other information of the individuals in the two groups was recorded prospectively. Data were analyzed using the chi-square test, t-test, and multiple linear regression tests. RESULTS: There was a significant difference between the MTBI patients and healthy subjects in all subscales and total score of BSI. Our findings showed that obsession-compulsion and anxiety subscales were significantly more common in the MTBI patients than in the healthy subjects. Also, multivariate regression analysis six months post- injury showed that head trauma and substance abuse can have an effect on psychological symptoms. CONCLUSIONS: Mild traumatic brain injuries despite of the normal CT scan and history of substance abuse are closely related to psychological symptoms. Therefore, it is recommended that patients with brain trauma 6 months post-injury and subjects with a history of substance abuse be evaluated for psychological distress to support better rehabilitation.
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spelling pubmed-50381542016-10-04 Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome Shafiei, Elham Fakharian, Esmaeil Omidi, Abdollah Akbari, Hossein Delpisheh, Ali Arch Trauma Res Research Article BACKGROUND: It is well-known that severe brain injury can make people susceptible to psychological symptoms. However, mild traumatic brain injury (MTBI) is still open for discussion. OBJECTIVES: This study aimed to compare psychological symptoms of MTBI patients with those without MTBI considering demographic auxiliary variables. PATIENTS AND METHODS: This prospective cohort study was conducted on 50 MTBI patients and 50 healthy subjects aged 15 - 65 years. Psychological assessment was carried out six months post-injury using a series of self-report measures including the brief symptom inventory (BSI) scale. Other information of the individuals in the two groups was recorded prospectively. Data were analyzed using the chi-square test, t-test, and multiple linear regression tests. RESULTS: There was a significant difference between the MTBI patients and healthy subjects in all subscales and total score of BSI. Our findings showed that obsession-compulsion and anxiety subscales were significantly more common in the MTBI patients than in the healthy subjects. Also, multivariate regression analysis six months post- injury showed that head trauma and substance abuse can have an effect on psychological symptoms. CONCLUSIONS: Mild traumatic brain injuries despite of the normal CT scan and history of substance abuse are closely related to psychological symptoms. Therefore, it is recommended that patients with brain trauma 6 months post-injury and subjects with a history of substance abuse be evaluated for psychological distress to support better rehabilitation. Kowsar 2016-05-11 /pmc/articles/PMC5038154/ /pubmed/27703960 http://dx.doi.org/10.5812/atr.29729 Text en Copyright © 2016, Kashan University of Medical Sciences http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Shafiei, Elham
Fakharian, Esmaeil
Omidi, Abdollah
Akbari, Hossein
Delpisheh, Ali
Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title_full Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title_fullStr Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title_full_unstemmed Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title_short Effect of Mild Traumatic Brain Injury and Demographic Factors on Psychological Outcome
title_sort effect of mild traumatic brain injury and demographic factors on psychological outcome
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5038154/
https://www.ncbi.nlm.nih.gov/pubmed/27703960
http://dx.doi.org/10.5812/atr.29729
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