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Rates of symptom reporting following traumatic brain injury

Published online by Cambridge University Press:  01 March 2010

SUREYYA DIKMEN ,
JOAN MACHAMER ,
JESSE R. FANN  and
NANCY R. TEMKIN
SUREYYA DIKMEN*
Affiliation:
Department of Rehabilitation Medicine, University of Washington, Seattle, Washington Department of Neurological Surgery, University of Washington, Seattle, Washington Departments of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
JOAN MACHAMER
Affiliation:
Department of Rehabilitation Medicine, University of Washington, Seattle, Washington
JESSE R. FANN
Affiliation:
Departments of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
NANCY R. TEMKIN
Affiliation:
Department of Neurological Surgery, University of Washington, Seattle, Washington Department of Biostatistics, University of Washington, Seattle, Washington
*
*Correspondence to: Sureyya Dikmen, Ph.D., Department of Rehabilitation Medicine, Mail Stop: 359612, Harborview Medical Center, 325 Ninth Avenue, Seattle, Washington 98104. E-mail: [email protected]
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Abstract

This study examines rates of reporting of new or worse post-traumatic symptoms for patients with a broad range of injury severity at 1 month and 1 year after traumatic brain injury (TBI), as compared with those whose injury spared the head, and assesses variables related to symptom reporting at 1 year post-injury. Seven hundred thirty two TBI subjects and 120 general trauma comparison (TC) subjects provided new or worse symptom information at 1 month and/or 1 year post-injury. Symptom reporting at 1 year post-injury was compared in subgroups based on basic demographics, preexisting conditions, and severity of brain injury. The TBI group reported significantly more symptoms at 1 month and 1 year after injury than TCs (each p < .001). Although symptom endorsement declined from 1 month to 1 year, 53% of people with TBI and 24% of TC continued to report 3 or more symptoms at 1 year post-injury. Symptom reporting in the TBI group was significantly related to age, gender, preinjury alcohol abuse, pre-injury psychiatric history, and severity of TBI. Symptom reporting is common following a traumatic injury and continues to be experienced by a substantial number of TBI subjects of all severity levels at 1 year post-injury. (JINS, 2010, 16, 401–411.)

Keywords

Traumatic brain injuriesNeurobehavioral manifestationsHead injuriesPost-concussion syndromePost-traumatic symptomsPost-concussion symptoms
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 16 , Issue 3 , May 2010 , pp. 401 - 411
Copyright
Copyright © The International Neuropsychological Society 2010

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References

REFERENCES

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washinton, DC: American Psychiatric Association.Google Scholar
Baker, S.P., O’Neill, B., Haddon, W. Jr., & Long, W.B. (1974). The Injury Severity Score: A method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma, 14, 187–196.CrossRefGoogle ScholarPubMed
Bell, K.R., Hoffman, J.M., Temkin, N.R., Powell, J.M., Fraser, R.T., Esselman, P.C., Barber, J.K., & Dikmen, S. (2008). The effect of telephone counseling on reducing post-traumatic symptoms after mild traumatic brain injury: A randomized trial. Journal of Neurology, Neurosurgery & Psychiatry, 79, 1275–1281.CrossRefGoogle Scholar
Binder, L.M., & Rohling, M.L. (1996). Money matters: A meta-analytic review of the effects of financial incentives on recovery after closed-head injury. The American Journal of Psychiatry, 153, 7–10.Google ScholarPubMed
Boake, C., McCauley, S.R., Levin, H.S., Contant, C.F., Song, J.X., Brown, S.A., Goodman, H.S., Brundage, S.I., Diaz-Marchan, P.J., & Merritt, S.G. (2004). Limited agreement between criteria-based diagnoses of postconcussional syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 16, 493–499.CrossRefGoogle ScholarPubMed
Boake, C., McCauley, S.R., Levin, H.S., Pedroza, C., Contant, C.F., Song, J.X., Brown, S.A., Goodman, H., Brundage, S.I., & Diaz-Marchan, P.J. (2005). Diagnostic criteria for postconcussional syndrome after mild to moderate traumatic brain injury. The Journal of Neuropsychiatry and Clinical Neurosciences, 17, 350–356.CrossRefGoogle ScholarPubMed
Carroll, L.J., Cassidy, J.D., Peloso, P.M., Borg, J., von Holst, H., Holm, L., Paniak, C., & Pepin, M. (2004). Prognosis for mild traumatic brain injury: Results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Journal of Rehabilitation Medicine, 43(Suppl), 84–105.CrossRefGoogle Scholar
Dikmen, S., Machamer, J., & Temkin, N. (2007). Retrospectively assessed post-traumatic amnesia: Is it of any value? Journal of the International Neuropsychological Society, 13(Suppl 2), 64–65.Google Scholar
Dikmen, S.S., Machamer, J.E., Winn, H.R., & Temkin, N.R. (1995a). Neuropsychological outcome at 1-year post head injury. Neuropsychology, 9, 80–90.CrossRefGoogle Scholar
Dikmen, S.S., Ross, B.L., Machamer, J.E., & Temkin, N.R. (1995b). One year psychosocial outcome in head injury. Journal of the International Neuropsychological Society, 1, 67–77.CrossRefGoogle ScholarPubMed
Dunn, J.T., Lees-Haley, P.R., Brown, R.S., Williams, C.W., & English, L.T. (1995). Neurotoxic complaint base rates of personal injury claimants: Implications for neuropsychological assessment. Journal of Clinical Psychology, 51, 577–584.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Gasquoine, P.G. (2000). Postconcussional symptoms in chronic back pain. Applied Neuropsychology, 7, 83–89.CrossRefGoogle ScholarPubMed
Gerber, D., & Schraa, J. (1995). Mild traumatic brain injury: Searching for the syndrome. Journal of Head Trauma Rehabilitation, 10, 28–40.CrossRefGoogle Scholar
Gouvier, W.D., Uddo-Crane, M., & Brown, L.M. (1988). Base rates of post-concussional symptoms. Archives of Clinical Neuropsychology, 3, 273–278.CrossRefGoogle ScholarPubMed
Gunstad, J., & Suhr, J.A. (2002). Perception of illness: Nonspecificity of postconcussion syndrome symptom expectation. Journal of the International Neuropsychological Society, 8, 37–47.CrossRefGoogle ScholarPubMed
Heitger, M.H., Jones, R.D., Frampton, C.M., Ardagh, M.W., & Anderson, T.J. (2007). Recovery in the first year after mild head injury: Divergence of symptom status and self-perceived quality of life. Journal of Rehabilitation Medicine, 39, 612–621.CrossRefGoogle ScholarPubMed
Hoge, C.W., McGurk, D., Thomas, J.L., Cox, A.L., Engel, C.C., & Castro, C.A. (2008). Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine, 358, 453–463.CrossRefGoogle ScholarPubMed
Horvitz, D., & Thompson, D. (1952). A generalization of sampling without replacement from a finite population. Journal of the American Statistical Association, 47, 663–685.CrossRefGoogle Scholar
Institute of Medicine. (2009). Gulf War and Health: Long term consequences of traumatic brain injury (Vol. 7). Washington, DC: National Academies Press.Google Scholar
Iverson, G. (2006). Misdiagnosis of the persistent post-concussion syndrome in patients with depression. Archives of Clinical Neuropsychology, 21, 303–310.CrossRefGoogle ScholarPubMed
Iverson, G., Zasler, N., & Lange, R. (2007). Post-Concussive Disorder. In Zasler, N. & Katz, D. & Zafonte, R. (Eds.), Brain injury medicine principles and practice (pp. 373–406). New York: Demos.Google Scholar
Iverson, G.L., & Lange, R.T. (2003). Examination of “postconcussion-like” symptoms in a healthy sample. Applied Neuropsychology, 10, 137–144.CrossRefGoogle Scholar
Iverson, G.L., & McCracken, L.M. (1997). ‘Postconcussive’ symptoms in persons with chronic pain. Brain Injury, 11, 783–790.CrossRefGoogle ScholarPubMed
Kashluba, S., Casey, J.E., & Paniak, C. (2006). Evaluating the utility of ICD-10 diagnostic criteria for postconcussion syndrome following mild traumatic brain injury. Journal of the International Neuropsychological Society, 12, 111–118.CrossRefGoogle ScholarPubMed
Lannsjo, M., af Geijerstam, J.L., Johansson, U., Bring, J., & Borg, J. (2009). Prevalence and structure of symptoms at 3 months after mild traumatic brain injury in a national cohort. Brain Injury, 23, 213–219.CrossRefGoogle Scholar
Lees-Haley, P.R., & Brown, R.S. (1993). Neuropsychological complaint base rates of 170 personal injury claimants. Archives of Clinical Neuropsychology, 8, 203–209.CrossRefGoogle ScholarPubMed
Machulda, M.M., Bergquist, T.F., Ito, V., & Chew, S. (1998). Relationship between stress, coping, and postconcussion symptoms in a healthy adult population. Archives of Clinical Neuropsychology, 13, 415–424.CrossRefGoogle Scholar
Masson, F., Maurette, P., Salmi, L.R., Dartigues, J.F., Vecsey, J., Destaillats, J.M., & Erny, P. (1996). Prevalence of impairments 5 years after a head injury, and their relationship with disabilities and outcome. Brain Injury, 10, 487–497.CrossRefGoogle ScholarPubMed
McCauley, S.R., Boake, C., Pedroza, C., Brown, S.A., Levin, H.S., Goodman, H.S., & Merritt, S.G. (2005). Postconcussional disorder: Are the DSM-IV criteria an improvement over the ICD-10? The Journal of Nervous and Mental Disease, 193, 540–550.CrossRefGoogle ScholarPubMed
McCrea, M.A. (2008). Mild traumatic brain injury and postconcussion syndrome. Oxford: Oxford University Press.Google Scholar
McLean, A. Jr., Dikmen, S., & Temkin, N. (1993). Psychosocial recovery after head injury. Archives of Physical and Medical Rehabilitation, 74, 1041–1046.CrossRefGoogle ScholarPubMed
McLean, A. Jr., Dikmen, S., Temkin, N., Wyler, A.R., & Gale, J.L. (1984). Psychosocial functioning at 1 month after head injury. Neurosurgery, 14, 393–399.CrossRefGoogle ScholarPubMed
Mickeviciene, D., Schrader, H., Nestvold, K., Surkiene, D., Kunickas, R., Stovner, L.J., & Sand, T. (2002). A controlled historical cohort study on the post-concussion syndrome. European Journal of Neurology, 9, 581–587.CrossRefGoogle ScholarPubMed
Mickeviciene, D., Schrader, H., Obelieniene, D., Surkiene, D., Kunickas, R., Stovner, L.J., & Sand, T. (2004). A controlled prospective inception cohort study on the post-concussion syndrome outside the medicolegal context. European Journal of Neurology, 11, 411–419.CrossRefGoogle ScholarPubMed
Mittenberg, W., DiGiulio, D.V., Perrin, S., & Bass, A.E. (1992). Symptoms following mild head injury: Expectation as aetiology. Journal of Neurology, Neurosurgery and Psychiatry, 55, 200–204.CrossRefGoogle ScholarPubMed
Nolin, P., Villemure, R., & Heroux, L. (2006). Determining long-term symptoms following mild traumatic brain injury: Method of interview affects self-report. Brain Injury, 20, 1147–1154.CrossRefGoogle ScholarPubMed
Paniak, C., Reynolds, S., Toller-Lobe, G., Melnyk, A., Nagy, J., & Schmidt, D. (2002). A longitudinal study of the relationship between financial compensation and symptoms after treated mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 24, 187–193.CrossRefGoogle ScholarPubMed
Radanov, B.P., Dvorak, J., & Valach, L. (1992). Cognitive deficits in patients after soft tissue injury of the cervical spine. Spine, 17, 127–131.CrossRefGoogle ScholarPubMed
Russell, W.R., & Smith, A. (1961). Post-traumatic amnesia in closed head injury. Archives of Neurology, 5, 4–17.CrossRefGoogle ScholarPubMed
Sawchyn, J.M., Brulot, M.M., & Strauss, E. (2000). Note on the use of the Postconcussion Syndrome Checklist. Archives of Clinical Neuropsychology, 15, 1–8.CrossRefGoogle ScholarPubMed
Smith-Seemiller, L., Fow, N.R., Kant, R., & Franzen, M.D. (2003). Presence of post-concussion syndrome symptoms in patients with chronic pain vs. mild traumatic brain injury. Brain Injury, 17, 199–206.CrossRefGoogle ScholarPubMed
Stulemeijer, M.van der Werf, S., Bleijenberg, G., Biert, J., Brauer, J., & Vos, P.E. (2006). Recovery from mild traumatic brain injury: A focus on fatigue. Journal of Neurology, 253, 1041–1047.CrossRefGoogle ScholarPubMed
Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. Lancet, 2, 81–84.CrossRefGoogle ScholarPubMed
Temkin, N.R., Dikmen, S.S., Anderson, G.D., Wilensky, A.J., Holmes, M.D., Cohen, W., Newell, D.W., Nelson, P., Awan, A., & Winn, H.R. (1999). Valproate therapy for prevention of posttraumatic seizures: A randomized trial. Journal of Neurosurgery, 91, 593–600.CrossRefGoogle ScholarPubMed
Thurman, D.J., Alverson, C., Dunn, K.A., Guerrero, J., & Sniezek, J.E. (1999). Traumatic brain injury in the United States: A public health perspective. The Journal of Head Trauma Rehabilitation, 14, 602–615.CrossRefGoogle ScholarPubMed
Trahan, D.E., Ross, C.E., & Trahan, S.L. (2001). Relationships among postconcussional-type symptoms, depression, and anxiety in neurologically normal young adults and victims of mild brain injury. Archives of Clinical Neuropsychology, 16, 435–445.CrossRefGoogle ScholarPubMed
Williams, D.H., Levin, H.S., & Eisenberg, H.M. (1990). Mild head injury classification. Journal of Neurosurgery, 27, 422–428.CrossRefGoogle ScholarPubMed
Wong, J.L., Regennitter, R.P., & Barrios, F. (1994). Base rate and simulated symptoms of mild head injury among normals. Archives of Clinical Neuropsychology, 9, 411–425.CrossRefGoogle ScholarPubMed
World Health Organization. (1992). International statistical classification of diseases and related health problems (10th ed.). Geneva: World Health Organization.Google Scholar