Function after Motor Vehicle Accidents: A Prospective Study of Mild Head Injury and Posttraumatic Stress
Relationships among mild traumatic brain injury (MTBI), posttraumatic stress (PTS), and function were examined in 99 motor vehicle accident (MVA) admissions64 in an MTBI group and 35 in a no-MTBI comparison group. Assessments occurred within the first month and at 6 to 9 months. At follow-up, the sa...
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| Veröffentlicht in: | The journal of nervous and mental disease 2001-07, Vol.189 (7), p.426-434 |
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| creator | FRIEDLAND, JUDITH F DAWSON, DEIRDRE R |
| description | Relationships among mild traumatic brain injury (MTBI), posttraumatic stress (PTS), and function were examined in 99 motor vehicle accident (MVA) admissions64 in an MTBI group and 35 in a no-MTBI comparison group. Assessments occurred within the first month and at 6 to 9 months. At follow-up, the sample was moderately disabled on the Sickness Impact Profile (SIP), 71% satisfied on the Reintegration of Normal Living Index (RNL), and 42% had returned to work. Only the SIP Psychosocial score was significantly different for MTBI groups; 24% of the sample showed definite symptoms of PTS. This group was significantly more disabled on the SIP, less satisfied on the RNL, and less likely to return to work. The proportion of variance in outcome explained in each model ranged from 32% (Physical SIP) to 44% (RNL). Results suggest the need for clinicians to be more aware of the strong influence of PTS on functional outcomes. |
| doi_str_mv | 10.1097/00005053-200107000-00003 |
| format | Article |
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Assessments occurred within the first month and at 6 to 9 months. At follow-up, the sample was moderately disabled on the Sickness Impact Profile (SIP), 71% satisfied on the Reintegration of Normal Living Index (RNL), and 42% had returned to work. Only the SIP Psychosocial score was significantly different for MTBI groups; 24% of the sample showed definite symptoms of PTS. This group was significantly more disabled on the SIP, less satisfied on the RNL, and less likely to return to work. The proportion of variance in outcome explained in each model ranged from 32% (Physical SIP) to 44% (RNL). 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Assessments occurred within the first month and at 6 to 9 months. At follow-up, the sample was moderately disabled on the Sickness Impact Profile (SIP), 71% satisfied on the Reintegration of Normal Living Index (RNL), and 42% had returned to work. Only the SIP Psychosocial score was significantly different for MTBI groups; 24% of the sample showed definite symptoms of PTS. This group was significantly more disabled on the SIP, less satisfied on the RNL, and less likely to return to work. The proportion of variance in outcome explained in each model ranged from 32% (Physical SIP) to 44% (RNL). Results suggest the need for clinicians to be more aware of the strong influence of PTS on functional outcomes.</description><subject>Accidents, Traffic - psychology</subject><subject>Activities of Daily Living - classification</subject><subject>Activities of Daily Living - psychology</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Craniocerebral Trauma - diagnosis</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glasgow Outcome Scale</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Post-traumatic stress disorder</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Neuroses</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Craniocerebral Trauma - diagnosis</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glasgow Outcome Scale</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Post-traumatic stress disorder</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Sickness Impact Profile</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Trauma Severity Indices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRIEDLAND, JUDITH F</creatorcontrib><creatorcontrib>DAWSON, DEIRDRE R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FRIEDLAND, JUDITH F</au><au>DAWSON, DEIRDRE R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Function after Motor Vehicle Accidents: A Prospective Study of Mild Head Injury and Posttraumatic Stress</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2001-07</date><risdate>2001</risdate><volume>189</volume><issue>7</issue><spage>426</spage><epage>434</epage><pages>426-434</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>Relationships among mild traumatic brain injury (MTBI), posttraumatic stress (PTS), and function were examined in 99 motor vehicle accident (MVA) admissions64 in an MTBI group and 35 in a no-MTBI comparison group. 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| subjects | Accidents, Traffic - psychology Activities of Daily Living - classification Activities of Daily Living - psychology Adult Adult and adolescent clinical studies Aged Anxiety disorders. Neuroses Biological and medical sciences Cohort Studies Craniocerebral Trauma - diagnosis Disability Evaluation Female Follow-Up Studies Glasgow Outcome Scale Hospitalization Humans Length of Stay Male Medical sciences Middle Aged Post-traumatic stress disorder Prospective Studies Psychiatric Status Rating Scales - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sickness Impact Profile Stress Disorders, Post-Traumatic - diagnosis Trauma Severity Indices |
| title | Function after Motor Vehicle Accidents: A Prospective Study of Mild Head Injury and Posttraumatic Stress |
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