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- Title
Association between posttraumatic stress, depression, and functional impairments in adolescents 24 months after traumatic brain injury.
- Authors
O'Connor, Stephen S.; Zatzick, Douglas F.; Wang, Jin; Temkin, Nancy; Koepsell, Thomas D.; Jaffe, Kenneth M.; Durbin, Dennis; Vavilala, Monica S.; Dorsch, Andrea; Rivara, Frederick P.
- Abstract
The degree to which postinjury posttraumatic stress disorder (PTSD) and/or depressive symptoms in adolescents are associated with cognitive and functional impairments at 12 and 24 months after traumatic brain injury (TBI) is not yet known. The current study used a prospective cohort design, with baseline assessment and 3-, 12-, and 24-month followup, and recruited a cohort of 228 adolescents ages 14-17 years who sustained either a TBI ( n = 189) or an isolated arm injury ( n = 39). Linear mixed-effects regression was used to assess differences in depressive and PTSD symptoms between TBI and arm-injured patients and to assess the association between 3-month PTSD and depressive symptoms and cognitive and functional outcomes. Results indicated that patients who sustained a mild TBI without intracranial hemorrhage reported significantly worse PTSD (Hedges g = 0.49, p = .01; Model R2 = .38) symptoms across time as compared to the arm injured control group. Greater levels of PTSD symptoms were associated with poorer school (η2 = .07, p = .03; Model R2 = .36) and physical (η2 = .11, p = .01; Model R2 = .23) functioning, whereas greater depressive symptoms were associated with poorer school (η2 = .06, p = .05; Model R2 = .39) functioning.
- Subjects
BRAIN injuries; POST-traumatic stress disorder in adolescence; DEPRESSION in adolescence; COGNITION disorders in adolescence; ADOLESCENT psychopathology; PSYCHOLOGY
- Publication
Journal of Traumatic Stress, 2012, Vol 25, Issue 3, p264
- ISSN
0894-9867
- Publication type
Article
- DOI
10.1002/jts.21704