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mTBI depression

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https://www.readbyqxmd.com/read/27843436/lifetime-multiple-mild-traumatic-brain-injuries-are-associated-with-cognitive-and-mood-symptoms-in-young-healthy-college-students
#1
Kyle C Vynorius, Alyssa M Paquin, Daniel R Seichepine
BACKGROUND/OBJECTIVES: Repetitive mild traumatic brain injury (mTBI, also known as concussion) has been associated with a range of long-term mood and cognitive deficits, including executive dysfunction. Previous research in athletes suggests that cognitive and mood problems are associated with a history of repetitive mTBI. However, to date, no studies have examined the impact of a lifetime accumulation of repetitive mTBIs on cognition, particularly executive functioning, and mood in a sample of young adults who were not athletes...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27784200/prevalence-of-incomplete-functional-and-symptomatic-recovery-among-patients-with-head-injury-but-brain-injury-debatable-hibrid-running-title-outcomes-in-patients-with-head-injury-but-brain-injury-debatable
#2
Frederick Kofi Korley, Ramon Diaz-Arrastia, Hayley J Falk, Matthew E Peters, Jeannie-Marie S Leoutsakos, Durga Roy, Vani Rao, Haris I Sair, Uju Ofoche, Anna J Hall, Freshta Akbari, Timothy E Van Meter, Allen D Everett, Jennifer Van Eyk, Kathleen T Bechtold
Head injury patients not meeting the American Congress of Rehabilitation Medicine (ACRM)'s criteria for mild traumatic brain injury (mTBI), referred to hereafter as HIBRID (Head Injury BRain Injury Debatable) are often excluded from studies. The prognostic importance of HIBRID is unclear. We investigated the differences in functional and symptomatic recovery at one month after injury among TBI patients classified as: HIBRID, ACRM+ cranial CT-, and cranial CT+; and trauma and healthy controls. Subjects were enrolled in an ongoing prospective cohort (Head Injury Serum Markers for Assessing Response to Trauma, HeadSMART)...
October 26, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27609849/psychological-impact-of-injuries-sustained-in-motor-vehicle-crashes-systematic-review-and-meta-analysis
#3
Ashley Craig, Yvonne Tran, Rebecca Guest, Bamini Gopinath, Jagnoor Jagnoor, Richard A Bryant, Alex Collie, Robyn Tate, Justin Kenardy, James W Middleton, Ian Cameron
OBJECTIVE: The aim of this meta-analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Multiple search engines included MEDLINE (via OVID), PsycINFO and Embase, and studies were sourced from scientific journals, conference papers and doctoral theses. STUDY SELECTION: A high-yield search strategy was employed...
2016: BMJ Open
https://www.readbyqxmd.com/read/27603760/symptom-trajectories-after-military-blast-exposure-and-the-influence-of-mild-traumatic-brain-injury
#4
William C Walker, Laura M Franke, Adam P Sima, David X Cifu
BACKGROUND: Blast-related mild traumatic brain injury (blast mTBI) is a signature wound of recent US military conflicts in the Middle East, but the relatedness of postconcussive symptoms (PCS) to the blast mTBI is unclear, and longitudinal symptom data are sparse. OBJECTIVES: To characterize postdeployment symptom levels and trajectories and to determine relationship to blast mTBI. METHODS: A total of 216 participants within 2 years of blast exposure during deployment underwent structured interviews or algorithmic questionnaires for blast mTBI...
September 6, 2016: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/27579992/telephone-problem-solving-for-service-members-with-mild-traumatic-brain-injury-a-randomized-clinical-trial
#5
Kathleen R Bell, Jesse R Fann, Jo Ann Brockway, Wesley R Cole, Nigel E Bush, Sureyya Dikmen, Tessa Hart, Ariel J Lang, Gerald Grant, Gregory Gahm, Mark A Reger, Jef St De Lore, Joan Machamer, Karin Ernstrom, Rema Raman, Sonia Jain, Murray B Stein, Nancy Temkin
Mild traumatic brain injury (mTBI) is a common injury for service members in recent military conflicts. There is insufficient evidence of how best to treat the consequences of mTBI. In a randomized, clinical trial, we evaluated the efficacy of telephone-delivered problem-solving treatment (PST) on psychological and physical symptoms in 356 post-deployment active duty service members from Joint Base Lewis McChord, Washington, and Fort Bragg, North Carolina. Members with medically confirmed mTBI sustained during deployment to Iraq and Afghanistan within the previous 24 months received PST or education-only (EO) interventions...
October 13, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27560623/patients-at-risk-of-suffering-from-persistent-complaints-after-mild-traumatic-brain-injury-the-role-of-coping-mood-disorders-and-post-traumatic-stress
#6
Myrthe E Scheenen, Jacoba M Spikman, Myrthe E de Koning, Harm J van der Horn, Gerwin Roks, Gerard Hageman, Joukje van der Naalt
Although most patients recover fully following mild traumatic brain injury (mTBI), a minority (15-25%) of all patients develop persistent post-traumatic complaints (PTC) that interfere with the resumption of previous activities. An early identification of patients who are at risk for PTC is currently performed by measuring the number of complaints in the acute phase. However, only part of this group will actually develop persisting complaints, stressing the need for studies on additional risk factors. This study aimed to compare this group of patients with many complaints with patients with few and no complaints to identify potential additional discriminating characteristics and to evaluate which of these factors have the most predictive value for being at risk...
August 25, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27551023/diagnosis-threat-and-injury-beliefs-after-mild-traumatic-brain-injury
#7
Samantha N Carter-Allison, Sebastian Potter, Katharine Rimes
BACKGROUND: Diagnosis threat is a psychosocial factor proposed to contribute to poor cognitive outcomes following mild traumatic brain injury (mTBI). The current research explored diagnosis threat impact on objective and subjective cognitive performance in a "high risk" population of athletes. Two possible moderators of diagnosis threat - injury beliefs and suggestibility - were also investigated. METHOD: Seventy-six participants with a history of mTBI were recruited through sports clubs and randomized to a months threat group (instructions drew attention to mTBI history) or a control group (no mention of mTBI)...
August 22, 2016: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/27548577/the-contribution-of-posttraumatic-stress-disorder-and-mild-traumatic-brain-injury-to-persistent-post-concussive-symptoms-following-motor-vehicle-accidents
#8
Shira Segev, Maayan Shorer, Yuri Rassovsky, Tammy Pilowsky Peleg, Alan Apter, Silvana Fennig
OBJECTIVE: Persistent postconcussive symptoms (PPCS) are a set of physical, cognitive, emotional, and behavioral symptoms that often follow mild traumatic brain injury (mTBI). Some of these symptoms also occur in posttraumatic stress disorder (PTSD). The current study examined the unique contribution of mTBI and PTSD to PPCS. The roles of neurocognitive and motivational factors were also addressed. METHOD: Sixty one children and adolescents (ages 6-18), at least 3 months post motor vehicle accident (MVA), participated in the study...
October 2016: Neuropsychology
https://www.readbyqxmd.com/read/27362874/assessing-accident-phobia-in-mild-traumatic-brain-injury-the-accident-fear-questionnaire
#9
Jessica Sutherland, Jason Middleton, Tisha J Ornstein, Kerry Lawson, Kristin Vickers
PURPOSE: Despite a documented prevalence of accident phobia in almost 40% of motor vehicle accident (MVA) survivors, the onset of accident phobia after traumatic brain injury (TBI) remains poorly understood. There is currently a body of knowledge about posttraumatic stress disorder (PTSD) in patients with TBI, but less is known about accident phobia following TBI, particularly in cases of mild TBI (mTBI). Accident phobia can impede safe return to driving or motor vehicle travel, inhibiting return to daily functioning...
August 2016: Rehabilitation Psychology
https://www.readbyqxmd.com/read/27323217/community-reintegration-problems-among-veterans-and-active-duty-service-members-with-traumatic-brain-injury
#10
Suzanne McGarity, Scott D Barnett, Greg Lamberty, Tracy Kretzmer, Gail Powell-Cope, Nitin Patel, Risa Nakase-Richardson
OBJECTIVES: To examine community reintegration problems among Veterans and military service members with mild or moderate/severe traumatic brain injury (TBI) at 1 year postinjury and to identify unique predictors that may contribute to these difficulties. SETTING: VA Polytrauma Rehabilitation Centers. PARTICIPANTS: Participants were 154 inpatients enrolled in the VA TBI Model Systems Program with available injury severity data (mild = 28.6%; moderate/severe = 71...
June 17, 2016: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/27297705/subacute-posttraumatic-complaints-and-psychological-distress-in-trauma-patients-with-or-without-mild-traumatic-brain-injury
#11
M E de Koning, B Gareb, M El Moumni, M E Scheenen, H J van der Horn, M E Timmerman, J M Spikman, J van der Naalt
OBJECTIVE: To identify the frequency, nature and profile of complaints for trauma patients with and without mild traumatic brain injury (mTBI), and to assess their relation to anxiety and depression. METHODS: A prospective cohort study in a level-one trauma centre was conducted. Mild traumatic brain injury patients and trauma controls were approached for participation. Two weeks after injury, The Head Injury Symptom Checklist (HISC) and the Hospital Anxiety and Depression Scale (HADS) were administered...
September 2016: Injury
https://www.readbyqxmd.com/read/27254800/a-systematic-review-of-psychiatric-psychological-and-behavioural-outcomes-following-mild-traumatic-brain-injury-in-children-and-adolescents
#12
Carolyn A Emery, Karen M Barlow, Brian L Brooks, Jeffrey E Max, Angela Villavicencio-Requis, Vithya Gnanakumar, Helen Lee Robertson, Kathryn Schneider, Keith Owen Yeates
BACKGROUND: Evidence regarding longer-term psychiatric, psychological, and behavioural outcomes (for example, anxiety, mood disorders, depression, and attention disorders) following mild traumatic brain injury (mTBI) in children and adolescents has not been previously synthesized. OBJECTIVE: To conduct a systematic review of the available evidence examining psychiatric, psychological, and behavioural outcomes following mTBI in children and adolescents. MATERIALS AND METHODS: Nine electronic databases were systematically searched from 1980 to August 2014...
May 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/27206865/relations-of-blood-pressure-and-head-injury-to-regional-cerebral-blood-flow
#13
Jason E Kisser, Allyssa J Allen, Leslie I Katzel, Carrington R Wendell, Eliot L Siegel, David Lefkowitz, Shari R Waldstein
Hypertension confers increased risk for cognitive decline, dementia, and cerebrovascular disease. These associations have been attributed, in part, to cerebral hypoperfusion. Here we posit that relations of higher blood pressure to lower levels of cerebral perfusion may be potentiated by a prior head injury. Participants were 87 community-dwelling older adults - 69% men, 90% white, mean age=66.9years, 27.6% with a history of mild traumatic brain injury (mTBI) defined as a loss of consciousness ≤30min resulting from an injury to the head, and free of major medical (other than hypertension), neurological or psychiatric comorbidities...
June 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27148692/association-between-mild-traumatic-brain-injury-and-mental-health-problems-and-self-reported-cognitive-dysfunction-in-iraq-and-afghanistan-veterans
#14
Karen H Seal, Daniel Bertenthal, Kristin Samuelson, Shira Maguen, Sant Kumar, Jennifer J Vasterling
The Department of Veterans Affairs traumatic brain injury (TBI) screening program is intended to detect and expedite treatment for TBI and postconcussive symptoms. Between April 14, 2007, and May 31, 2012, of 66,089 Iraq and Afghanistan Veterans who screened positive on first-level TBI screening and later completed comprehensive TBI evaluation that includes the Neurobehavioral Symptoms Inventory, 72% reported moderate to very severe cognitive impairment (problems with attention, concentration, memory, etc.) that interfered with daily activities...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27137435/the-long-term-psychiatric-sequelae-of-severe-injury-a-6-year-follow-up-study
#15
Meaghan L O'Donnell, Nathan Alkemade, Mark C Creamer, Alexander C McFarlane, Derrick Silove, Richard A Bryant, David Forbes
OBJECTIVE: The impact of mental health on disease burden associated with injury represents a major public health issue, yet almost no information is available on the associated long-term mental health outcomes. The primary aim of this study was to assess the psychiatric outcomes 6 years after a severe injury and their subsequent impact on long-term disability. The secondary aim was to investigate the relationship between a mild traumatic brain injury (mTBI) and long-term psychiatric disorder and its impact on disability...
April 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27110438/brain-derived-neurotropic-factor-polymorphisms-traumatic-stress-mild-traumatic-brain-injury-and-combat-exposure-contribute-to-postdeployment-traumatic-stress
#16
Michael N Dretsch, Kathy Williams, Tanja Emmerich, Gogce Crynen, Ghania Ait-Ghezala, Helena Chaytow, Venkat Mathura, Fiona C Crawford, Grant L Iverson
BACKGROUND: In addition to experiencing traumatic events while deployed in a combat environment, there are other factors that contribute to the development of posttraumatic stress disorder (PTSD) in military service members. This study explored the contribution of genetics, childhood environment, prior trauma, psychological, cognitive, and deployment factors to the development of traumatic stress following deployment. METHODS: Both pre- and postdeployment data on 231 of 458 soldiers were analyzed...
January 2016: Brain and Behavior
https://www.readbyqxmd.com/read/27085849/thalamic-functional-connectivity-in-mild-traumatic%C3%A2-brain-injury-longitudinal-associations%C3%A2-with-patient-reported-outcomes%C3%A2-and%C3%A2-neuropsychological-tests
#17
Sarah D Banks, Rogelio A Coronado, Lori R Clemons, Christine M Abraham, Sumit Pruthi, Benjamin N Conrad, Victoria L Morgan, Oscar D Guillamondegui, Kristin R Archer
OBJECTIVES: (1) To examine differences in patient-reported outcomes, neuropsychological tests, and thalamic functional connectivity (FC) between patients with mild traumatic brain injury (mTBI) and individuals without mTBI and (2) to determine longitudinal associations between changes in these measures. DESIGN: Prospective observational case-control study. SETTING: Academic medical center. PARTICIPANTS: A sample (N=24) of 13 patients with mTBI (mean age, 39...
August 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27029852/non-hospitalized-patients-with-mild-traumatic-brain-injury-the-forgotten-minority
#18
Myrthe Elisabeth de Koning, Myrthe Elisabeth Scheenen, Harm Jan van der Horn, Gerard Hageman, Gerwin Roks, Jacoba M Spikman, Joukje van der Naalt
Non-hospitalized mild traumatic brain injury patients (mTBI) comprise a substantial part of the trauma population. For these patients, guidelines recommend specialized follow-up only in the case of persistent complaints or problems returning to previous activities. This study describes injury and outcome characteristics of non-hospitalized mTBI patients and the possibility of predicting which of the non-hospitalized patients will return to the outpatient neurology clinic. Data from all non-hospitalized mTBI patients (GCS 13-15, n=462) from a prospective follow-up study on mTBI (UPFRONT-study) conducted in three level-1 trauma centers were analyzed...
March 30, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27022959/prognostic-markers-for-poor-recovery-after-mild-traumatic-brain-injury-in-older-adults-a-pilot-cohort-study
#19
Vicki L Kristman, Robert J Brison, Michel Bédard, Paula Reguly, Shelley Chisholm
OBJECTIVE: To identify prognostic markers associated with poor recovery from mild traumatic brain injury (MTBI) in older adults. SETTING: Three Ontario emergency departments. PARTICIPANTS: Forty-nine participants aged 65 years and older that visited an emergency department for MTBI. DESIGN: Pilot prospective cohort study. MAIN MEASURES: Recovery from MTBI determined using the Rivermead Postconcussion symptom Questionnaire, the Glasgow Outcomes Scale-Extended, physical and mental health functioning (SF-12), and a single question on self-rated recovery assessed by telephone shortly after emergency department visit (baseline) and again 6 months later...
March 28, 2016: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/27022058/a-practical-concussion-physical-examination-toolbox-evidence-based-physical-examination-for-concussion
#20
Jason M Matuszak, Jennifer McVige, Jacob McPherson, Barry Willer, John Leddy
CONTEXT: With heightened awareness of concussion, there is a need to assess and manage the concussed patient in a consistent manner. Unfortunately, concussion physical examination has not been standardized or supported by evidence. Important questions remain about the physical examination. EVIDENCE ACQUISITION: Review of ClinicalKey, Cochrane, MEDLINE, and PubMed prior to July 2015 was performed using search terms, including concussion, mTBI, physical examination, mental status, cranial nerves, reflexes, cervical, vestibular, and oculomotor...
March 28, 2016: Sports Health
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