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Titre : | Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury (2013) |
Auteurs : | Harm Van der horn ; Jacoba Spikman ; Bram Jacobs ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/5, 2013) |
Article en page(s) : | pp. 867-874 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anxiété ; Dépression ; Rééducation et réadaptation ; Sexe ; Travail |
Mots-clés: | Anxiety ; Sex ; Brain Injuries ; Lésions encéphaliques ; Work |
Résumé : |
Objectives To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design A prospective cross-sectional cohort study. Setting Level I trauma center. Participants Adults (N=242) with TBI of various severity. Interventions Not applicable. Main Outcome Measures Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P<.001 patients with minor tbi complaints were more anxious vs p and depressed compared other severity categories incomplete rtw respectively a higher percentage of women had men. multiple regression analysis showed that injury anxiety depression all predictive variance in sex only for tbi.> Conclusions Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |