Symptoms and Engagement in Anti-social Behaviour 10 Years Following Mild Traumatic Brain Injury Within a Community Civilian Sample: A Prospective Cohort Study with Age-Sex Matched Control Group.
Date
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
OBJECTIVE: To determine if there are longer-term impacts on symptoms, health status, mood and behaviour 10-years following a mild traumatic brain injury (mTBI). DESIGN: Prospective cohort study SETTING: Community-based, civilian sample PARTICIPANTS: Adults aged ≥16 years at follow up who experienced a mTBI 10-years ago, and an age and sex-matched non-injured control group. INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: MTBI cases and controls were asked to complete self-report assessments of functioning (WHODAS 2.0), symptoms (Rivermead Post-Concussion Symptom Questionnaire), health status (100-point scale), alcohol (AUDIT-C) and substance use (ASSIST), and whether they had engaged in any anti-social behaviours over the past 12-months. RESULTS: Data were analysed for 368 participants (184 mTBI cases and 184 age-sex matched controls). Just over a third of mTBI cases (64, 34.8%) reported that they were still affected by their index mTBI 10-years later. After adjusting for education and ethnicity, the mTBI group had statistically higher overall symptom burden (F=22.32, p<0.001, ηp2 =0.07) compared to controls. This difference remained after excluding those who experienced a recurrent TBI. The mTBI group were more than three times as likely to have engaged in anti-social behaviour during the previous 12-months (F=5.89, p=0.02). There were no group differences in health status, functioning, or problematic alcohol or substance use 10-years post-injury. CONCLUSIONS: This study provides evidence of potential longer-term associations between mTBI, post-concussion symptoms and anti-social behaviour which warrants further evaluation. Future research should also examine if longer-term effects may be preventable with access to early rehabilitation post-injury.Description
Keywords
concussion, longitudinal, substance use, symptoms, TBI, traumatic brain injury, work, TBI, concussion, longitudinal, substance use, symptoms, traumatic brain injury, work, 4201 Allied Health and Rehabilitation Science, 42 Health Sciences, 4207 Sports Science and Exercise, Behavioral and Social Science, Clinical Research, Traumatic Brain Injury (TBI), Traumatic Head and Spine Injury, Neurosciences, Brain Disorders, Physical Injury - Accidents and Adverse Effects, Substance Misuse, 2.3 Psychological, social and economic factors, 2 Aetiology, Mental health, 3 Good Health and Well Being, 1103 Clinical Sciences, 1106 Human Movement and Sports Sciences, 1117 Public Health and Health Services, Rehabilitation, 3202 Clinical sciences, 4201 Allied health and rehabilitation science, 4207 Sports science and exercise
Source
Archives of Physical Medicine and Rehabilitation, ISSN: 0003-9993 (Print); 0003-9993 (Online), Elsevier, S0003-9993(23)00457-4-. doi: 10.1016/j.apmr.2023.07.016