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.

Theadom, Alice
Jones, Kelly
Starkey, Nicola
Barker-Collo, Suzanne
Ameratunga, Shanthi
Faulkner, Josh
Ao, Braden Te
Feigin, V
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Journal Article
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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.

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
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
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