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.

aut.relation.journalArchives of Physical Medicine and Rehabilitation
aut.relation.startpageS0003-9993(23)00457-4
dc.contributor.authorTheadom, Alice
dc.contributor.authorJones, Kelly
dc.contributor.authorStarkey, Nicola
dc.contributor.authorBarker-Collo, Suzanne
dc.contributor.authorAmeratunga, Shanthi
dc.contributor.authorFaulkner, Josh
dc.contributor.authorAo, Braden Te
dc.contributor.authorFeigin, V
dc.date.accessioned2023-08-22T01:45:01Z
dc.date.available2023-08-22T01:45:01Z
dc.date.issued2023
dc.description.abstractOBJECTIVE: 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.
dc.identifier.citationArchives 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
dc.identifier.doi10.1016/j.apmr.2023.07.016
dc.identifier.issn0003-9993
dc.identifier.issn0003-9993
dc.identifier.urihttp://hdl.handle.net/10292/16584
dc.languageeng
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0003999323004574
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectconcussion
dc.subjectlongitudinal
dc.subjectsubstance use
dc.subjectsymptoms
dc.subjectTBI
dc.subjecttraumatic brain injury
dc.subjectwork
dc.subjectTBI
dc.subjectconcussion
dc.subjectlongitudinal
dc.subjectsubstance use
dc.subjectsymptoms
dc.subjecttraumatic brain injury
dc.subjectwork
dc.subject4201 Allied Health and Rehabilitation Science
dc.subject42 Health Sciences
dc.subject4207 Sports Science and Exercise
dc.subjectBehavioral and Social Science
dc.subjectClinical Research
dc.subjectTraumatic Brain Injury (TBI)
dc.subjectTraumatic Head and Spine Injury
dc.subjectNeurosciences
dc.subjectBrain Disorders
dc.subjectPhysical Injury - Accidents and Adverse Effects
dc.subjectSubstance Misuse
dc.subject2.3 Psychological, social and economic factors
dc.subject2 Aetiology
dc.subjectMental health
dc.subject3 Good Health and Well Being
dc.subject1103 Clinical Sciences
dc.subject1106 Human Movement and Sports Sciences
dc.subject1117 Public Health and Health Services
dc.subjectRehabilitation
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject4207 Sports science and exercise
dc.titleSymptoms 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.
dc.typeJournal Article
pubs.elements-id521285
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