Association of Posttraumatic Stress Symptom Severity With Health-Related Quality of Life and Self-Reported Functioning Across 12 Months After Severe Traumatic Brain Injury.
Arch Phys Med Rehabil
; 99(8): 1576-1583, 2018 08.
Article
em En
| MEDLINE
| ID: mdl-29545000
ABSTRACT
OBJECTIVE:
To investigate the relation between posttraumatic stress (PTS) symptom severity and health-related quality of life (HRQoL) after severe traumatic brain injury (TBI).DESIGN:
Longitudinal prospective multicenter, cohort study on severe TBI in Switzerland (2007-2011).SETTING:
Hospital, rehabilitation unit, and/or patient's living facility.PARTICIPANTS:
Patients with severe TBI (N=109) were included in the analyses. Injury severity was determined using the Abbreviated Injury Score of the head region after clinical assessment and initial computed tomography scan.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
HRQoL (Medical Outcomes Study 12-Item Short-Form Health Survey Physical and Mental Component Summaries) and self-reported emotional, cognitive, and interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation).RESULTS:
Multilevel models for patients >50 and ≤50 years of age revealed significant negative associations between PTS symptom severity and interpersonal functioning (P<.001 and P=.002), respectively. Among patients ≤50 years of age, PTS symptom severity was significantly associated with total functioning (P=.001) and emotional functioning (P<.001). Among all patients, PTS symptom severity was significantly associated with cognitive functioning (P<.001) and mental HRQoL (P=.01).CONCLUSIONS:
Findings indicate that PTS symptoms after severe TBI are negatively associated with HRQoL and emotional, cognitive, and interpersonal functioning.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Transtornos de Estresse Pós-Traumáticos
/
Escala de Gravidade do Ferimento
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Marrocos