The Patient Global Impression of Change as a complementary tool to account for neurobehavioral and mental health symptom improvement for patients with concussion

The purpose of this study was to determine the extent to which patient's perspective of symptom improvement, as indexed by the Patient Global Impression of Change (PGIC) survey, is associated with symptom improvement on common measures of neurobehavioral and mental health symptoms following con...

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Bibliographic Details
Published in:Disability and rehabilitation 2024-05, p.1-9
Main Authors: Remigio-Baker, Rosemay A, Hungerford, Lars D, Bailie, Jason M, Ivins, Brian J, Lopez, Juan, Ettenhofer, Mark L
Format: Article
Language:English
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Summary:The purpose of this study was to determine the extent to which patient's perspective of symptom improvement, as indexed by the Patient Global Impression of Change (PGIC) survey, is associated with symptom improvement on common measures of neurobehavioral and mental health symptoms following concussion. Data were from 449 US active duty service members receiving treatment in interdisciplinary programs for their concussion. PGIC rating (range = 1-7) was evaluated for compatibility in assessing improvement in or clinically-elevated neurobehavioral (using Neurobehavioral Symptom Inventory [NSI]) and mental health (using Post-traumatic Stress Disorder Checklist, DSM-5 [PCL-5] and Patient Health Questionnaire [PHQ-8]) symptoms. Higher PGIC scores were related to a higher prevalence of clinically-relevant in NSI, PCL-5 or PHQ-8 scores. Participants with a PGIC rating of 3+ (vs.
ISSN:0963-8288
1464-5165
1464-5165
DOI:10.1080/09638288.2024.2346233