Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI

Although there is a large body of research on mild traumatic brain injury (MTBI), the portion that pertains to acute patients (those less than 1 month postinjury) is relatively small and yields inconsistent findings. The potential contribution of non-neurological factors, such as pain and emotional...

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Bibliographic Details
Published in:Archives of clinical neuropsychology 2006-05, Vol.21 (4), p.255-273
Main Authors: Landre, Nancy, Poppe, Christopher J., Davis, Nancy, Schmaus, Brian, Hobbs, Susan E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Brain Injuries - complications
Brain Injuries - physiopathology
Cognition - physiology
Cognitive
Female
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Mild TBI
Neuropsychological
Neuropsychological Tests - statistics & numerical data
Organic mental disorders. Neuropsychology
Outcome
Pain Measurement
Post-Concussion Syndrome - etiology
Postconcussive syndrome
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Trauma
Trauma Severity Indices
Traumas. Diseases due to physical agents
Citations: Items that cite this one
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Summary:Although there is a large body of research on mild traumatic brain injury (MTBI), the portion that pertains to acute patients (those less than 1 month postinjury) is relatively small and yields inconsistent findings. The potential contribution of non-neurological factors, such as pain and emotional distress, to the clinical picture in this population is also lacking. To address these issues, the cognitive performance and symptom complaints of 37 hospitalized MTBI subjects were compared to those of 39 hospitalized trauma subjects, averaging 4.5 days postinjury. MTBI subjects performed significantly worse on all cognitive measures, but did not differ from trauma subjects in their report of postconcussive symptoms. Analyses also revealed that cognitive performance was unrelated to pain severity and emotional distress. Postconcussive symptoms were similarly unrelated to pain severity, but were consistently related to emotional distress. Results are discussed in terms of their etiological and treatment implications.
ISSN:0887-6177
1873-5843
DOI:10.1016/j.acn.2005.12.007