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The nature, frequency and course of psychiatric disorders in the first year after traumatic brain injury: a prospective study

Psychiatric disorders are common following traumatic brain injury (TBI). However, few studies have examined the course of disorder development and the influence of pre-injury psychiatric history. The present study aimed to examine the frequency of, and association between, psychiatric disorders occu...

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Bibliographic Details
Published in:Psychological medicine 2011-10, Vol.41 (10), p.2099-2109
Main Authors: Gould, K. R., Ponsford, J. L., Johnston, L., Schönberger, M.
Format: Article
Language:English
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Summary:Psychiatric disorders are common following traumatic brain injury (TBI). However, few studies have examined the course of disorder development and the influence of pre-injury psychiatric history. The present study aimed to examine the frequency of, and association between, psychiatric disorders occurring pre- and post-injury, and to examine the post-injury course of disorders. Participants were 102 adults (75.5% male) with predominantly moderate-severe TBI. Participants were initially assessed for pre-injury and current disorders, and reassessed at 3, 6 and 12 months post-injury using the Structured Clinical Interview for DSM-IV Disorders (SCID). Over half of the participants had a pre-injury psychiatric disorder; predominantly substance use, mood, and anxiety disorders. In the first year post-injury, 60.8% of participants had a psychiatric disorder, commonly anxiety and mood disorders. Post-injury disorders were associated with the presence of a pre-injury history (p
ISSN:0033-2917
1469-8978
DOI:10.1017/S003329171100033X