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Prevalence and Predictors of Post-traumatic Stress Disorder in Adults One Year Following Traumatic Brain Injury: A Population-based Study

Published online by Cambridge University Press:  13 November 2013

Suzanne Barker-Collo ,
Alice Theadom ,
Shanthi Ameratunga ,
Kelly Jones ,
Amy Jones ,
Nicola Starkey  and
Valery L. Feigin
Suzanne Barker-Collo*
Affiliation:
School of Psychology, Faculty of Sciences, University of Auckland, New Zealand
Alice Theadom
Affiliation:
National Institute for Stroke and Applied Neuroscience, School of Rehabilitation and Occupation Studies, Auckland University of Technology, New Zealand
Shanthi Ameratunga
Affiliation:
School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand
Kelly Jones
Affiliation:
National Institute for Stroke and Applied Neuroscience, School of Rehabilitation and Occupation Studies, Auckland University of Technology, New Zealand
Amy Jones
Affiliation:
National Institute for Stroke and Applied Neuroscience, School of Rehabilitation and Occupation Studies, Auckland University of Technology, New Zealand
Nicola Starkey
Affiliation:
School of Psychology, Faculty of Arts and Social Sciences, University of Waikato, Hamilton, New Zealand
Valery L. Feigin
Affiliation:
National Institute for Stroke and Applied Neuroscience, School of Rehabilitation and Occupation Studies, Auckland University of Technology, New Zealand
*
Address for correspondence: Suzanne Barker-Collo PhD, Department of Psychology, Tamaki Campus, The University of Auckland, Private Bag 92019, Auckland, New Zealand. E-mail: s.barker-collo@auckland.ac.nz
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Abstract

Objective: Experiencing a traumatic brain injury (TBI) may increase the risk of post-traumatic stress disorder (PTSD); however, this has not been examined in a population-based context. This study examined prevalence and predictors (demographic and injury related) of PTSD 1 year after TBI in a population-based sample.

Method: A population-based TBI incidence and outcomes study was conducted in Hamilton and Waikato Districts of New Zealand over 12 months (February 2011–March 2012) with follow-up at 1 year. The relationship of baseline demographic and TBI characteristics to PTSD (Post-traumatic Diagnostic Scale; PDS) was examined in 431 adults (>15 years old) 1 year post-TBI.

Results: On average, participants reported three PTSD symptoms, with heightened arousal being the most commonly reported. Nearly 18% of participants met criteria for PTSD. These participants were significantly more likely to report pre-TBI history of depression/anxiety, and to have drugs implicated in the injury. Regression indicated that female gender, increased loss of consciousness (LOC) and intentional injury predicted PTSD severity (R2 = .109, F[6, 294] = 6.007, p < .001) and number of symptoms (R2 = .098, F[3, 297] = 4.562, p < .001).

Conclusion: PTSD occurred as a long-term sequela in 18% of participants after TBI, with increased PTSD severity and greater number of symptoms associated with female gender, longer LOC and intentional injury. These findings have implications for identification and targeting of assessment and intervention resources towards those at greatest risk of PTSD following TBI.

Keywords

traumatic brain injurypost-traumatic stress disorder
Type
Articles
Information
Brain Impairment , Volume 14 , Issue 3 , December 2013 , pp. 425 - 435
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

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References

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders. Fourth Addition (DSM-IV). Washington, DC: American Psychiatric Association.Google Scholar
Breslau, N., Davis, G., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archive of General Psychiatry, 48, 216–222.CrossRefGoogle Scholar
Bryant, R.A. (1996). Posttraumatic stress disorder, flashbacks, and pseudomemories in closed head injury. Journal of Traumatic Stress, 9, 621–629.CrossRefGoogle ScholarPubMed
Bryant, R.A. (2011). Post-traumatic stress disorder vs traumatic brain injury. Dialogues in Clinican Neuroscience, 13, 251–262.CrossRefGoogle ScholarPubMed
Bryant, R.A., & Harvey, A.G. (1998). A comparison of traumatic memories and pseudomemories in post-traumatic stress disorder. Applied Cognitive Psychology, 12, 81–88.3.0.CO;2-8>CrossRefGoogle Scholar
Bryant, R.A., Marosszeky, J.E., Crooks, J., & Gurka, J.A. (2000). Posttraumatic stress disorder after severe traumatic brain injury. American Journal of Psychiatry, 157, 629–631.CrossRefGoogle ScholarPubMed
Bryant, R.A., O'Donnell, M.L., Creamer, M., McFarlane, A.C., Clark, C.R., & Silove, D. (2010). The psychiatric sequelae of traumatic injury. American Journal of Psychiatry, 167, 312–320.CrossRefGoogle ScholarPubMed
Carroll, L.J., Cassidy, J.D., Holm, L., Kraus, J., Coronado, V.G., WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury (2004). Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Journal of Rehabilitation Medicine, 43(Suppl.), 113–125.CrossRefGoogle Scholar
Creamer, M., Burgess, P., & McFarlane, A.C. (2001). Posttraumatic stress disorder: Findings of the Australian National Survey of Mental Health and Wellness. Psychological Medicine, 31, 1237–1247.CrossRefGoogle Scholar
Ditlevsen, D.N., & Elkli, A. (2012). Gender, trauma type, and PTSD prevalence: a re-analysis of 18 Nordic convenience samples. Annals of General Psychiatry, 11 (1), 26.CrossRefGoogle ScholarPubMed
Feigin, V., Theadom, A., Barker-Collo, S., Starkey, N., McPherson, K., Kahan, M., . . . Ametatunga, S. (2012). Incidence of traumatic brain injury in New Zealand: A population-based study. The Lancet Neurology, 12, 53–64.CrossRefGoogle ScholarPubMed
Foa, E., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale. Psychological Assessment, 9, 445–451.CrossRefGoogle Scholar
Hefford, M., Crampton, P., & Foley, J. (2005). Reducing health disparities through primary care reform: the New Zealand experiment. Health Policy, 72, 9–23.CrossRefGoogle ScholarPubMed
Hoge, C.W., McGurk, D., Thomas, J.L., Cox, A.L., Engel, C.C., & Castro, C.A. (2008). Mild traumatic brain injury in U.S. soldiers returning from Iraq. New England Journal of Medicine, 358, 453–463.CrossRefGoogle ScholarPubMed
Holbrook, T.L., Hoyt, D.B., Stein, M.B., & Sieber, W.J. (2002). Gender differences in long-term posttraumatic stress disorder outcomes after major trauma: women are at higher risk of adverse outcomes than men. Journal of Trauma, 53, 882–888.CrossRefGoogle ScholarPubMed
Kenardy, J., Le Brocque, R., Hendrikz, J., Iselin, G., Anderson, V., & McKinlay, L. (2012). Impact of posttraumatic stress disorder and injury severity on recovery in children with traumatic brain injury. Journal of Clinical Child and Adolescent Psychology, 41, 5–14.CrossRefGoogle ScholarPubMed
McCarthy, S. (2008). Post-traumatic stress Diagnostic Scale (PDS). Occupational Medicine, 58, 379.CrossRefGoogle ScholarPubMed
Michaels, A.J., Michaels, C.E., Zimmerman, M.A., Smith, J.S., Moon, C.H., & Peterson, C. (1999). Posttraumatic stress disorder in injured adults: etiology by path analysis. Journal of Neurotrauma, 47, 867–873.Google ScholarPubMed
Middleboe, T., Anderson, H., Birket-Smith, M., & Friis, M. (1991). Minor head injury: Impact on general health after 1 year a prospective follow-up study. Acta Neurology Scandinavica, 85, 5–9.CrossRefGoogle Scholar
Punamäki, R., Komproe, I., Quota, S., Elmasri, M., & de Jong, J. (2005). The role of peritraumatic dissociation and gender in the association between trauma and mental health in a Palestinian community sample. American Journal of Psychiatry, 162, 545–551.CrossRefGoogle Scholar
Rao, S., & Zisook, S. (2009). Anxious depression: clinical features and treatment. Current Psychiatry Reports, 11, 429–436.CrossRefGoogle ScholarPubMed
Rao, V., & Lyketsos, C. (2000). Neuropsychiatric sequelae of traumatic brain injury. Psychosomatics, 41, 95–103.CrossRefGoogle ScholarPubMed
Rosner, R., Powell, S., & Butollo, W. (2003). Posttraumatic stress disorder three years after the siege of Sarajevo. Journal of Clinical Psychology, 59, 41–55.CrossRefGoogle ScholarPubMed
Ryan, L.M., & Warden, D.L. (2003). Post concussion syndrome. International Review of Psychiatry, 15, 310–316.CrossRefGoogle ScholarPubMed
Schneider, J.C., Trinh, N.T., Selleck, E., Fregni, F., Salles, S.S., Ryan, C.M., & Stein, J. (2012). The long-term impact of physical and emotional trauma: The Station Nightclub Fire. PLoS ONE, 7, e47339.CrossRefGoogle ScholarPubMed
Servadei, F., Teasdale, G., & Merry, G. (2001). Defining acute mild head injury in adults: A proposal based on prognostic factors, diagnosis and management. Journal of Neurotrauma, 18, 657–664.CrossRefGoogle ScholarPubMed
Sumpter, R.E., & McMillan, T.M. (2005). Misdiagnosis of post-traumatic stress disorder following severe traumatic brain injury. British Journal of Psychiatry, 186, 423–426.CrossRefGoogle ScholarPubMed
Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness: a practical scale. Lancet, 2, 81–84.CrossRefGoogle ScholarPubMed
Theadom, A., Barker-Collo, S., Feigin, V., Starkey, N., Jones, K., Jones, A., . . . Barber, P.A. (2012). The spectrum captured: A methodological approach to studying incidence and outcomes of traumatic brain injury on a population level. Neuroepidemiology, 38, 18–29.CrossRefGoogle ScholarPubMed
Ullman, S.E. (1995). Adult trauma survivors and post-traumatic stress sequelae: An analysis of reexperiencing, avoidance, and arousal criteria. Journal of Traumatic Stress, 8, 179–188.Google ScholarPubMed
World Health Organisation. (1992). International statistical classification of diseases and related health problems, tenth revision. Geneva: World Health Organisation.Google Scholar