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Incidence of post-traumatic stress disorder after a mild traumatic brain injury: preliminary investigation using the brief neuropsychological screening test.

Authors
Choi, MS | Seo, SJ | Oh, CH | Kim, SH  | Cho, JM
Citation
Journal of Korean Neurosurgical Society, 55(4). : 190-194, 2014
Journal Title
Journal of Korean Neurosurgical Society
ISSN
2005-37111598-7876
Abstract
OBJECTIVE: Post-traumatic stress disorder (PTSD) is a group of diseases that are

observed in patients who had experienced a serious trauma or accident. However,

some experienced it even after only a mild traumatic brain injury (TBI), and they

are easily ignored due to the relatively favorable course of mild TBI. Herein,

the authors investigated the incidence of PTSD in mild TBI using brief

neuropsychological screening test (PTSD checklist, PCL). METHODS: This study was

conducted on patients with mild TBI (Glasgow coma scale >/=13) who were admitted

from January 2012 to December 2012. As for PCL, it was done on patients who

showed no difficulties in communication upon admission and agreed to participate

in this study. By using sum of PCL, the patients were divided into high-risk

group and low-risk group. PTSD was diagnosed as the three major symptoms of PTSD

according to the Diagnostic and Statistical Manual of Mental Disorders,

fourth-edifion. RESULTS: A total of 314 TBI patients were admitted and 71 of them

met the criteria and were included in this study. The mean age was 52.9 years-old

(range: 15-94). The mean PCL score was 28.8 (range: 17-68), and 10 patients were

classified as high-risk group. During follow-up, 2 patients (2.7%) of high risk

group, were confirmed as PTSD and there was no patient who was suspected of PTSD

in the low-risk group (p=0.017). CONCLUSION: PTSD is observed 2.8% in mild TBI.

Although PTSD after mild TBI is rare, PCL could be considered as a useful tool

for screening of PTSD after mild TBI.
Keywords
DOI
10.3340/jkns.2014.55.4.190
PMID
25024821
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
Ajou Authors
김, 세혁
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