Post-traumatic stress disorder and self-reported outcomes after traumatic brain injury in victims of assault.
Adult
Brain Injuries, Traumatic
/ psychology
Crime Victims
/ psychology
Cross-Sectional Studies
Female
Glasgow Outcome Scale
Humans
Male
Middle Aged
Patient Reported Outcome Measures
Post-Concussion Syndrome
/ psychology
Quality of Life
Self Report
Severity of Illness Index
Stress Disorders, Post-Traumatic
/ psychology
Surveys and Questionnaires
Violence
/ psychology
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
20
12
2017
accepted:
19
01
2019
entrez:
8
2
2019
pubmed:
8
2
2019
medline:
13
11
2019
Statut:
epublish
Résumé
Assault is the third most common cause of traumatic brain injury (TBI), after falls and road traffic collisions. TBI can lead to multiple long-term physical, cognitive and emotional sequelae, including post-traumatic stress disorder (PTSD). Intentional violence may further compound the psychological trauma of the event, in a way that conventional outcome measures, like the Glasgow Outcome Scale (GOS), fail to capture. This study aims to examine the influence of assault on self-reported outcomes, including quality of life and symptoms of PTSD. Questionnaire were completed by 256 patients attending a TBI clinic, including Quality of Life after Brain Injury (QOLIBRI) and PTSD checklist (PCL-C). Medical records provided demographics, clinical data and aetiology of injury. Subjective outcomes were compared between assault and other causes. Of 202 patients analysed, 21% sustained TBI from assault. There was no difference in severity of injuries between assault and non-assault groups. No relationship was found between self-reported outcomes and TBI severity or GOS. The assault group scored worse in all self-reported questionnaires, with statistically significant differences for measures of PTSD and post-concussion symptoms. However, using threshold scores, the prevalence of PTSD in assaulted patients was not higher than non-assault. After adjusting for age, ethnicity and the presence of extra-cranial trauma, assault did not have a significant effect on questionnaire scores. Exploratory analysis showed that assault and road traffic accidents were associated with significantly worse outcomes compared to falls. Quality of life is significantly related to functional and psychological outcomes after TBI. Assaulted patients suffer from worse self-reported outcomes than other patients, but these differences were insignificant when adjusted for demographic factors. Intentionality behind the traumatic event is likely more important than cause alone. Differences in quality of life and other self-reported outcomes are not reflected by the Glasgow Outcome Scale. This information is useful in arranging earlier and targeted review and support.
Identifiants
pubmed: 30730924
doi: 10.1371/journal.pone.0211684
pii: PONE-D-17-44394
pmc: PMC6366871
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0211684Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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