Early Prediction of Persisting Post-Concussion Symptoms Following Mild and Moderate Head Injuries  

Oleh:

Crawford, Sue ; Caldwell, Fiona E. ; Wenden, Felicity J. ; Wade, Derick T. ; King, Nigel S.

Jenis: Article from Bulletin/Magazine
Dalam koleksi: British Journal of Clinical Psychology vol. 38 no. 1 (1999), page 15-26.
Topik: Prediction; early prediction; post - concussion; symptoms; mild and moderate; head injuries

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: BB60.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Objectives. King (1996) reported that a combination of emotional, organic and neuropsychological measures taken at 7 -10 days following mild and moderate head injury may significantly help predict patients most likely to suffer persisting postconcussion symptoms (PCS) at three months post - injury. This study investigated a cross - validation sample (N = 57) to determine whether the results would be replicated for the early prediction of longer - term sufferers (i. e. those with persisting symptoms at 6 months post - injury). Design. Multiple regression analyses were used in which scores on the Hospital Anxiety and Depression Scale, Impact of Event Scale, Short Orientation Memory and Concentration Test, Rivermead Post - Concussion Symptoms Questionnaire and Post - Traumatic Amnesia taken at 7 - 10 days post - injury were the independent measures. Scoring on the Rivermead Post - Concussion Symptoms Questionnaire taken at 6 months post - injury was the dependent measure. Methods. Sixty - six consecutive patients admitted to any trauma ward in Oxfordshire with a mild or moderate head injury were recruited from a largescale randomized controlled sample. The assessment measures were administered at 7 - 10 days post - injury and the Rivermead Post - Concussion Symptoms Questionnaire at 6 months post - injury. Nine patients were unable to be followed up, leaving an active sample of 57. Results. The cross - validation data confirmed that a similar combination of measures to that found in the original study best predicted persisting PCS but that the strength of prediction diminished for the longer term prediction (i. e. 6 months post - injury). Conclusions. The Hospital Anxiety and Depression Scale, Impact of Event Scale and Post - Traumatic Amnesia in combination are recommended as useful prognostic screening instruments for predicting persisting PCS, but great caution is required if they are used to aid predictions beyond 3 months post - injury.

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