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Mild traumatic brain injury and fatigue: A prospective longitudinal study.
- Source :
-
Brain Injury . Dec2010, Vol. 24 Issue 13/14, p1528-1538. 11p. 7 Charts. - Publication Year :
- 2010
-
Abstract
- Primary objective: To examine fatigue prevalence, severity, predictors and co-variates over 6 months post-mild traumatic brain injury (MTBI). Research design: Longitudinal prospective study including 263 adults with MTBI. Procedures: Participants completed the Fatigue Severity Scale (FSS), Rivermead Post-concussion Symptoms Questionnaire (RPSQ), Hospital Anxiety and Depression Scale (HADS) and the Short Form 36 Health Survey-Version 2 (SF-36v2). Complete data were available for 159 participants. Key measures; prevalence-RPSQ Item 6: severity-FSS. The effect of time on fatigue prevalence and severity was examined using ANOVA. Multiple regression analysis identified statistically significant covariates. Main outcomes and results: Post-MTBI fatigue prevalence was 68%, 38% and 34% at 1 week, 3 and 6 months, respectively. There was a strong effect for time over the first 3 months and moderate-to-high correlations between fatigue prevalence and severity. Early fatigue strongly predicted later fatigue; depression, but not anxiety was a predictor. Fatigue was seen as laziness by family or friends in 30% of cases. Conclusions: Post-MTBI fatigue is a persistent post-concussion symptom, exacerbated by depression but not anxiety. It diminishes in the first 3 months and then becomes relatively stable, suggesting the optimum intervention placement is at 3 months or more post-MTBI. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALYSIS of variance
*ANXIETY
*COMA
*COMPUTER software
*STATISTICAL correlation
*MENTAL depression
*FATIGUE (Physiology)
*HOSPITALS
*LONGITUDINAL method
*NURSING assessment
*HEALTH outcome assessment
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*RESEARCH funding
*SCALE analysis (Psychology)
*STATISTICS
*T-test (Statistics)
*DATA analysis
*MULTIPLE regression analysis
*SCALE items
*INTER-observer reliability
*REPEATED measures design
*SEVERITY of illness index
*RECEIVER operating characteristic curves
*RESEARCH methodology evaluation
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 24
- Issue :
- 13/14
- Database :
- Academic Search Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 55043101
- Full Text :
- https://doi.org/10.3109/02699052.2010.531687