Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups.

Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Research Abstract Details 

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Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Abstract Text:

Shoumitro Deb,James Burns,Shoumitro Deb,James Burns,

BACKGROUND: Neurobehavioural symptoms and certain psychiatric disorders are common after a traumatic brain injury (TBI). Relatively few studies have investigated the effect of age upon these outcomes. AIM: Our aim was to compare the rates of neurobehavioural symptoms and psychiatric disorders between 18-65 year old and over 65 year old patients with TBI. METHOD: 120 adults aged 18 to 65 years and 45 adults over 65 years of age who were admitted to a hospital following a TBI were assessed for neurobehavioural symptoms and psychiatric disorders one year after the injury. RESULTS: Our estimate suggested that a higher proportion of 18-65 year old patients (32%) had ICD-10 psychiatric disorders according to the Schedule for Clinical Assessment in Neuropsychiatry (SCAN) interview compared with patients over 65 years of age (16%). Similarly, the ICD-10 depressive disorder was more common among the younger patients (16%) than the older group of patients (11%). None of these differences were statistically significant. However, a multiple regression analysis revealed that among other risk factors, a younger age was significantly associated with the presence of a psychiatric disorder. Also, a significantly higher rate of psychiatric caseness was detected among the younger age group using screening instruments such as the General Health Questionniare-28 (GHQ-28) (p < 0.01) and the Clinical Interview Schedule-Revised (CIS-R) (p < 0.01). The rates of individual neurobehavioural symptoms varied significantly between the two age groups. The most prevalent symptoms in 18-65 year olds were irritability (37%) and sleep problems (37%). In the older group of patients the most prevalent symptoms were poor memory (40%), dependence (38%) and slowness in thinking (33%). CONCLUSION: 18-65 year old patients are likely to be at a greater risk of psychiatric morbidity following TBI than over 65 year olds whereas neurobehavioural symptoms are prevalent in both age groups.

Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Publishing Authors By Initials

S Deb,J Burns,S Deb,J Burns,

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Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Brain injury : [BI]

VOLUME: 21

Page Numbers: 301-7

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ISSN: 0269-9052

DAY: 24

MONTH: Mar

YEAR: 2007

Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups. Information

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LANGUAGE: eng

NlmUniqueID: 8710358

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Grant and Affiliation Information for Neuropsychiatric consequences of traumatic brain injury: a comparison between two age groups.

AFFILIATION: Division of Neuropsychiatry, Queen Elizabeth Psychiatric Hospital, University of Birmingham, Birmingham, UK.

Country: England

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MEDLINETA: Brain Inj

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