Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI.

Full Abstract

Although there is a large body of research on mild traumatic brain injury (MTBI), the portion that pertains to acute patients (those less than 1 month postinjury) is relatively small and yields inconsistent findings. The potential contribution of non-neurological factors, such as pain and emotional distress, to the clinical picture in this population is also lacking. To address these issues, the cognitive performance and symptom complaints of 37 hospitalized MTBI subjects were compared to those of 39 hospitalized trauma subjects, averaging 4.5 days postinjury. MTBI subjects performed significantly worse on all cognitive measures, but did not differ from trauma subjects in their report of postconcussive symptoms. Analyses also revealed that cognitive performance was unrelated to pain severity and emotional distress. Postconcussive symptoms were similarly unrelated to pain severity, but were consistently related to emotional distress. Results are discussed in terms of their etiological and treatment implications.

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Author information

Author/s: Landre, Nancy (N); Poppe, Christopher J (CJ); Davis, Nancy (N); Schmaus, Brian (B); Hobbs, Susan E (SE);

Affiliation: Neuropsychology Service, Parkside Building, Suite 690, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL 60068, United States. Nancy.Landre(-atsign-)advocatehealth.com

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists (Arch Clin Neuropsychol), published in United States. (Language: eng)

Reference: 2006-May; vol 21 (issue 4) : pp 255-73

Dates: Created 2006/07/12; Completed 2006/09/05; Revised 2006/11/15;

PMID: 16716563, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Brain Injuries - complications; physiopathology
Cognition - physiology
Female
Humans
Male

Male
Middle Aged
Neuropsychological Tests - statistics & numerical data
Pain Measurement
Post-Concussion Syndrome - etiology
Prospective Studies
Trauma Severity Indices

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