Association of Posttraumatic Stress Symptom Severity With Health-Related Quality of Life and Self-Reported Functioning Across 12 Months After Severe Traumatic Brain Injury.

Abstract:

OBJECTIVE:To investigate the relation between posttraumatic stress (PTS) symptom severity and health-related quality of life (HRQoL) after severe traumatic brain injury (TBI). DESIGN:Longitudinal prospective multicenter, cohort study on severe TBI in Switzerland (2007-2011). SETTING:Hospital, rehabilitation unit, and/or patient's living facility. PARTICIPANTS:Patients with severe TBI (N=109) were included in the analyses. Injury severity was determined using the Abbreviated Injury Score of the head region after clinical assessment and initial computed tomography scan. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:HRQoL (Medical Outcomes Study 12-Item Short-Form Health Survey Physical and Mental Component Summaries) and self-reported emotional, cognitive, and interpersonal functioning (Patient Competency Rating Scale for Neurorehabilitation). RESULTS:Multilevel models for patients >50 and ≤50 years of age revealed significant negative associations between PTS symptom severity and interpersonal functioning (P<.001 and P=.002), respectively. Among patients ≤50 years of age, PTS symptom severity was significantly associated with total functioning (P=.001) and emotional functioning (P<.001). Among all patients, PTS symptom severity was significantly associated with cognitive functioning (P<.001) and mental HRQoL (P=.01). CONCLUSIONS:Findings indicate that PTS symptoms after severe TBI are negatively associated with HRQoL and emotional, cognitive, and interpersonal functioning.

journal_name

Arch Phys Med Rehabil

authors

Bosma CM,Mansoor N,Haller CS

doi

10.1016/j.apmr.2018.02.008

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

1576-1583

issue

8

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(18)30160-6

journal_volume

99

pub_type

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