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Relationship between depression and psychosocial functioning after traumatic brain injury.

Mary R Hibbard·Teresa A Ashman·Lisa A Spielman·Doris Chun·Heather J Charatz·Seton Melvin
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Abstract

OBJECTIVE: To examine the relationship between depression and psychosocial functioning up to 5 years after traumatic brain injury (TBI). DESIGN: Longitudinal cohort study with 2 assessments completed. SETTING: Community. PARTICIPANTS: Individuals (N=188) with TBI living in the community. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Structured Clinical Interview for Depression, self-reports of depression severity, functional symptoms, quality of life (QOL), unmet important needs, and psychosocial functioning. RESULTS: Based on observed depression patterns at initial and repeat assessment, 4 subgroups were created: no depression, resolved depression, late-onset depression, and chronic depression. Groups were equivalent in terms of demographic and injury-related factors but differed significantly in perceived psychosocial functioning. The no-depression group reported fewer depressive symptoms and higher levels of psychosocial functioning, whereas the chronic-depression group reported the poorest psychosocial functioning, with a further decline in QOL at reassessment. Although the resolved-depression and late-onset-depression groups reported similar psychosocial functioning at initial assessment, psychosocial functioning had improved for the resolved-depression group and declined for the late-onset-depression group at reassessment. Pre- and postpsychiatric diagnoses were common in all groups, with pre-TBI diagnosis of depression not predictive of post-TBI depression. CONCLUSIONS: Findings highlight the need for broad-based assessments and timely interventions for both mood and psychosocial challenges after TBI.

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AdultBrain InjuriesComorbidityDepressionFemaleHealth Status IndicatorsHumansLongitudinal StudiesMaleMental DisordersMiddle AgedQuality of LifeJournal ArticleResearch Support, U.S. Gov't, Non-P.H.S.

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Mary R Hibbard, Teresa A Ashman, Lisa A Spielman, Doris Chun, Heather J Charatz, Seton Melvin. 2004. Relationship between depression and psychosocial functioning after traumatic brain injury.. https://doi.org/10.1016/j.apmr.2003.08.116

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