Study supported by NIMH research grant R34 MH071652 and the Military Operational Research Program, Medical Research and Materiel Command, Ft. Detrick, MD. Dr. Shalev received an investigator-initiated research grant from Lundbeck Pharmaceuticals (Denmark) Ltd. The authors acknowledge the important contributions of Joshua Wilk, PhD, and Charles Hoge, MD, in enabling funding support for this work and providing invaluable assistance with data interpretation.
Head Injury and Loss of Consciousness Raise the Likelihood of Developing and Maintaining PTSD Symptoms
Article first published online: 21 NOV 2013
Copyright © 2013 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Volume 26, Issue 6, pages 727–734, December 2013
How to Cite
Roitman, P., Gilad, M., Ankri, Y. L. E. and Shalev, A. Y. (2013), Head Injury and Loss of Consciousness Raise the Likelihood of Developing and Maintaining PTSD Symptoms. J. Traum. Stress, 26: 727–734. doi: 10.1002/jts.21862
- Issue published online: 16 DEC 2013
- Article first published online: 21 NOV 2013
- NIMH research. Grant Number: R34 MH071652
- Military Operational Research Program
Mild traumatic brain injury has been associated with higher prevalence of posttraumatic stress disorder (PTSD). The extent to which head injury or loss of consciousness predicts PTSD is unknown. To evaluate the contribution of head injury and loss of consciousness to the occurrence of PTSD, we made a longitudinal evaluation of 1,260 road accident survivors admitted to the emergency department with head injury (n = 287), head injury and loss of consciousness (n = 115), or neither (n = 858). A telephone-administered posttraumatic symptoms scale inferred PTSD and quantified PTSD symptoms at 10 days and 8 months after admission. The study groups had similar heart rate, blood pressure, and pain levels in the emergency department. Survivors with loss of consciousness and head injury had higher prevalence of PTSD and higher levels of PTSD symptoms, suggesting that patients with head injury and loss of consciousness reported in the emergency department are at higher risk for PTSD.
Traditional and Simplified Chinese Abstracts by AsianSTSS
撮要：輕度腦創傷與創傷後壓力症(PTSD)的較高病發率相連。但是腦受創和失去知覺有多大程度上預知PTSD的發生則未知。本研究縱向評核1260名到急症室求診的車禍傷者，包括腦受創(n = 287)，腦受創並失去知覺(n = 115)和既無腦受創也沒有失去知覺(n = 858)的傷者，以便了解腦受創和失去知覺對形成PTSD的影響。創傷後症狀量度(電話版)可推斷在求診後十日和八個月的PTSD和量化PTSD症狀。不同組別在急症室內有相類似的心跳率、血壓和痛楚程度。同時有腦受創並失去知覺的傷者有較高PTSD患病率和更嚴重PTSD症狀，這樣顯示在急症室中同時有腦受創和失去知覺的病者有更高PTSD風險。
撮要：轻度脑创伤与创伤后压力症(PTSD)的较高病发率相关。但是脑受创和失去知觉有多大程度上预知PTSD的发生则未知。本研究纵向评估1260名到急症室求诊的车祸伤者，包括脑受创(n = 287)，脑受创并失去知觉(n = 115)和既无脑受创也没有失去知觉(n = 858)的伤者，以便了解脑受创和失去知觉对形成PTSD的影响。创伤后症状量度(电话版)可推断在求诊后十日和八个月的PTSD和量化PTSD症状。不同组别在急症室内有相似的心跳率、血压和痛楚程度。同时有脑受创并失去知觉的伤者有较高PTSD患病率和更严重PTSD症状，这样显示在急症室中同时有脑受创和失去知觉的病者有更高PTSD风险。