Accuracy of Self-report as a Method of Screening for Lifetime Occurrence of Traumatic Brain Injury Events that Resulted in Hospitalization
| Autor: | David M. Fergusson, L. John Horwood, Audrey McKinlay |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 030506 rehabilitation Pediatrics medicine.medical_specialty Adolescent Traumatic brain injury Poison control Occupational safety and health 03 medical and health sciences Young Adult 0302 clinical medicine Injury prevention Concussion Brain Injuries Traumatic medicine Humans business.industry General Neuroscience Head injury medicine.disease Substance abuse Hospitalization Psychiatry and Mental health Clinical Psychology Cohort Female Neurology (clinical) Self Report 0305 other medical science business 030217 neurology & neurosurgery Follow-Up Studies New Zealand |
| Zdroj: | Journal of the International Neuropsychological Society : JINS. 22(7) |
| ISSN: | 1469-7661 1355-6177 |
| Popis: | BackgroundTraumatic brain injury (TBI) occurs frequently during child and early adulthood, and is associated with negative outcomes including increased risk of drug abuse, mental health disorders and criminal offending. Identification of previous TBI for at-risk populations in clinical settings often relies on self-report, despite little information regarding self-report accuracy. This study examines the accuracy of adult self-report of hospitalized TBI events and the factors that enhance recall.MethodsThe Christchurch Health and Development Study is a birth cohort of 1265 children born in Christchurch, New Zealand, in 1977. A history of TBI events was prospectively gathered at each follow-up (yearly intervals 0–16, 18, 21, 25 years) using parental/self-report, verified using hospital records.ResultsAt 25 years, 1003 cohort members were available, with 59/101 of all hospitalized TBI events being recalled. Recall varied depending on the age at injury and injury severity, with 10/11 of moderate/severe TBI being recalled. Logistic regression analysis indicated that a model using recorded loss of consciousness, age at injury, and injury severity, could accurately classify whether or not TBI would be reported in over 74% of cases.ConclusionsThis research demonstrates that, even when individuals are carefully cued, many instances of TBI will not recalled in adulthood despite the injury having required a period of hospitalization. Therefore, screening for TBI may require a combination of self-report and review of hospital files to ensure that all cases are identified. (JINS, 2016,22, 717–723) |
| Databáze: | OpenAIRE |
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