Perceived Injustice After Mild Traumatic Brain Injury
| Autor: | Antti Huovinen, Harri Isokuortti, Ivan Marinkovic, Marja Hietanen, Kaisa Mäki, Susanna Melkas, Taina Nybo |
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| Přispěvatelé: | Helsinki University Hospital Area, HUS Neurocenter, Neurologian yksikkö, Department of Neurosciences, Staff Services |
| Rok vydání: | 2021 |
| Předmět: |
Adult
RETURN medicine.medical_specialty SYMPTOMS Traumatic brain injury Visual analogue scale Psychological intervention Physical Therapy Sports Therapy and Rehabilitation 3124 Neurology and psychiatry Stress Disorders Post-Traumatic Surveys and Questionnaires mild traumatic brain injury Statistical significance medicine Humans Brain Concussion Depression (differential diagnoses) Pain Measurement postconcussion symptoms OUTCOMES business.industry DISABILITY Rehabilitation 3112 Neurosciences HEAD-INJURY ATTRIBUTION PAIN return to work Rivermead post-concussion symptoms questionnaire medicine.disease COMPENSATION INDIVIDUALS Sick leave RISK-FACTORS Physical therapy Observational study Neurology (clinical) perceived injustice business |
| Zdroj: | Journal of Head Trauma Rehabilitation. 37:E157-E164 |
| ISSN: | 0885-9701 |
| Popis: | OBJECTIVE To examine perceived injustice and its associations with self-reported symptoms and return to work at 3 months after injury in a prospectively recruited sample of patients with mild traumatic brain injury (mTBI). DESIGN Observational study. SETTING TBI outpatient unit. PARTICIPANTS Adult patients aged 18 to 68 years with mTBI (n = 100) or orthopedic injury ([OI]; n = 34). MAIN MEASURES The Injustice Experience Questionnaire (IEQ) and its associations with the Rivermead Post Concussion Questionnaire (RPQ), Beck Depression Inventory-Second Edition (BDI-II), PTSD Checklist-Civilian Version (PCL-C), and Pain Visual Analog Scale (PVAS). Information on injury-related characteristics, compensation seeking and litigation, and return-to-work status was also collected. RESULTS Median IEQ total score was 3 (range, 0-23) in the mTBI group and 2.5 (range, 0-25) in the OI group. In the mTBI group, IEQ was significantly correlated with RPQ (rs = 0.638, P < .01), BDI-II (rs = 0.612, P < .01), PCL-C (rs = 0.679, P < .01), and PVAS (rs = 0.232, P < .05). The association between IEQ and PCL-C (rs =0.797, P < .01) and BDI-II (rs = 0.395, P < .05) was also found in the OI group. In both groups, patients who were still on sick leave at 3 months after injury tended to report higher perceived injustice (IEQ total score) than patients who had returned to work or studies. However, this difference did not reach statistical significance. CONCLUSIONS Perceived injustice is associated with self-reported symptoms in patients with mTBI. Our results suggest that perceived injustice could be a relevant construct to consider in clinical management of patients with mTBI. Also, perceived injustice could be a potential target for psychological interventions promoting recovery after mTBI. |
| Databáze: | OpenAIRE |
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