Mood Disorders after Traumatic Brain Injury in Adolescents and Young Adults: A Nationwide Population-Based Cohort Study

Tsai, Meng‐Che; Tsai, Kuen Jer; Wang, Hao‐Kuang; Sung, Pi Shan; Wu, Ming Hsiu; Hung, Kuo Wei; Lin, Sheng Hsiang

doi:10.1016/j.jpeds.2013.08.042

Cited by 26 publications

(22 citation statements)

References 35 publications

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“…The sense of loneliness and isolation from society, experienced by participants, permeated many of the group sessions. Thus, it is not surprising to find such high rates of both depression and anxiety amongst people who have experienced traumatic brain injuries (Tsai et al 2014). The group seemed to serve as a valuable place to allow for participants to reintegrate into society through allowing them to interact socially and assist other group members when required.…”

Section: Findings and Discussionmentioning

confidence: 99%

Cognitive rehabilitation groups: A thematic analysis of feasibility and perceived benefits for clients with moderate to severe traumatic brain injury living in the Western Cape

et al. 2015

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BackgroundTraumatic brain injury (TBI) has a significant impact on the burden of care within the South African setting, impacting on the individual, the family, and the community as a whole. Often the consequences of TBI are permanent, resulting in numerous financial and emotional stressors.ObjectiveThis research focusses on the experience of outpatient cognitive rehabilitation groups for individuals who have suffered moderate to severe brain injuries within the South African setting.MethodParticipants with moderate to severe brain injury were required to attend five cognitive rehabilitation groups and engage in a semistructured interview. Qualitative data were examined via thematic analysis, to determine participants’ subjective experiences of group participation.ResultsThere is a need within the South African setting for cognitive rehabilitation and support groups for individuals who have experienced a TBI. The benefits were notable for both the individuals attending and their support systems. In spite of the benefits there were notable limitations to attendance, including financial restrictions and transport limitations.ConclusionAccording to participants and their families, there is a scarcity of resources within the Western Cape for clients who have sustained a TBI. Despite limitations in capacity to attend there appears to be a need for structured outpatient cognitive rehabilitation programmes integrating the complex cognitive and emotional challenges faced by individuals with TBI and their families.

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Section: Findings and Discussionmentioning

confidence: 99%

Cognitive rehabilitation groups: A thematic analysis of feasibility and perceived benefits for clients with moderate to severe traumatic brain injury living in the Western Cape

et al. 2015

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“…One study found that the susceptibility for mood disorders differs between the genders based on age. Males aged 15-19 years were found to be most susceptible for the development of a mood disorder, whereas females appeared most susceptible between the ages of 20-24 (Tsai et al 2014). It is not clear why this difference in susceptibility is present.…”

Section: -17 Yearsmentioning

confidence: 95%

“…Gender not explored. Tsai et al (2014) 1 0 -24-year-olds dysfunction at school and home with externalizing behaviors compared to females (Kurowski et al 2013;Schwartz et al 2003), with one study finding males to report more sadness than females (Covassin et al 2007). Males were also found to experience more difficulty with emotional recognition tasks and a slower recovery time compared to females (Schmidt et al 2010).…”

Section: -17 Yearsmentioning

confidence: 99%

“…Generally, internalizing difficulties such as anxiety and depression were found for both genders in a few studies (Max et al 2011;Max et al 2012;Tsai et al 2014). In contrast, another study found that females were more likely to show impaired visual memory with greater declines in testing performance over time and more self-reported psychological symptoms (Grady 2010;Peterson et al 2013).…”

Section: -17 Yearsmentioning

confidence: 99%

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TBI and Concussions in Student Athletes: How do Severity of Injury, Age, and Gender Influence Recovery

Semrud‐Clikeman

Klipfel

2015

J Pediatr Neuropsychol

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Concussions and mild traumatic brain injuries are seen in increasing numbers of children and adolescents participating in sports as well as in playground activities. This review evaluated literature in the past 20 years studying gender, age, and neuropsychological effects of concussions and traumatic brain injuries. Studies have found differences in age and possibly gender among neuropsychological effects, emotional adjustment, and recovery. Females appear to be susceptible to visual memory and internalizing difficulties following recovery. Males have been found to have difficulty with externalizing behavior in some studies. Other studies have not found gender differences but have found age differences in the expression of depression and/or anxiety. In addition, several studies have demonstrated long-term difficulties in the areas of memory and internalizing behaviors suggesting that serial evaluations for complicated concussions and TBI are warranted. Based on the empirical evidence, suggestions for reintegration into school and for school reentry programming are provided.

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“…24 The diagnoses of these diseases adhered to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DMS)-IV published by the American Psychiatric Association.…”

Section: Definition Of Patients With Affective Disordersmentioning

confidence: 99%

Hip fractures in patients admitted to emergency departments may increase the risk of acute affective disorders: A national population-based study

Chou

Law

et al. 2014

Journal of Acute Medicine

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Background: Hip fractures are commonly experienced by the elderly, and their impact has increased as society has aged. The symptoms of hip fractures (e.g., severe pain and limited daily functions) are thought to cause acute stress to patients; however, the association between fractures and affective disorders is not fully understood. Aim: This nationwide population-based study aimed to analyze the risk of affective disorders in patients diagnosed with a hip fracture. Methods: We used data from the Taiwan Longitudinal Health Insurance Database. Patients who had a history of hip fracture and affective disorders prior to the study period were excluded. A total of 3865 patients who came to emergency departments for treatment of hip fractures between 2004 and 2009 were compared to 11,595 matched control individuals (without hip fracture). Each patient was followed for 1 year to identify episodes of affective disorders. Cox proportional hazards models, adjusted for residence and sociodemographic characteristics, were used to compare the risk of affective disorders in the study and control groups, and affective disorder-free survival curves were generated. Results: A total of 53 (1.4%) patients with hip fractures and 32 (0.3%) controls experienced incident affective disorders during the follow-up period. The stratified Cox proportional analysis indicated that the crude hazard ratio comparing the risk of affective disorders in patients with a hip fracture and in controls was 5.1 (95% confidence interval, 3.27e7.86). Most affective disorders (20.8%) presented during the first 60 days following the fracture. Conclusion: Individuals who experience a hip fracture are at a higher risk of developing affective disorders, and these disorders primarily occur during the first 60 days after the fracture.

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Mood Disorders after Traumatic Brain Injury in Adolescents and Young Adults: A Nationwide Population-Based Cohort Study

Cited by 26 publications

References 35 publications

Cognitive rehabilitation groups: A thematic analysis of feasibility and perceived benefits for clients with moderate to severe traumatic brain injury living in the Western Cape

Cognitive rehabilitation groups: A thematic analysis of feasibility and perceived benefits for clients with moderate to severe traumatic brain injury living in the Western Cape

TBI and Concussions in Student Athletes: How do Severity of Injury, Age, and Gender Influence Recovery

Hip fractures in patients admitted to emergency departments may increase the risk of acute affective disorders: A national population-based study

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