Pre-injury psychiatric history, subacute symptoms and personality traits predict social reintegration at 3-month post-mild traumatic brain injury.

IF 1.5 4区医学 Q4 NEUROSCIENCES Brain injury Pub Date : 2024-11-09 Epub Date: 2024-07-17 DOI:10.1080/02699052.2024.2373919

Catherine Gagnon, Laurence Trépanier, Stéphany Denault, Maude Laguë-Beauvais, Rajeet Saluja, Jennifer Massad, Michel Abouassaly, Elaine de Guise

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Abstract

Background: The purpose of the study was to identify whether the presence of a pre-injury psychiatric history, subacute post-concussive symptoms (PCS) and personality traits were predictive of less favorable social reintegration for 3 months following a mild traumatic brain injury (mTBI).

Method: A total of 76 patients with mTBI were included, and the presence of a pre-injury psychiatric history was identified from the medical chart. One-month post-accident, these patients completed the Millon Multiaxial Clinical Inventory, 3rd Edition assessing personality traits and the Rivermead Post-Concussion Symptoms Questionnaire to measure subacute PCS. Social reintegration was measured using the Mayo-Portland Adaptability Inventory, 4th Edition at 3-month post-accident.

Results: The presence of pre-injury psychiatric history, high levels of subacute PCS and Cluster B personality traits such as histrionic and borderline features were significant predictors of social reintegration quality at 3-month post injury.

Conclusion: This study provides new insights on cluster B personality traits and its influence on recovery and social reintegration at 3-month post mTBI.

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受伤前的精神病史、亚急性症状和人格特质可预测轻度脑外伤三个月后重新融入社会的情况。

研究背景本研究旨在确定轻度创伤性脑损伤（mTBI）后3个月内，是否存在伤前精神病史、亚急性脑震荡后症状（PCS）和人格特质可预测较差的重返社会情况：方法：共纳入76名轻微创伤性脑损伤（mTBI）患者，并从病历中确定这些患者是否有受伤前精神病史。事故发生一个月后，这些患者完成了评估人格特质的 Millon 多轴临床量表第三版和测量亚急性 PCS 的 Rivermead 脑震荡后症状问卷。在事故发生三个月后，使用第四版 Mayo-Portland 适应性量表对重新融入社会的情况进行了测量：结果：受伤前的精神病史、高水平的亚急性 PCS 以及 B 群人格特质（如组织型人格和边缘型人格）是伤后 3 个月重返社会质量的重要预测因素：本研究为 B 群人格特质及其对创伤后 3 个月康复和重返社会的影响提供了新的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.