Comparing post-concussion symptom reporting between adults with and without a TBI history within an adult male correctional facility.

IF 1.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2023-09-01 Epub Date: 2022-08-17 DOI:10.1017/BrImp.2022.20

Alice Theadom, Tracey Mitchell, Daniel Shepherd

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Abstract

Background: A higher proportion of people in prison have a history of traumatic brain injury (TBI) than the general population. However, little is known about potentially related persistent symptoms in this population.

Aims: To compare symptom reporting in men with and without a history of TBI following admission to a correctional facility.

Methods: All men transferred to the South Auckland Correctional Facility in New Zealand complete a lifetime TBI history and the Rivermead Post-Concussion Symptom Questionnaire (RPQ) as part of their routine health screen. Data collected between June 2020 and March 2021 were extracted and anonymised. Participants were classified as reporting at least one TBI in their lifetime or no TBI history. The underlying factor structure of the RPQ was determined using principal components analysis. Symptom scores between those with and without a TBI history were compared using Mann Whitney U tests.

Results: Of the N = 363 adult male participants, 240 (66%) reported experiencing at least one TBI in their lifetime. The RPQ was found to have a two-factor structure (Factor 1: cognitive, emotional, behavioural; Factor 2: visual-ocular) explaining 61% of the variance. Men reporting a TBI history had significantly higher cognitive, emotional and behavioural (U = 50.4, p < 0.001) and visuo-ocular symptoms (U = 68.5, p < 0.001) in comparison to men reporting no TBI history.

Conclusion: A history of TBI was associated with higher symptom burden on admission to a correctional facility. Screening for TBI history and current symptoms on admission may assist prisoners experiencing persistent effects of TBI to access rehabilitation.

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在一个成年男性管教所中，比较有和没有创伤性脑损伤病史的成年人对脑震荡后症状的报告。

背景：与普通人相比，监狱中具有创伤性脑损伤（TBI）病史的人比例更高。目的：比较有和没有创伤性脑损伤病史的男性在进入惩教机构后的症状报告情况：方法：所有转入新西兰南奥克兰教养所的男性在接受常规健康检查时都要填写终生创伤性脑损伤病史和Rivermead脑震荡后症状问卷（RPQ）。我们提取了 2020 年 6 月至 2021 年 3 月期间收集的数据，并对其进行了匿名处理。参与者被分为一生中至少有一次创伤性脑损伤史或无创伤性脑损伤史。采用主成分分析法确定了 RPQ 的基本因子结构。使用曼-惠特尼U检验比较有和无创伤性脑损伤病史者的症状得分：结果：在 N = 363 名成年男性参与者中，240 人（66%）称在其一生中至少经历过一次创伤性脑损伤。研究发现，RPQ 具有双因子结构（因子 1：认知、情绪、行为；因子 2：视觉-眼部），可解释 61% 的方差。与无创伤性脑损伤病史的男性相比，有创伤性脑损伤病史的男性的认知、情绪和行为症状（U = 50.4，p < 0.001）以及视觉-眼部症状（U = 68.5，p < 0.001）明显更高：结论：有过创伤性脑损伤史的人在进入惩教机构时症状较重。入狱时筛查创伤性脑损伤病史和当前症状可帮助受到创伤性脑损伤持续影响的囚犯获得康复。

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

Medicine 医学-医学：内科

CiteScore

2.80

自引率

0.00%

发文量

4342

审稿时长

>12 weeks

期刊介绍： Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.