Age and functioning after mild traumatic brain injury: the acute picture

Rapoport, Mark J.; Feinstein, Anthony

doi:10.1080/02699050110065303

Cited by 43 publications

(34 citation statements)

References 36 publications

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“…Although TBI outcome research has focused primarily on younger adults, there is a growing recognition that older patients also need rehabilitation (Rapoport & Feinstein, 2001), with studies indicating that major depression is a common complication in older adults (Rapoport, 2003;Glenn et al, 2001). Research has also shown that older patients take longer to recover from TBI, and show more neuropsychological impairments and psychosocial limitations, compared with younger patients (Johnstone, Childers, & Hoerner, 1998;Rothweiler, Temkin, & Dikmen, 1998).…”

Section: Mood Post-tbi: Demographic and Clinical Variablesmentioning

confidence: 95%

The Factor Structure of the Hospital Anxiety and Depression Scale (HADS) in a Traumatic Brain Injury (TBI) Population

et al. 2011

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P rimary Objectives: To examine the HADS structure in TBI, using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), and investigate the effects of TBI severity, Gender, and Age on factor scores. Methods and Procedures: HADS data from 186 TBI patients in a population study in Tasmania were subjected to EFA. HADS data from a second sample of 185 TBI participants in the same study underwent CFA. One-month follow-up data were used, allowing inclusion of severe TBI patients while still being early post-injury. Factor loadings were used to investigate the effects of demographic and clinical variables at 2 weeks post-injury. Results: While EFA suggested 2-factor (anxiety, depression) and 3-factor (anxiety, psychomotor, depression) structures provided adequate descriptions, CFA strongly supported the 3-factor model. Using this model, significant effects of TBI severity were noted on Psychomotor and Depression scores at 2 weeks post-injury. Males reported significantly fewer symptoms on all 3 factors, as did younger participants. Conclusions: CFA indicates that a 3-factor model provides the best fit for HADS data in TBI. One factor, Psychomotor, has been relatively neglected in the literature, and the current findings suggest its assessment and rehabilitation should receive more attention.

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Section: Mood Post-tbi: Demographic and Clinical Variablesmentioning

confidence: 95%

The Factor Structure of the Hospital Anxiety and Depression Scale (HADS) in a Traumatic Brain Injury (TBI) Population

et al. 2011

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“…This emphasizes a special role for pressure reactivity and autoregulation in optimizing the treatment of head-injured patients. 19 It is interesting that blood FV, which, after exclusion of cerebral vasospasm, generally correlates with global CBF, 4 does not depend on age. Conventional knowledge indicates that CBF decreases with age as metabolic needs and overall brain functionality seem to decrease.…”

Section: Age and Vascular Factorsmentioning

confidence: 99%

Age, intracranial pressure, autoregulation, and outcome after brain trauma

Czosnyka¹,

Balestreri²,

Steiner³

et al. 2005

Journal of Neurosurgery

170

135

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“…Rapoport and Feinstein [4], using a global measure of outcome (Glasgow Outcome Scale), also did not find evidence for the assumption that elderly subjects have a worse outcome in the acute recovery period following mild TBI.…”

Section: Discussionmentioning

confidence: 94%

“…Elderly patients with moderate brain injuries also have a higher mortality rate [3] and even mild TBI is associated with suggestions of worse outcome in the elderly. However, the discriminating effects of age are less certain in the latter case [4].…”

Section: Introductionmentioning

confidence: 97%