Research Reports - Psychological outcome in young survivors of severe TBI

Behav Neurol. 2015;2015:406057. doi: 10.1155/2015/406057. Epub 2015 Oct 15.

Doser K(1), Poulsen I(2), Norup A(3).

Objective. To investigate the psychological outcome and the agreement between
self-ratings and proxy-ratings in young individuals after severe traumatic brain
injury (TBI). Methods. Twenty pairs of former patients who sustained a severe TBI
in their adolescence or early adulthood and their significant others (SOs) were
contacted around 66 months after injury to complete a measure of psychological
and behavioral problems. The Adult Self-Report 18-59 and the Adult Behavior
Checklist 18-59 were used. Results. Results showed significant differences
compared to the normative sample in the domains withdrawal, attention, and
intrusive and internalizing problems. Good or excellent levels of agreement were
found between the self-rating and the proxy-rating in overt areas such as somatic
complaints and aggressive and intrusive behavior. Fair or poor levels of
agreement were found in nonovert areas such as anxiety and depression,
withdrawal, thought and attention problems, and personal strength. Conclusion.
The findings show that young patients experience psychological dysfunction. Our
study suggests that the use of either a self-rating or a proxy-rating would be
appropriate for evaluating overt domains, regarding the good to excellent levels
of agreement. However, in nonovert domains, such as withdrawal and attention, an
additional proxy-rating from a SO could provide supplementary information and
build a more complete objective assessment. 

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