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Injury Severity and Depressive Symptoms in a Post-acute Brain Injury Rehabilitation Sample

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Abstract

This study explored the relationship between injury severity and depressive symptoms for treatment-seeking individuals with traumatic brain injury (TBI). The Mayo Classification System was used to classify TBI severity in 72 participants who completed the Patient Health Questionnaire at admission and at dismissal from rehabilitation. Patients with mild TBI reported more depressive symptoms than those with moderate or severe TBI at admission and at dismissal. Although injury severity groups differed by gender composition, gender had no effect on severity of depressive symptoms. All participants reported fewer depressive symptoms at dismissal from rehabilitation, including lower endorsement of dysphoria by discharge. Participants with mild TBI, however, continued to report depressive symptoms of a mild severity at dismissal, with residual problems with anhedonia. These findings underscore the benefit of interdisciplinary post-acute rehabilitation services for persons with TBI of any severity, including those with mild injury.

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Abbreviations

CBT:

Cognitive behavioral therapy

MCS:

Mayo Classification System

PHQ-9:

Patient Health Questionnaire

PTSD:

Posttraumatic stress disorder

TBI:

Traumatic brain injury

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Funding

This study received no funding for creation of the database, analysis of the data, or any other aspect of the study.

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Authors and Affiliations

  1. Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA

    Matthew R. Powell, Kamini Krishnan & Thomas F. Bergquist

  2. Department of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA

    Matthew R. Powell, Allen W. Brown, Danielle Klunk & Thomas F. Bergquist

  3. Division of Biomedical Statistics and Informatics, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA

    Jennifer R. Geske

  4. Kirk Neurobehavioral Health, Louisville, CO, USA

    Cassie Green

  5. Cleveland Clinic, Cleveland, OH, USA

    Kamini Krishnan

Authors
  1. Matthew R. Powell
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  2. Allen W. Brown
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  3. Danielle Klunk
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  4. Jennifer R. Geske
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  5. Kamini Krishnan
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  6. Cassie Green
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  7. Thomas F. Bergquist
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Corresponding author

Correspondence to Matthew R. Powell.

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Conflict of interest

Matthew R. Powell, Allen W. Brown, Danielle Klunk, Jennifer R. Geske, Kamini Krishnan, Cassie Green, Thomas F. Bergquist declare that they have no conflict of interest.

Human and Animal Rights

The Mayo Clinic Institutional Review Board approved this study, which was considered to pose minimal risk to patients. The data, which consisted of patient responses to questionnaires, were collected from patient medical records and coded in a manner to ensure confidentiality; no specimens were collected.

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For this type of study, formal consent is not required (the requirement was waived after institutional review board review).

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Powell, M.R., Brown, A.W., Klunk, D. et al. Injury Severity and Depressive Symptoms in a Post-acute Brain Injury Rehabilitation Sample. J Clin Psychol Med Settings 26, 470–482 (2019). https://doi.org/10.1007/s10880-019-09602-w

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  • DOI: https://doi.org/10.1007/s10880-019-09602-w

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