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Predictors of postconcussion symptom complex in community dwelling male veterans

Published online by Cambridge University Press:  12 February 2004

CHERYL A. LUIS ,
RODNEY D. VANDERPLOEG  and
GLENN CURTISS
CHERYL A. LUIS
Affiliation:
James A. Haley VA Medical Center, Tampa, Florida
RODNEY D. VANDERPLOEG
Affiliation:
James A. Haley VA Medical Center, Tampa, Florida Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa Department of Psychology, University of South Florida, Tampa Defense and Veterans Brain Injury Center, Tampa, Florida
GLENN CURTISS
Affiliation:
James A. Haley VA Medical Center, Tampa, Florida Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa Defense and Veterans Brain Injury Center, Tampa, Florida
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Abstract

The presence of a persistent postconcussion symptom complex (PPCSC) was examined in a non-referred sample of male veterans with a history of mild head injury and a comparison group without a history of head injury. Hierarchical logistic regression procedures were used to determine possible predictors of PPCSC using variables supported by previous research (i.e., preexisting psychiatric difficulties, demographic and social support variables, and history of an accidental injurious event). Although PPCSC was common in all groups (23% of the total sample), a significantly greater proportion of individuals in the mild head injury with loss of consciousness group (37.2%) had PPCSC compared with three other groups (head injury without loss of consciousness = 26.1%; motor vehicle accident without head injury = 23%; and control = 17.3%). However, the most salient predictors of PPCSC were early life psychiatric difficulties such as anxiety or depression, limited social support, lower intelligence, and interactions among these variables. The predictive value of loss of consciousness was significant, but low (1.4% of unique variance). The findings provide support for the premise that PPCSC is mediated in part by individual resilience, preexisting psychological status, and psychosocial support. (JINS, 2003, 9, 1001–1015.)

Keywords

Brain concussionHead injuryMinorNeurobehavioral manifestationsMental disordersSocial supportSequelae
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 9 , Issue 7 , November 2003 , pp. 1001 - 1015
Copyright
© 2003 The International Neuropsychological Society

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