Evidence map›Paper›PMID 24237113›Full record

Trial reportJournal of neurotrauma2014

Early trajectory of psychiatric symptoms after traumatic brain injury: relationship to patient and injury characteristics.

Tessa Hart, Emma K T Benn, Emilia Bagiella, Patricia Arenth, Sureyya Dikmen, Dale C Hesdorffer, Thomas A Novack, Joseph H Ricker, Ross Zafonte

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurotrauma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tessa Hart1 Moss Rehabilitation Research Institute , Elkins Park, Pennsylvania.
Emma K T Benn
Emilia Bagiella
Patricia Arenth
Sureyya Dikmen
Dale C Hesdorffer
Thomas A Novack
Joseph H Ricker
Ross Zafonte

Funding

Traumatic Brain Injury Clinical Trials NetworkU01HD042738 · NICHD · TEMPLE UNIV OF THE COMMONWEALTH · PI LOFTUS, CHRISTOPHER · 2002 to 2010
$2.0M
NICHD NIH HHS U01 HD042738
6 · The paper itself

Abstract

Psychiatric disturbance is common and disabling after traumatic brain injury (TBI). Few studies have investigated the trajectory of psychiatric symptoms in the first 6 months postinjury, when monitoring and early treatment might prevent persistent difficulties. The aim of this study was to examine the trajectory of psychiatric symptoms 1-6 months post-TBI, the patient/injury characteristics associated with changes, and characteristics predictive of persisting symptoms. A secondary analysis was performed on data from a clinical trial with three data collection points. Across eight centers, 872 participants with complicated mild to severe TBI were administered the Brief Symptom Inventory (BSI) at 30, 90, and 180 days postinjury. Mixed-effects models were used to assess longitudinal changes in the BSI Global Severity Index (GSI). Multi-variate logistic regression was used to assess predictors of clinically significant GSI elevations persisting to 6 months post-TBI. In general, GSI scores improved over time. Women improved faster than men; race/ethnicity was also significantly associated with rate of change, with Hispanics showing the most and African Americans the least improvement. Clinically significant psychiatric symptoms (caseness) occurred in 42% of the sample at 6 months, and more than one type of symptom was common. Significant predictors of caseness included African American race, age from 30 to 60 years, longer post-traumatic amnesia (PTA) duration, pre-TBI unemployment, and pre-TBI risky alcohol use. Findings indicate that psychiatric symptoms are common in the first 6 months post-TBI and frequently extend beyond the depression and anxiety symptoms that may be most commonly screened. Patients with longer PTA and preinjury alcohol misuse may need more intensive monitoring for symptom persistence.

Indexed as

AdultBrain InjuriesCytidine Diphosphate CholineDouble-Blind MethodFemaleHumansMaleMental DisordersMiddle AgedNeuropsychological TestsNootropic AgentsRisk FactorsCytidine Diphosphate CholineNootropic Agents

Identifiers

PMID24237113
PMCPMC3961785

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.