Evidence map›Paper›PMID 39819833›Full record

Observational studyBMJ mental health2025

Prognostic models for depression and post-traumatic stress disorder symptoms following traumatic brain injury: a CENTER-TBI study.

Ana Mikolić, David van Klaveren, Mathilde Jost, Andrew Ir Maas, Shuyuan Shi, Noah D Silverberg, Lindsay Wilson, Hester F Lingsma, Ewout W Steyerberg, CENTER-TBI Participants and Investigators

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
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

10 authors.

Ana MikolićDepartment of Public Health, Erasmus MC, Rotterdam, The Netherlands a.mikolic@erasmusmc.nl.ORCID 0000-0002-3476-096X
David van KlaverenDepartment of Public Health, Erasmus MC, Rotterdam, The Netherlands.
Mathilde JostDepartment of Public Health, Erasmus MC, Rotterdam, The Netherlands.
Andrew Ir MaasDepartment of Neurosurgery, University Hospital Antwerp, Edegem, Belgium.ORCID 0000-0003-1612-1264
Shuyuan ShiDepartment of Psychology, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-9138-9805
Noah D SilverbergDepartment of Psychology, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-6378-148X
Lindsay WilsonDepartment of Psychology, University of Stirling, Stirling, UK.ORCID 0000-0003-4113-2328
Hester F LingsmaDepartment of Public Health, Erasmus MC, Rotterdam, The Netherlands.
Ewout W SteyerbergDepartment of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, The Netherlands.
CENTER-TBI Participants and Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is associated with an increased risk of major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). We aimed to identify predictors and develop models for the prediction of depression and PTSD symptoms at 6 months post-TBI.

methodsWe analysed data from the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury study. We used linear regression to model the relationship between predictors and depression (Patient Health Questionnaire-9) and PTSD symptoms (PTSD Checklist for Diagnostic and Statistical Manual for Mental Health Disorders Fifth Edition). Predictors were selected based on Akaike's Information Criterion. Additionally, we fitted logistic models for the endpoints 'probable MDD' and 'probable PTSD'. We also examined the incremental prognostic value of 2-3 weeks of symptoms.

resultsWe included 2163 adults (76% Glasgow Coma Scale=13-15). Depending on the scoring criteria, 7-18% screened positive for probable MDD and about 10% for probable PTSD. For both outcomes, the selected models included psychiatric history, employment status, sex, injury cause, alcohol intoxication and total injury severity; and for depression symptoms also preinjury health and education. The performance of the models was modest (proportion of explained variance=R

conclusionPreinjury characteristics, such as psychiatric history and unemployment, and injury characteristics, such as violent injury cause, can increase the risk of mental health problems after TBI. The identification of patients at risk should be guided by early screening of mental health.

Indexed as

Brain Injuries, TraumaticDepressionStress Disorders, Post-TraumaticAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRegression AnalysisRisk AssessmentYoung AdultAdult psychiatryData Interpretation, StatisticalDepression

Identifiers

PMID39819833
PMCPMC11751936

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Registered trials

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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.