scholarly journals Correlations Between the Neurobehavioral Symptom Inventory and Other Commonly Used Questionnaires for Traumatic Brain Injury

2022 ◽  
Author(s):  
Peter J Hoover ◽  
Caitlyn A Nix ◽  
Juliana Z Llop ◽  
Lisa H Lu ◽  
Amy O Bowles ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Clinical Care ◽  
Severity Index ◽  
World Health ◽  
Strongly Correlated ◽  
Post Traumatic Stress ◽  
World Health Organization Quality ◽  
Symptom Inventory ◽  
Healthcare Administrators

ABSTRACT Objective To evaluate the correlations between the Neurobehavioral Symptom Inventory (NSI) and other questionnaires commonly administered within military traumatic brain injury clinics. Setting Military outpatient traumatic brain injury clinics. Participants In total, 15,428 active duty service members who completed 24,162 NSI questionnaires between March 2009 and May 2020. Design Observational retrospective analysis of questionnaires collected as part of standard clinical care. Main Measures NSI, Post-Traumatic Stress Disorder Checklist for DSM-5 and Military Version, Patient Health Questionnaire (PHQ), Generalized Anxiety Disorder, Headache Impact Test (HIT-6), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Activities-Specific Balance Confidence Scale (ABC), Dizziness Handicap Inventory (DHI), Alcohol Use Disorders Identification Test (AUDIT), and the World Health Organization Quality of Life Instrument-Abbreviated Version. Only questionnaires completed on the same date as the NSI were examined. Results The total NSI score was moderately to strongly correlated with all questionnaires except for the AUDIT. The strongest correlation was between the NSI Affective Score and the PHQ9 (r  = 0.86). The NSI Vestibular Score was moderately correlated with the ABC (r = –0.55) and strongly correlated with the DHI (r = 0.77). At the item level, the HIT-6 showed strong correlation with NSI headache (r = 0.80), the ISI was strongly correlated with NSI difficulty sleeping (r = 0.63), and the ESS was moderately correlated with NSI fatigue (r = 0.39). Conclusion Clinicians and healthcare administrators can use the correlations reported in this study to determine if questionnaires add incremental value for their clinic as well as to make more informed decisions regarding which questionnaires to administer.

scholarly journals Quality of life of victims of traumatic brain injury six months after the trauma

2013 ◽  
Vol 21 (4) ◽  
pp. 868-875 ◽  
Author(s):  
Rita de Cássia Almeida Vieira ◽  
Edilene Curvelo Hora ◽  
Daniel Vieira de Oliveira ◽  
Maria do Carmo de Oliveira Ribeiro ◽  
Regina Márcia Cardoso de Sousa
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mean Value ◽  
World Health ◽  
Structured Interviews ◽  
World Health Organization Quality ◽  
Productivity Data ◽  
Health Organization

OBJECTIVE: to describe the quality of life of victims of traumatic brain injury six months after the event and to show the relationship between the results observed and the clinical, sociodemographic and return to productivity data. METHOD: data were analyzed from 47 victims assisted in a trauma reference hospital in the municipality of Aracaju and monitored in an outpatient neurosurgery clinic. The data were obtained through analysis of the patient records and structured interviews, with the application of the World Health Organization Quality of Life, brief version, questionnaire. RESULTS: the victims presented positive perceptions of their quality of life, and the physical domain presented the highest mean value (68.4±22.9). Among the sociodemographic characteristics, a statistically significant correlation was found between marital status and the psychological domain. However, the return to productivity was related to all the domains. CONCLUSION: the return to productivity was an important factor for the quality of life of the victims of traumatic brain injury and should direct the public policies in promoting the health of these victims.

scholarly journals Traumatic brain injury

2011 ◽  
Vol 366 (1562) ◽  
pp. 241-250 ◽  
Author(s):  
Jane E. Risdall ◽  
David K. Menon
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Diffusion Tensor ◽  
Care Delivery ◽  
Clinical Care ◽  
Significant Risk ◽  
Post Traumatic Stress ◽  
Pseudoaneurysm Formation ◽  
Post Traumatic ◽  
Early Oedema

There is an increasing incidence of military traumatic brain injury (TBI), and similar injuries are seen in civilians in war zones or terrorist incidents. Indeed, blast-induced mild TBI has been referred to as the signature injury of the conflicts in Iraq and Afghanistan. Assessment involves schemes that are common in civilcian practice but, in common with civilian TBI, takes little account of information available from modern imaging (particularly diffusion tensor magnetic resonance imaging) and emerging biomarkers. The efficient logistics of clinical care delivery in the field may have a role in optimizing outcome. Clinical care has much in common with civilian TBI, but intracranial pressure monitoring is not always available, and protocols need to be modified to take account of this. In addition, severe early oedema has led to increasing use of decompressive craniectomy, and blast TBI may be associated with a higher incidence of vasospasm and pseudoaneurysm formation. Visual and/or auditory deficits are common, and there is a significant risk of post-traumatic epilepsy. TBI is rarely an isolated finding in this setting, and persistent post-concussive symptoms are commonly associated with post-traumatic stress disorder and chronic pain, a constellation of findings that has been called the polytrauma clinical triad.

Effect of Electroencephalogram Neurofeedback Training on Quality of Life in Patients with Traumatic Brain Injury: In Context of Spontaneous Recovery

2017 ◽  
Vol 14 (02/03) ◽  
pp. 129-134
Author(s):  
Cathlyn Bennett ◽  
Somanna Sampath ◽  
Rita Christopher ◽  
K. Thennarasu ◽  
Jamuna Rajeswaran
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Spontaneous Recovery ◽  
World Health ◽  
Life Questionnaire ◽  
Neurofeedback Training ◽  
World Health Organization Quality ◽  
Study Results

Abstract Introduction Quality of life (QOL) is strongly affected following traumatic brain injury (TBI). There is a strong need to explore the use of new developments in neuropsychological rehabilitation such as electroencephalogram (EEG) neurofeedback training (NFT) on QOL in TBI patients. Objective The objective was to study the effect of EEG NFT on QOL in TBI patients in the context of spontaneous recovery. Methodology A sample of 60 TBI patients was assigned to an NFT group (n = 30) and a treatment as usual (TAU) group (n = 30). Twenty sessions of α/θ NFT at the occipital 1 and 2 scalp locations were given to the NFT group. The NFT protocol used was dependent on (4–7 Hz) θ and (8–12 Hz) α activity with the aim of decreasing the θ/α ratio. Pre- and postassessments of QOL were recorded on the World Health Organization quality of life questionnaire (WHOQOL)–BREF. Results This study results indicate significant enhancement of QOL in the NFT group as compared with the TAU group. The improvement scores indicate that the 12- to 18-month postinjury NFT group had significantly less improvement on QOL as compared with the < 6-month NFT group. Conclusion EEG NFT helps improve QOL in TBI patients. Early intervention is more effective in improving QOL than later intervention.

scholarly journals Magnetoencephalography in the Detection and Characterization of Brain Abnormalities Associated with Traumatic Brain Injury: A Comprehensive Review

2021 ◽  
Vol 9 (1) ◽  
pp. 7
Author(s):  
Geoffrey W. Peitz ◽  
Elisabeth A. Wilde ◽  
Ramesh Grandhi
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Imaging Techniques ◽  
Brain Connectivity ◽  
Functional Brain Imaging ◽  
Original Research ◽  
High Temporal Resolution ◽  
Post Traumatic Stress ◽  
Clinical Role

Magnetoencephalography (MEG) is a functional brain imaging technique with high temporal resolution compared with techniques that rely on metabolic coupling. MEG has an important role in traumatic brain injury (TBI) research, especially in mild TBI, which may not have detectable features in conventional, anatomical imaging techniques. This review addresses the original research articles to date that have reported on the use of MEG in TBI. Specifically, the included studies have demonstrated the utility of MEG in the detection of TBI, characterization of brain connectivity abnormalities associated with TBI, correlation of brain signals with post-concussive symptoms, differentiation of TBI from post-traumatic stress disorder, and monitoring the response to TBI treatments. Although presently the utility of MEG is mostly limited to research in TBI, a clinical role for MEG in TBI may become evident with further investigation.

A Review of Implementation Concepts and Strategies Surrounding Traumatic Brain Injury Clinical Care Guidelines

2021 ◽  
Author(s):  
Angela Lumba-Brown ◽  
Eric M Prager ◽  
Nicole Harmon ◽  
Michael McCrea ◽  
Michael J. Bell ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Clinical Care ◽  
Care Guidelines

scholarly journals Psychiatric effects of traumatic brain injury events in Cambodian survivors of mass violence

2002 ◽  
Vol 181 (4) ◽  
pp. 339-347 ◽  
Author(s):  
Richard F. Mollica ◽  
David C. Henderson ◽  
Svang Tor
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Injuries ◽  
Psychiatric Symptoms ◽  
Post Traumatic Stress ◽  
Mass Violence ◽  
Symptoms Of Depression ◽  
New Public Health ◽  
Multi Stage ◽  
Time Periods

BackgroundThe prevalence of brain injury and its effects in populations exposed to war violence has not been studied in recent years.AimsTo examine the association between traumatic brain injury events and psychiatric symptoms of major depression and post-traumatic stress disorder (PTSD) in Cambodian survivors of mass violence.MethodThe population comprised a multi-stage random sample of Cambodian refugees livingin a Thai refugee camp. The main results analysed the relationship between six categories of trauma events and psychiatric symptoms of depression and PTSD during two time periods.ResultsAlmost 15 000 trauma events were reported (n=13481, Pol Pot period; n=1249, past year). Traumatic brain injury was most common in the highly educated and in individuals with the highest levels of cumulative trauma. Of all trauma categories, traumatic brain injury revealed the strongest association with symptoms of depression, and a weaker association with PTSD. Brain injury represented 4% of the total number of traumatic events for both time periods, contributing 20% of the total symptom score for depression and 8% of that for PTSD.ConclusionsClinical identification and treatment of traumatic brain injuries in highly traumatised populations must be maintained in order to develop a new public health model for their treatment.

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