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J Neuropsychiatry Clin Neurosci 18:501-508, November 2006
doi: 10.1176/appi.neuropsych.18.4.501
© 2006 American Neuropsychiatric Association
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Posttraumatic Stress Disorder Symptoms During the First Six Months After Traumatic Brain Injury

Charles H. Bombardier, Ph.D., Jesse R. Fann, M.D., M.P.H., Nancy Temkin, Ph.D., Peter C. Esselman, M.D., Erika Pelzer, B.S., Meghan Keough, B.S. and Sureyya Dikmen, Ph.D.

Received April 15, 2005; accepted July 18, 2005. Drs. Bombardier, Fann, Temkin, Esselman, Pelzer, Keough, and Dikmen are affiliated with the Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington. Dr. Fann is also affiliated with the Department of Psychiatry and Behavioral Science, University of Washington School of Medicine, Seattle, Washington. Dr. Temkin is also affiliated with the Departments of Neurological Surgery and of Biostatistics, University of Washington School of Medicine, Seattle, Washington. Dr. Dikmen is also affiliated with the Departments of Psychiatry and Behavioral Science and of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington. Address correspondence to Dr. Bombardier, Department of Rehabilitation Medicine, Box 359740, Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104; chb{at}u.washington.edu (E-mail).

Controversy exists regarding the rate and risk factors for posttraumatic stress disorder (PTSD) following traumatic brain injury (TBI). The authors determined the rate and phenomenology of PTSD symptoms in the 6 months after TBI by conducting a prospective cohort study of 124 subjects who completed the PTSD Checklist–Civilian Version. The cumulative incidence of meeting PTSD symptom criteria at 6 months was 11% and full criteria 5.6%. Prevalence peaked at 1 month (10%). Eighty-six percent had another psychiatric disorder and 29% a history of PTSD. Symptoms were associated with not completing high school, assault, recalling being terrified or helpless, and positive toxicology. PTSD after TBI is rare and the relation to risk factors and comorbidities must be examined.




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T. W. McAllister
Exploring the Convergence of Posttraumatic Stress Disorder and Mild Traumatic Brain Injury
Am J Psychiatry, July 1, 2009; 166(7): 768 - 776.
[Abstract] [Full Text] [PDF]




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