Personality changes and return to work after severe traumatic brain injury: a prospective study
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000300213 |
Resumo: | Objective: To evaluate predictors of non-return to work (nRTW) among social, demographic, clinical, and psychiatric variables after severe traumatic brain injury (TBI) in a cohort of Brazilian patients. Methods: Prospective study. Forty-three community-dwelling individuals treated at a Level I trauma center at the time of TBI were evaluated 18 months after trauma. Measures included DSM-IV-TR criteria for personality changes after TBI and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to assess psychiatric diagnosis. Hospitalization variables included Glasgow Coma Scale scores, pupil examination findings, associated limb trauma, Marshall computed tomography classification, and blood glucose levels. Results: After multiple logistic regression analysis, only the diagnosis of personality changes was found to be independently associated with nRTW, with an adjusted odds ratio of 10.92 (p = 0.02, 95% confidence interval 1.41-84.28). Conclusions: In this study, personality changes were an independent predictor of nRTW after severe TBI. Ways to predict risk factors associated with personality changes after severe brain injury could aid in identification of early and effective interventions that might ease the burden associated with this condition. |
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Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
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Personality changes and return to work after severe traumatic brain injury: a prospective studyTraumatic brain injuryreturn to workmental disorders Objective: To evaluate predictors of non-return to work (nRTW) among social, demographic, clinical, and psychiatric variables after severe traumatic brain injury (TBI) in a cohort of Brazilian patients. Methods: Prospective study. Forty-three community-dwelling individuals treated at a Level I trauma center at the time of TBI were evaluated 18 months after trauma. Measures included DSM-IV-TR criteria for personality changes after TBI and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to assess psychiatric diagnosis. Hospitalization variables included Glasgow Coma Scale scores, pupil examination findings, associated limb trauma, Marshall computed tomography classification, and blood glucose levels. Results: After multiple logistic regression analysis, only the diagnosis of personality changes was found to be independently associated with nRTW, with an adjusted odds ratio of 10.92 (p = 0.02, 95% confidence interval 1.41-84.28). Conclusions: In this study, personality changes were an independent predictor of nRTW after severe TBI. Ways to predict risk factors associated with personality changes after severe brain injury could aid in identification of early and effective interventions that might ease the burden associated with this condition. Associação Brasileira de Psiquiatria2014-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000300213Brazilian Journal of Psychiatry v.36 n.3 2014reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2013-1303info:eu-repo/semantics/openAccessDiaz,Alexandre P.Schwarzbold,Marcelo L.Thais,Maria E.Cavallazzi,Gisele G.Schmoeller,RoseliNunes,Jean C.Hohl,AlexandreGuarnieri,RicardoLinhares,Marcelo N.Walz,Rogereng2014-11-25T00:00:00Zoai:scielo:S1516-44462014000300213Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2014-11-25T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
title |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
spellingShingle |
Personality changes and return to work after severe traumatic brain injury: a prospective study Diaz,Alexandre P. Traumatic brain injury return to work mental disorders |
title_short |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
title_full |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
title_fullStr |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
title_full_unstemmed |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
title_sort |
Personality changes and return to work after severe traumatic brain injury: a prospective study |
author |
Diaz,Alexandre P. |
author_facet |
Diaz,Alexandre P. Schwarzbold,Marcelo L. Thais,Maria E. Cavallazzi,Gisele G. Schmoeller,Roseli Nunes,Jean C. Hohl,Alexandre Guarnieri,Ricardo Linhares,Marcelo N. Walz,Roger |
author_role |
author |
author2 |
Schwarzbold,Marcelo L. Thais,Maria E. Cavallazzi,Gisele G. Schmoeller,Roseli Nunes,Jean C. Hohl,Alexandre Guarnieri,Ricardo Linhares,Marcelo N. Walz,Roger |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Diaz,Alexandre P. Schwarzbold,Marcelo L. Thais,Maria E. Cavallazzi,Gisele G. Schmoeller,Roseli Nunes,Jean C. Hohl,Alexandre Guarnieri,Ricardo Linhares,Marcelo N. Walz,Roger |
dc.subject.por.fl_str_mv |
Traumatic brain injury return to work mental disorders |
topic |
Traumatic brain injury return to work mental disorders |
description |
Objective: To evaluate predictors of non-return to work (nRTW) among social, demographic, clinical, and psychiatric variables after severe traumatic brain injury (TBI) in a cohort of Brazilian patients. Methods: Prospective study. Forty-three community-dwelling individuals treated at a Level I trauma center at the time of TBI were evaluated 18 months after trauma. Measures included DSM-IV-TR criteria for personality changes after TBI and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to assess psychiatric diagnosis. Hospitalization variables included Glasgow Coma Scale scores, pupil examination findings, associated limb trauma, Marshall computed tomography classification, and blood glucose levels. Results: After multiple logistic regression analysis, only the diagnosis of personality changes was found to be independently associated with nRTW, with an adjusted odds ratio of 10.92 (p = 0.02, 95% confidence interval 1.41-84.28). Conclusions: In this study, personality changes were an independent predictor of nRTW after severe TBI. Ways to predict risk factors associated with personality changes after severe brain injury could aid in identification of early and effective interventions that might ease the burden associated with this condition. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000300213 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000300213 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-4446-2013-1303 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Brazilian Journal of Psychiatry v.36 n.3 2014 reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
collection |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
repository.name.fl_str_mv |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
||rbp@abpbrasil.org.br |
_version_ |
1754212556755435520 |