Table of Contents
ISRN Rehabilitation
Volume 2012, Article ID 147285, 13 pages
http://dx.doi.org/10.5402/2012/147285
Research Article

Acute Relationship between Cognitive and Psychological Symptoms of Patients with Mild Traumatic Brain Injury

1Traumatic Brain Injury Program, McGill University Health Centre-Montreal General Hospital, Montreal, QC, Canada H3G 1A4
2Neurology and Neurosurgery Department, McGill University, Montreal, QC, Canada H3G 1A4
3Rehabilitation Medicine Department, McGill University Health Centre-Montreal General Hospital, Montreal, QC, Canada H3G 1A4
4Social and Preventive Medicine Department, University of Montreal, Montreal, QC, Canada H3C 3J7

Received 14 November 2011; Accepted 13 December 2011

Academic Editor: G. Kerkhoff

Copyright © 2012 Elaine de Guise et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. The goal of this study was to explore the relationship between acute psychological reactions and cognition as well as postconcussive symptoms in patients with MTBI. Research Methods. Sociodemographic and medical history data were gathered for 59 patients diagnosed with MTBI. Validated and standardized tools were used to assess anxiety, depression, and cognitive function two weeks after trauma. Postconcussive symptoms were assessed with the Rivermead postconcussive questionnaire. Results. Despite the absence of significant neuropsychological deficits, a very high level of anxiety and depression was observed in our cohort. Level of anxiety and depression were positively related to cognitive performances and to postconcussive symptoms. Moreover, patients with preexisting alcohol and psychological problems were more likely to present with acute depression after MTBI. Conclusions. Early psychological rehabilitation should be provided to decrease the intensity and frequency of postconcussive symptoms and diminish the risk of these problems becoming chronic.