Postconcussional Disorder
- 1 August 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal Of Nervous and Mental Disease
- Vol. 193 (8), 540-550
- https://doi.org/10.1097/01.nmd.0000172592.05801.71
Abstract
Little is known about the characteristics and outcomes of patients diagnosed with postconcussional disorder (PCD) under the provisionally proposed criteria in the DSM-IV and how they differ from patients diagnosed with postconcussional syndrome (PCS) under the International Classification of Diseases, 10th edition clinical (ICD-10) criteria. This study investigated differences in outcome based on a diagnosis of PCD (DSM-IV) versus PCS (ICD-10 clinical criteria) as to which criteria set might be preferred for clinical practice. A consecutive series of adult patients with mild (N = 319) to moderate (N = 21) traumatic brain injury was assessed at 3 months postinjury with a brief neuropsychological battery and measures of specific outcome domains. In two separate series of analyses, patients with PCD were compared with those without PCD, and those with PCS were compared with those without PCS. Although the two criteria sets resulted in markedly different incidence rates, there was no substantial pattern of differences between the DSM-IV and ICD-10 in the outcome domains of psychiatric symptoms and disorders, social and community integration, health-related quality of life, or global outcome as measured by the Glasgow Outcome Scale-Extended. In spite of significant differences between the two diagnostic criteria sets and different incidence rates for PCD/PCS, outcome in all measured domains was very similar at 3 months postinjury. There is no compelling evidence, based on these outcome domains, to suggest which of the two diagnostic criteria sets should be clinically preferred.Keywords
This publication has 29 references indexed in Scilit:
- Limited Agreement Between Criteria-Based Diagnoses of Postconcussional SyndromeThe Journal of Neuropsychiatry and Clinical Neurosciences, 2004
- Predictors of postconcussion symptom complex in community dwelling male veteransJournal of the International Neuropsychological Society, 2003
- The neurobehavioural rating scale-revised: sensitivity and validity in closed head injury assessmentJournal of Neurology, Neurosurgery & Psychiatry, 2001
- Stress as a Diagnostic Challenge for Postconcussive Symptoms: Sequelae of Mild Traumatic Brain Injury or Physiological Stress ResponseThe Clinical Neuropsychologist, 2001
- Normative Data for a Six-Trial Administration of the Verbal Selective Reminding TestThe Clinical Neuropsychologist, 2000
- Psychometric properties of the PTSD checklist (PCL)Behaviour Research and Therapy, 1996
- Emotional, neuropsychological, and organic factors: their use in the prediction of persisting postconcussion symptoms after moderate and mild head injuries.Journal of Neurology, Neurosurgery & Psychiatry, 1996
- Coping Styles, Cortisol Reactivity, and Performance in a Vigilance Task of Patients with Persistent Postconcussive Symptoms After a Mild Head InjuryInternational Journal of Neuroscience, 1992
- A Brief Measure of Social Support: Practical and Theoretical ImplicationsJournal of Social and Personal Relationships, 1987
- The CES-D ScaleApplied Psychological Measurement, 1977