Subscribe to FeedDoes Mild Traumatic Brain Injury Cause Cognitive Problems?
Photo courtesy of Gaetan_Lee
A study reported in the December 2007 Journal of Psychosomatic Research examined cognitive complaints in head-injured patients referred to the emergency department of a level 1 trauma center in the Netherlands. A sample of 79 patients (ranging in age from 18 to 60) who had been admitted for mild traumatic brain injury were followed up over six months post-admission. In addition to a battery of neuropsychological tests and use of the Rivermead Postconcussional Symptoms Questionnaire (RPSQ), patients were also asked to self-monitor their cognitive and memory problems over a 12-day period. Results indicated that 39 per cent of the sample self-reported cognitive problems. These complaints were strongly related to lower educational levels, emotional distress, personality, and poorer physical functioning (especially fatigue) but not to actual extent of injury. Severity of self-reported cognitive complaints was found not to be associated with the patients’ daily observations of cognitive problems or with outcome on a range of neuropsychological tests. The researchers concluded that self-reported cognitive complaints were more strongly related to preexisting personality factors, as well as physical and emotional problems rather than actual cognitive impairments. This would suggest that treatment of emotional distress and fatigue may also reduce cognitive complaints. They also concluded that neuropsychological screening and daily monitoring of complaints is a useful method to gather information about the frequency and pattern of cognitive problems in regular life.
Romeo Vitelli
Creator of Providentia
Ashworth University Contributing Blogger
*A man who has lived a fascinating life, Dr. Romeo Vitelli spent fifteen years as a staff psychologist in Millbrook Correctional Centre, a maximum-security prison run by the Ontario government. In 2003, he successfully escaped prison and went into full-time private practice and currently also serves as a Disaster Management volunteer with the Red Cross. He is one of the web’s most respected and trusted sources in matters of psychology. We here in the Ashworth University community are honored to share with Dr. Vitelli’s gifts with our students and would like to express our gratitude to him. Visit Providentia to learn more about the life and work of Dr. Romeo Vitelli.
