Symptoms of post-traumatic stress: intrusion and avoidance 6 and 12 months after TBI

Brain Injury : [BI]
Arlene I GreenspanFelicia C Goldstein


(1) To examine survivors with traumatic brain injury (TBI) for symptoms of avoidance and intrusion, two dimensions of post-traumatic stress (PTS) at 6 and 12 months post-injury. (2) To identify risk factors associated with these symptoms. Prospective follow-up study. Georgia and North Carolina Model Brain Injury Systems participants (n = 198) with mild (19%), moderate (21%) and severe (60%) TBI were interviewed by telephone at 6 and 12 months post-injury. The Impact of Event Scale (IES) was used to identify intrusion and avoidance symptoms. Symptoms consistent with severe PTS increased from 11% at 6 months to 16% 12 months post-injury (p < 0.003). African-Americans (p < 0.01) and women (p < 0.05) reported greater symptomatology at 12 months compared to their counterparts. TBI severity and memory of the event were not associated with PTS-like symptoms. Symptoms increased over time when examined by race, injury intent, gender and age (p < 0.05). Regardless of severity, survivors with TBI are at risk for developing symptoms consistent with PTS. Amnesia for the injury event was not protective against developing these symptoms. African-Americans appear to be at greatest risk.


May 1, 1979·Psychosomatic Medicine·M HorowitzW Alvarez
Jan 1, 1991·Acta neurochirurgica·P E WärmeL Persson
May 1, 1990·The American Journal of Psychiatry·M E McFallK L Malas
Dec 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·U Malt
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Dec 1, 1995·Archives of General Psychiatry·R C KesslerC B Nelson
May 1, 1995·Brain Injury : [BI]·R J Sbordone, J C Liter
Apr 1, 1995·The American Journal of Psychiatry·N BreslauP Andreski
Mar 1, 1994·Archives of Physical Medicine and Rehabilitation·C M McDonaldJ B Rivara
Jul 1, 1993·Journal of Clinical and Experimental Neuropsychology·H P GodfreyS Bishara
Sep 11, 1993·BMJ : British Medical Journal·Richard MayouR Duthie
Feb 1, 1996·The American Journal of Psychiatry·A Y ShalevS Schreiber
Jul 1, 1996·Head & Neck·A B KornblithJ C Holland
Sep 1, 1996·Brain Injury : [BI]·A OhryZ Solomon
Jan 1, 1997·The Journal of Neuropsychiatry and Clinical Neurosciences·D L WardenE Martin
Jun 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·A Y ShalevT Sahar
Jul 3, 1998·The Journal of Head Trauma Rehabilitation·M R HibbardJ Silver
Jul 22, 1998·Archives of General Psychiatry·N BreslauP Andreski
May 29, 1999·The Journal of Nervous and Mental Disease·R A Bryant, A G Harvey
Apr 7, 1999·The Journal of Head Trauma Rehabilitation
Mar 30, 2000·The American Journal of Psychiatry·R A BryantJ A Gurka
Feb 28, 2001·The Journal of Nervous and Mental Disease·R A BryantJ A Gurka
Apr 3, 2001·The American Journal of Psychiatry·U SchnyderC Buddeberg
Jul 4, 2001·The Journal of Nervous and Mental Disease·Caron ZlotnickM B Keller
Jul 27, 2001·Journal of Traumatic Stress·A G Harvey, R A Bryant
Aug 11, 2001·Clinical Psychology Review·R A Bryant
Mar 23, 2002·Journal of Clinical and Experimental Neuropsychology·H S LevinK J Kotrla
Jul 10, 2002·Psychological Medicine·Richard Mayou, Bridget Bryant
Oct 24, 2002·The Journal of Trauma·Arlene I Greenspan, Arthur L Kellermann
Apr 23, 2003·The Journal of Trauma·C HealeyJ Wayne Meredith
Jun 6, 2003·Clinical Psychology Review·Meaghan L O'DonnellArik Shalev
Sep 26, 2003·Psychosomatic Medicine·Eva C Sundin, Mardi J Horowitz


Aug 11, 2001·Clinical Psychology Review·R A Bryant
Jan 9, 2009·Journal of the International Neuropsychological Society : JINS·Heather G BelangerLarry A Tupler
Aug 26, 2009·Journal of the International Neuropsychological Society : JINS·R A BryantA C McFarlane
Nov 3, 2009·The Clinical Neuropsychologist·Stuart W Hoffman, Catherine Harrison
Jul 17, 2014·Brain Injury : [BI]·S SigurdardottirAnne-Kristine Schanke
Jan 10, 2008·Brain Injury : [BI]·Nigel S King
Dec 11, 2007·Brain Injury : [BI]·Jeffrey M Rogers, Christina A Read
Aug 22, 2009·Brain Injury : [BI]·Kelli Williams GaryLillian Flores Stevens
Feb 18, 2014·The Psychiatric Clinics of North America·Nazanin H BahrainiL A Brenner
Oct 30, 2007·Archives of Physical Medicine and Rehabilitation·John D CorriganKenneth D Wood
Feb 28, 2014·Health and Quality of Life Outcomes·Hagen AndruszkowFrank Hildebrand
Sep 18, 2014·Journal of Neurotrauma·Sasha MallyaTisha Joy Ornstein
Jan 5, 2013·The Neuroscientist : a Review Journal Bringing Neurobiology, Neurology and Psychiatry·Narinder KapurAlvaro Pascual-Leone
Feb 24, 2015·The Journal of Head Trauma Rehabilitation·Meredith L C WilliamsonPaul B Perrin
May 13, 2014·The Journal of Head Trauma Rehabilitation·Abdullah Al-OzairiAnthony Feinstein
Mar 18, 2010·The Journal of Head Trauma Rehabilitation·Juan Carlos Arango-Lasprilla, Jeffrey S Kreutzer
Feb 23, 2019·Journal of Neurotrauma·Raeesa GupteJanna Harris
Oct 22, 2015·The Journal of Trauma and Acute Care Surgery·Ann Marie WarrenMichael L Foreman

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