Depression and Health Related Quality of Life in Adolescent Survivors of a Traumatic Brain Injury: A Pilot Study

被引:24
作者
Di Battista, Ashley [1 ,2 ,3 ]
Godfrey, Celia [3 ]
Soo, Cheryl [3 ]
Catroppa, Cathy [1 ,3 ,5 ]
Anderson, Vicki [1 ,3 ,4 ,5 ]
机构
[1] Univ Melbourne, Sch Behav Sci, Melbourne, Vic, Australia
[2] Hosp Sick Children, Dept Psychol, Toronto, ON M5G 1X8, Canada
[3] Royal Childrens Hosp, Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[4] Royal Childrens Hosp, Melbourne, Vic, Australia
[5] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
来源
PLOS ONE | 2014年 / 9卷 / 07期
基金
英国医学研究理事会; 加拿大健康研究院;
关键词
SCHOOL-AGE-CHILDREN; ANXIETY DISORDERS; SYMPTOMS; RELIABILITY; PREVALENCE; PREDICTORS; CHILDHOOD; SEVERITY; VALIDITY; IMPACT;
D O I
10.1371/journal.pone.0101842
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Traumatic brain injury is (TBI) a leading cause of morbidity and mortality in youth. Adult survivors of a severe pediatric TBI are vulnerable to global impairments, including greater employment difficulties, poor quality of life (HRQoL) and increased risk of mental health problems. When estimating the health related quality of life in adolescents, the presence of anxiety and depression and the quality of social relationships are important considerations, because adolescents are entrenched in social development during this phase of maturation. The influence of anxiety, depression and loneliness on health related quality of life in adolescent survivors of TBI has not been documented. This pilot study aimed to identify and measure the relationship between anxiety, depression and loneliness and perceived health related quality of life in adolescent survivors of a TBI. Method: mixed method/cohort pilot study (11 adolescents, mild to severe TBI; 9 parents), using self-report and proxy-report measures of anxiety, depression, health related quality of life, loneliness and clinical psychiatric interviews (adolescent only). Results: Self-reported depression was significantly correlated with self-reported HRQoL (rs [11] = 20.88, p<0.001). Age at injury was significantly correlated with self-reported HRQoL (rs [11] = -0.68, p = 0.02). Self-reported depression predicted self-reported HRQoL (R-2 = 0.79, F [1,10] = 33.48, p<0.001), but age at injury did not (R-2 = 0.19, F [1,10] = 2.09, p = 0.18). Conclusions: Our results suggest that depression is a predictor of health related quality of life in youth post-TBI. The possibility of using targeted assessment and therapy for depression post-TBI to improve health related quality of life should be explored.
引用
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页数:10
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