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Related Concept Videos

Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
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Identifying the Bridges Between Post Concussion Symptoms and Psychological Distress in Mild Traumatic Brain Injury

Josh W Faulkner1, Deborah Snell, Alice Theadom

  • 1Author Affiliations: School of Psychological Sciences, Te Herenga Waka, Victoria University of Wellington, Wellington, New Zealand (Drs Faulkner and Nielsen); Department of Orthopaedic Surgery & Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand (Dr Snell); Psychology and Neuroscience, TBI Network, Auckland University of Technology, Northcote, Auckland, New Zealand (Drs Theadom and Siegert); and School of Psychology, Massey University, Albany, Auckland, New Zealand (Dr Williams).

The Journal of Head Trauma Rehabilitation
|August 22, 2025
PubMed
Summary
This summary is machine-generated.

Psychological distress impacts mild traumatic brain injury (mTBI) recovery. Sleep disturbance linked to hyperarousal and concentration issues to lack of initiation in mTBI patients.

Keywords:
mild traumatic brain injurynetwork analysispost concussion symptomspsychological distress

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Area of Science:

  • Neuroscience
  • Psychology
  • Clinical Medicine

Background:

  • Psychological distress can worsen post-concussion symptoms (PCS) and recovery after mild traumatic brain injury (mTBI).
  • The specific relationships between psychological distress symptoms and PCS are not well understood.
  • Understanding these connections is crucial for effective patient education and targeted treatment strategies.

Purpose of the Study:

  • To investigate the item-level relationships between PCS and psychological distress in individuals with mTBI.
  • To identify specific symptom-to-symptom connections using network analysis.

Main Methods:

  • Cross-sectional network analysis design.
  • Utilized the EBICglasso method to construct symptom networks.
  • Calculated Bridge Expected Influence (BEI) to quantify inter-symptom connections.
  • Assessed PCS with the Rivermead Post Concussion Questionnaire and psychological distress with the DASS-21 in 436 mTBI adults.

Main Results:

  • Identified two significant bridging connections between PCS and psychological distress.
  • The strongest connection linked sleep disturbance (PCS) to hyperarousal/difficulty relaxing (psychological distress).
  • A second connection was found between concentration difficulties (PCS) and lack of initiation (psychological distress).

Conclusions:

  • Specific symptoms bridge psychological distress and PCS in mTBI.
  • Sleep disturbance, hyperarousal, concentration difficulties, and lack of initiation are key interconnected symptoms.
  • Prioritizing these symptoms in treatment may improve recovery for individuals with mTBI experiencing psychological distress.