Sensitivity of three recent questionnaires to mild traumatic brain injury-related effects

J Head Trauma Rehabil. 1999 Jun;14(3):211-9. doi: 10.1097/00001199-199906000-00002.

Abstract

Objective: To evaluate the sensitivity of three recently developed questionnaires to mild traumatic brain injury (MTBI)-related effects.

Design: Comparison of an MTBI group, within 3 weeks of injury, to a normal control group.

Setting: Outpatient rehabilitation clinic.

Subjects: 120 MTBI patients and 120 age, education, sex, and preinjury socioeconomic status-matched normal control subjects.

Main outcome measures: The Problem Checklist (PCL) from the New York Head Injury Family Interview to assess MTBI symptoms, the Short Form-36 Health Survey (SF-36) to assess functional burden associated with health problems, and the Community Integration Questionnaire (CIQ) to assess home, social, and productive activities.

Results: Patients' self-ratings on the PCL and SF-36, but not the CIQ, were generally worse than those of the normal controls. The largest differences were obtained on SF-36 measures that appear to assess musculoskeletal injury effects.

Conclusions: The PCL and SF-36 show promise as sensitive measures of MTBI-related effects. The SF-36 may be particularly useful in evaluating associated musculoskeletal injuries, which might otherwise be overlooked by MTBI health care providers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Analysis of Variance
  • Behavioral Symptoms / diagnosis*
  • Brain Injuries / physiopathology*
  • Brain Injuries / psychology
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Psychometrics / standards*
  • Sensitivity and Specificity
  • Severity of Illness Index*
  • Social Adjustment
  • Surveys and Questionnaires / standards*