Quality of life and post-concussion symptoms in adults after mild traumatic brain injury: a population-based study in western Sweden

Acta Neurol Scand. 2003 Nov;108(5):332-8. doi: 10.1034/j.1600-0404.2003.00155.x.


Objectives: To study quality of life and subjective post-concussion symptoms in adults (16-60 years) with a mild traumatic brain injury (MTBI) 3 months and 1 year after injury.

Methods: Of a total of 489 patients 173 responded to questionnaires at 3 months and at 1 year, including the SF-36 health-related quality of life survey, which is a standardized measure validated for Swedish conditions. Post-concussion symptoms were rated as either existing or non-existing in a 21-item checklist [a modified version of Comprehensive Psychopathological Rating Scale (CPRS)].

Results: SF-36 showed impaired scores in all dimensions. Existing post-concussion symptoms were reported by 1545%. Significantly, more symptoms were present at 3 months than at 3 weeks after injury. Furthermore, a significant correlation between higher rates of post-concussion symptoms and lower SF-36 scores was found.

Conclusions: The SF-36 results were significantly impaired compared with an age- and gender-matched normative control group and the rate of post-concussion symptoms was significantly higher at 3 months than at 3 weeks after injury. As a significant correlation between higher rates of symptoms and low SF-36 scores was also found we assume SF-36 to be a sensitive enough measure of MTBI-related effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brain Injuries / complications*
  • Brain Injuries / psychology
  • Brain Injuries / rehabilitation
  • Data Collection
  • Female
  • Humans
  • Male
  • Middle Aged
  • Post-Concussion Syndrome / epidemiology*
  • Post-Concussion Syndrome / etiology
  • Psychiatric Status Rating Scales
  • Quality of Life*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Sweden / epidemiology