Ch 12: Psychosocial Complications Flashcards
GCS
13-15 mild
9-12 moderate
3-8 severe
Major depressive episode
One of the most common results/diagnoses after TBI
At least 2 weeks in which the individual experiences loss of interest or depressed mood, as well as 4 additional symptoms:
- change in appetite
- weight loss or gain
- decreased energy
- feelings of worthlessness
- suicidal ideations
What percent of persons with TBI are at risk of the development of depression?
44.3% in 7.5 years
**general population is 5.9% lifetime risk
Which parts of the brain (lesions) are at risk for depression?
Left prefrontal gray matter & Lateral and medial frontal lobe injuries
**Anxiety AND depression= right frontal lobe
Manic episode
d/t Temporal basal polar lesions and multifocal lesions
1 week where the individual has a noticeably elevated, expansive or irritable mood with 3 symptoms:
Extremely amplified self esteem Decreased desire for sleep Grandiose ideas Distractibility Involvement in activities with high possibility for consequences
What percent of TBI‘s have bipolar disorder post injury?
4% as compared to 0.8% without TBI
What percent of TBI patients experience panic disorders?
9.2% over 7.5 years
What percent of TBI patients experience a personality disorder post injury?
23%
What’s the difference between diagnosing a frontal lobe deficit from depression?
The individual’s ability to recognize and acknowledge the deficits
What percent of individuals were employed at the two-year mark, were unemployed at five year mark post injury?
32%