Long-term work quality of patients with mild traumatic brain injury: The associations with postconcussion symptoms.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology-Adult Pub Date : 2025-03-01 Epub Date: 2023-03-07 DOI:10.1080/23279095.2023.2186232

Wen-Hsuan Lai, Huan-Hsuan Hsu, Hsiu-Ting Yu, Sheng-Huang Xiao, Yi-Hsin Tsai, Kuo-Chuan Wang, Sheng-Jean Huang, Chih-Peng Lin, Chi-Cheng Yang

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Abstract

Return to work (RTW) has always been a determinant functional outcome in patients with mild traumatic brain injury (MTBI). However, the quality of long-term RTW was still unclear. This study thus aims to examine long-term work quality and to reveal its associating factors. A total of 110 patients with MTBI was prospectively recruited. Post-concussion symptoms (PCS) and RTW were evaluated by the Checklist of Post-Concussion Symptoms (CPCS) and Work Quality Index (WQI) respectively at one-week and long-term evaluation (M = 2.90 years, SD = 1.29) post-injury. Only 16% of patients can successfully RTW at one-week post-injury, while 69% of patients have retained their jobs at long-term evaluations. Importantly, 12% of patients had to work under the adverse impacts of PCS at one-week after MTBI, and long-term WQI was significantly associated with PCS at one-week post-injury. Almost 1/3 of patients still had unfavorable long-term work quality even though they could return to work. Thus, a careful evaluation of the early PCS endorsement and work quality for patients with MTBI is merited.

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轻度脑外伤患者的长期工作质量：与脑震荡后症状的关系

重返工作岗位（RTW）一直是轻度创伤性脑损伤（MTBI）患者功能康复的决定性因素。然而，长期重返工作岗位的质量仍不明确。因此，本研究旨在考察长期工作质量并揭示其相关因素。本研究前瞻性地招募了 110 名轻微脑损伤患者。通过脑震荡后症状核对表（CPCS）和工作质量指数（WQI），分别评估了伤后一周和长期（M = 2.90 年，SD = 1.29）的脑震荡后症状（PCS）和复工情况。只有 16% 的患者能在伤后一周内成功实现复工，而 69% 的患者在长期评估中保留了工作。重要的是，12% 的患者在 MTBI 后一周不得不在 PCS 的不利影响下工作，而长期 WQI 与伤后一周的 PCS 显著相关。近三分之一的患者即使可以重返工作岗位，但其长期工作质量仍然不佳。因此，有必要对 MTBI 患者的早期 PCS 认可和工作质量进行仔细评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.