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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Behavioral Changes and Associated Factors After Diffuse Axonal Injury

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Author(s):
Sardinha, Debora Souza [1] ; Almeida Vieira, Rita de Cassia [1] ; Paiva, Wellingson Silva [2] ; de Oliveira, Daniel Vieira [2] ; Cardoso de Sousa, Regina Marcia [1]
Total Authors: 5
Affiliation:
[1] Univ Sao Paolo, Nursing Sch, Sao Paulo - Brazil
[2] Univ Sao Paolo, Div Neurosurg, Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: JOURNAL OF TRAUMA NURSING; v. 26, n. 6, p. 328-339, NOV-DEC 2019.
Web of Science Citations: 0
Abstract

Diffuse axonal injury (DAI) is a frequent injury after traumatic brain injury (TBI), which causes cognitive and behavioral symptoms. Behavioral changes after DAI affect the patients' quality of life, in addition to causing great damage to their family and society. This study aimed to analyze the behavioral changes of patients with DAI according to family members and to identify the associated factors. This study included patients with DAI, aged between 18 and 60 years, who presented to a referral hospital for traumatic injuries. A prospective cohort study was conducted with 2 evaluations of family members at 3, 6, and 12 months posttrauma. Behavioral changes were evaluated using a questionnaire designed to identify changes according to the perception of family members. The mixed-effects model was applied to identify significant behavioral changes, the effect of time on these changes, and the association between sociodemographic variables, DAI severity, and behavioral changes. Anxiety, dependency, depression, irritability, memory, and mood swings were significantly different (p <= .05) before and after trauma. An analysis of the evolution of these behaviors showed that the changes persisted with the same intensity up to 12 months posttrauma. There was an association between depression and income, age and irritability, and DAI severity and dependency. Unfavorable behavioral changes were frequent consequences of DAI, and no improvement in these changes was noted up to 12 months after the injury. Income, age, and DAI severity were related to behavioral changes. (AU)

FAPESP's process: 13/21804-0 - Recovery of victims of diffuse axonal injury and associated factors
Grantee:Regina Marcia Cardoso de Sousa
Support Opportunities: Regular Research Grants