Dizziness directly influences postconcussion symptoms and is predictive of poorer mental health in UK military personnel: A retrospective analysis
Journal article
Denby, Emma, Dempster, Tammy, White, Toni, Brockman, Katherine, Ellis, Henrietta, Dharm-Datta, Shreshth, Wilkinson, David and Brunger, Helen 2023. Dizziness directly influences postconcussion symptoms and is predictive of poorer mental health in UK military personnel: A retrospective analysis. The Journal of Head Trauma Rehabilitation. https://doi.org/10.1097/HTR.0000000000000895
| Authors | Denby, Emma, Dempster, Tammy, White, Toni, Brockman, Katherine, Ellis, Henrietta, Dharm-Datta, Shreshth, Wilkinson, David and Brunger, Helen |
|---|---|
| Abstract | To investigate the contribution of dizziness to postconcussion symptoms, depression, and anxiety symptoms. Mild traumatic brain injury (mTBI) service, Defence Medical Rehabilitation Centre, Stanford Hall. Two hundred eighty-three UK military personnel from the Royal Navy, Royal Airforce, Royal Marines, and British Army. A retrospective analysis of data from the Ministry of Defence medical records database. Sixteen-item Rivermead Post Concussion Symptoms Questionnaire, Generalized Anxiety Disorder 7-item scale, Patient Health Questionnaire-9, The Dizziness Handicap Inventory. Injuries from sports or falls were the most common mechanism of mTBI, accounting for 23%, respectively. Chi-square analysis indicated that individuals with dizziness and postconcussion symptoms (PCS) had greater severity of PCS, depression, and anxiety than those with PCS alone. Mediation analysis showed dizziness directly and independently influenced the severity of PCS, despite the indirect effects of mediating depression and anxiety symptoms. Comorbid dizziness and PCS were predictive of poorer mental health compared with PCS alone. In addition, dizziness directly influenced the severity of PCS irrespective of the indirect effects of mental health symptoms. These observations suggest that treating dizziness with vestibular rehabilitation may improve PCS and mental health. [Abstract copyright: Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.] |
| Keywords | Dizziness; mTBI; PCS; UK military personnel; Vestibular rehabilitation |
| Year | 2023 |
| Journal | The Journal of Head Trauma Rehabilitation |
| Publisher | Lippincott, Williams and Wilkins |
| ISSN | 1550-509X |
| Digital Object Identifier (DOI) | https://doi.org/10.1097/HTR.0000000000000895 |
| Official URL | https://journals.lww.com/headtraumarehab/abstract/9900/dizziness_directly_influences_postconcussion.111.aspx |
| Publication dates | |
| Online | 29 Sep 2023 |
| Publication process dates | |
| Deposited | 12 Oct 2023 |
| Accepted | 22 Jul 2023 |
| Accepted author manuscript | License |
| Output status | Published |
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Accepted author manuscript
| Denby et al. (2023) - Dizziness Directly Influences PCS.pdf | ||
| License: CC BY 4.0 | ||
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