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
AuthorsDenby, Emma, Dempster, Tammy, White, Toni, Brockman, Katherine, Ellis, Henrietta, Dharm-Datta, Shreshth, Wilkinson, David and Brunger, Helen
AbstractTo 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.]
KeywordsDizziness; mTBI; PCS; UK military personnel; Vestibular rehabilitation
Year2023
JournalThe Journal of Head Trauma Rehabilitation
PublisherLippincott, Williams and Wilkins
ISSN1550-509X
Digital Object Identifier (DOI)https://doi.org/10.1097/HTR.0000000000000895
Official URLhttps://journals.lww.com/headtraumarehab/abstract/9900/dizziness_directly_influences_postconcussion.111.aspx
Publication dates
Online29 Sep 2023
Publication process dates
Deposited12 Oct 2023
Accepted22 Jul 2023
Accepted author manuscript
License
Output statusPublished
Permalink -

https://repository.canterbury.ac.uk/item/960x7/dizziness-directly-influences-postconcussion-symptoms-and-is-predictive-of-poorer-mental-health-in-uk-military-personnel-a-retrospective-analysis

Restricted files

Accepted author manuscript

  • 49
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month

Export as

Related outputs

Ortho-semantic learning of novel words: An event-related potential study of grade 3 children
Galilee, A., Lisa J. Beck, Clara J. Lownie, Jennika Veinot, Catherine Mimeau, Dempster, T., Laura M. Elliott, S. Hélène Deacons and Aaron J. Newman 2024. Ortho-semantic learning of novel words: An event-related potential study of grade 3 children. Frontiers in Developmental Psychology. 2, p. 1340383. https://doi.org/10.3389/fdpys.2024.1340383
Examining the effects of animal assisted activities against standard treatment in a university setting
Spruin, L., Islam, S., Wornast, T. and Dempster, T. 2023. Examining the effects of animal assisted activities against standard treatment in a university setting. Pet Behaviour Science. https://doi.org/10.21071/pbs.vi14.15225
Facility dogs in UK courtrooms: Public perspective
Dempster, Tammy, Spruin, Liz and Mozova, Katarina 2022. Facility dogs in UK courtrooms: Public perspective. Journal of Forensic Psychology Research and Practice. 24 (3), pp. 314-337. https://doi.org/10.1080/24732850.2022.2133662
Parent-child interactions during joint engagement with touchscreen technology: A comparison of younger versus older toddlers
Carr, A. and Dempster, T. 2021. Parent-child interactions during joint engagement with touchscreen technology: A comparison of younger versus older toddlers. Infant Behavior & Development. 64, p. 101587. https://doi.org/10.1016/j.infbeh.2021.101587
Giving guys get the guys: Men appear more desirable to the opposite sex when displaying costly donations to the homeless
Iredale, W., Jenner, K., Van Vugt, M. and Dempster, T. 2020. Giving guys get the guys: Men appear more desirable to the opposite sex when displaying costly donations to the homeless . Social Sciences. 9 (8), p. 141. https://doi.org/10.3390/socsci9080141
The effects of a therapy dog vs mindfulness vs a student advisor on student anxiety and well-being
Spruin, E., Dempster, T., Islam, S. and Raybould, I. 2020. The effects of a therapy dog vs mindfulness vs a student advisor on student anxiety and well-being. Journal of Further and Higher Education. 45 (5), pp. 588-600. https://doi.org/10.1080/0309877x.2020.1804535
The use of facility dogs to bridge the justice gap for survivors of sexual offending
Spruin, E., Ozcakir Mozova, K., Dempster, T. and Freeman, R. 2020. The use of facility dogs to bridge the justice gap for survivors of sexual offending. Social Sciences. 9 (6). https://doi.org/10.3390/socsci9060096
Facility dogs as a tool for building rapport and credibility with child witnesses
Spruin, E., Dempster, T. and Ozcakir Mozova, K. 2020. Facility dogs as a tool for building rapport and credibility with child witnesses. International Journal of Law, Crime and Justice.
Identifying indices of learning for alpha neurofeedback training
Dempster, T. and Vernon, D. 2009. Identifying indices of learning for alpha neurofeedback training. Applied Psychophysiology and Biofeedback. 34 (4), pp. 309-328. https://doi.org/10.1007/s10484-009-9112-3