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Errors in diagnosing post-traumatic stress disorder after traumatic brain injury

2001/01/01 by T. M. McMillan
Medicine · Psychology · #Posttraumatic Stress Disorder Research #Traumatic Brain Injury Research #Traumatic Brain Injury and Neurovascular Disturbances

paper · doi:10.1080/02699050118030

openalex publication_date 2001/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/29

Abstract

Evidence to support the view that post-traumatic stress disorder (PTSD) can occur after traumatic brain injury (TBI) continues to grow. However, the reported incidence of cases with both diagnoses ranges widely, from less than 1% to more than 50%. Given that the incidence of TBI is high, a more precise incidence has to be established if screening and treatment resources are to be considered. Are cases being missed or are they over-diagnosed? The single case report presented here does not definitively answer this question, but illustrates the potential shortcomings of diagnosing PTSD using questionnaire measures alone (Impact of Events Scale, Post-traumatic Stress Diagnostic Scale and General Health Questionnaire) and indicates a need for a conjoint interview which takes into account the common effects of TBI and the symptom overlap between PTSD and TBI.

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