Factors Related to Depression among Patients with Moderate Traumatic Brain Injury

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Nachanok Aiadsuy
Warisa Kanbuala
Khemaradee Masingboon


This descriptive correlational research aimed to investigate depression in patients with moderate traumatic brain injury and the relationships of disability, communication ability, and social support to depression in patients with moderate traumatic brain injury. The transition theory was used to guide this study. The sample
consisted of 88 patients with moderate traumatic brain injury who followed up in regional hospitals. The sample was selected by the inclusion criteria. The five instruments used in the study were: 1) the Demographic Data Form; 2) the Disability Rating Scale; 3) the Communicative Effectiveness Index; 4) the Personal Resources Questionnaire; and 5) the Beck Depression Inventory. The data were analyzed using descriptive statistics and Pearson's product-moment correlation coefficient. The results revealed that the
majority of patients with moderate traumatic brain injury (59.09%) had mild depression. The disability was positively related to depression, while the communication ability and social support were negatively related to depression. This study suggests that nurses should be aware of depression in patients with moderate traumatic brain injury and promote communication ability and social support to care for this population.


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Aiadsuy N, Kanbuala W, Masingboon K. Factors Related to Depression among Patients with Moderate Traumatic Brain Injury . Rama Nurs J [Internet]. 2020May7 [cited 2020Jul.11];26(1):46-0. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/202097


1. World Health Organization. Global status report on road safety 2015; 2015 [cited 2018 October 18]. Available
from: https://www.who.int/violence_injury_prevention/road_safety_status/2015/GSRRS2015_Summary

2. Strategy and Planning Division, Ministry of Public Health.Public health statistics AD 2017; 2017 (in Thai)

3. Hickey JV. The clinical practice of neurological and neurosurgical nursing. 7thed. Philadelphia: Lippincott
Williams & Wilkins; 2014.

4. Einarsen CE, Naalt J, Jacobs B, Follestad T, Moen KG,Vik A, et al. Moderate traumatic brain injury: clinical
characteristics and a prognostic model of 12-month outcome. World Neurosurg. 2018;114:e1199-210.

5. Bombardier CH, Fann JR, Temkin NR, Esselman PC,Barber J, Dikmen SS. Rates of major depressive disorder
and clinical outcomes following traumatic brain injury.JAMA. 2010;303(19):1938–45.

6. Finnanger TG, Olsen A, Skandsen T, Lydersen S, Vik A,Evensen KI, et al. Life after adolescent and adult moderate and severe traumatic brain injury: self-reported executive,emotional, and behavioural function 2-5 years after injury.Behav Neurosci. 2015;2015:1-19.

7. Adams JH, Graham DI, Jennett B. The structural basis of moderate disability after traumatic brain damage. J Neurol Neurosurg Psychiatry. 2001;71:521-24.

8. Dams-O’Connor K, Gibbons LE, Landau A, Larson EB,Crane PK. Health problems precede traumatic brain injury
in older adults. J Am Geriatr Soc. 2016;64(4):844-48.

9. Jorge RE, Robinson RG, Moser D, Tateno A, Crespo-Facorro B, Arndt S. Major depression following traumatic
brain injury. Arch Gen Psychiatry. 2004;61(1):42-50.

10. Weddell RA, Wood RL. Exploration of correlates of selfreported personality change after moderate–severe
traumatic brain injury. Brain Inj. 2016;30(11):1362-71.

11. Fisher LB, Pedrelli P, Iverson GL, Bergquist TF,Bombardier CH, Hammond FM, et al. Prevalence of suicidal behavior following traumatic brain injury:longitudinal follow-up data from the NIDRR traumatic brain injury model systems. Brain Inj. 2016;30(11):1311-injury model systems. Brain Inj. 2016;30(11):1311-18.

12. Seel RT, Kreutzer JS, Rosenthal M, Hammond FM,Corrigan JD, Black K. Depression after traumatic brain
injury: a national institute on disability and rehabilitation research model systems multicenter investigation. Arch
Phys Med Rehabil. 2003;84(2):177-84.

13. Bootcheewan S. The relationships between transition conditions and disability in traumatic brain injury patients [thesis]. Nakhon Pathom: Mahidol University; 2007. (inThai)

14. Douglas JJ, Bracy CA, Snow PC. Return to work and social communication ability following severe traumatic brain injury. J Speech Lang Hear Res. 2016;59(3):511-20.

15. Meulenbroek P, Bowers B, Turkstra LS. Characterizing common workplace communication skills for disorders
associated with traumatic brain injury: a qualitative study.J Vocat Rehabil. 2016;44(1):15-31.

16. Jindaperm W. The Effect of communicative stimulation program on communication abilities of traumatic brain injury patients with aphasia [thesis]. Bangkok:Chulalongkorn University; 2008. (in Thai)

17. Murphy A, Huang H, Montgomery E, Turkstra L.Conversational turn – taking in adults with acquired brain
injury. Aphasiology. 2015;29(2):151-68.

18. Bosco FM, Angeleri R, Sacco K, Bara BG. Explaining pragmatic performance in traumatic brain injury: a process perspective on communicative errors. Int J Lang Commun Disord. 2015;50(1):63-83.

19. Andelic N, Howe EI, Hellstrøm T, Sanchez MF, Lu J,Løvstad M, et al. Disability and quality of life 20 years
after traumatic brain injury. Behav Brain Res.2018;8(7):1-10.

20. Potaya S. Model for family caregivers’ participation in caring for traumatic brain injured patients
[dissertation].Nakhon Pathom: Mahidol University; 2001. (in Thai)

21. Agtarap S, Boals A, Holtz P, Roden-Foreman K, Rainey EE, Ruggero C, et al. The effect of depressive symptoms
on social support one year following traumatic injury. J Affect Disord. 2017;207:398-05.

22. Meleis AI, Sawyer LM, Im EO, Messias DKH,Schumacher K. Experiencing transitions: an emerging
middle-range theory. J Adv Nurs. 2000;23(1):12-28.

23. Bombardier CH, Hoekstra T, Dikmen S, Fann JR.Depression trajectories during the first year after traumatic
brain injury. J Neurotrauma. 2016;33(23):2115-24.

24. Isaacs B, Kennie AT. The set test as an aid to the detection of dementia in old people. Br J Psychiatry. 1973;123:467-70.

25. Brandt PA, Weinert C. PRQ: Psychometric update.Washington DC: University of Washington; 1985.

26. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia:Wolters Kluwer Health/lippincott Williams & Wilkins;2008.

27. Bellon K, Wright J, Jamison L, Kolakowsky-Hayner S.Disability rating scale. J Head Trauma Rehabil.

28. Rappaport M, Hall KM, Hopkins K, Belleza T, Cope DN.Disability rating scale for severe head trauma: coma to
community. Arch Phys Med Rehabil. 1982;63:118-23.

29. Hongtrakul C. Relationships among selected basic conditioning factors, social support and self-care agency
in essential hypertensive patients [thesis]. Nakhon Pathom:Mahidol University; 2001. (in Thai)

30. Srikong P, Ua-Kit N. Selected factors related to selfmanagement on dietary control among heart failure patients in lower northeast region. Kuakarun Journal of Nursing.2013;18(1):52-66. (in Thai)

31. Beck AT. Depression-clinical experimental and theoretical aspects. New York: Harper and Row; 1967.

32. Hart T, Hoffman JM, Pretz C, Kennedy R, Clark AN,Brenner LA. A longitudinal study of major and minor
depression following traumatic brain injury. Arch Phys Med Rehabil. 2012;93: 1343-9.

33. Bay E, Covassin T. Chronic stress, somatic and depressive symptoms following mild to moderate traumatic brain injury. Arch Psychiatr Nurs. 2012;26(6):477-86.

34. Alway Y, McKay A, Gould KR, Johnston L, Ponsford J.Factors associated with posttraumatic stress disorder
following moderate to severe traumatic brain injury: a prospective study. Depress Anxiety. 2016;33(1):19-26.

35. Hongsrisuwan N. Depression. HCU Journal of Health Science. 2016;19(38):105-18. (in Thai)

36. Eamkamol W, Jitpanya C, Preechawong S. Correlates of depression in adult patients with traumatic brain injury.Kuakarun Journal of Nursing. 2013;20(1):30-40. (in Thai)

37. Oyesanya TO, Ward EC. Mental health in women with traumatic brain injury: a systematic review on depression and hope. Int J Women Health. 2016;37(1):45-74.

38. Hamilton M, Khan M, Clark R, Williams G, Bryant A. Predictors of physical activity levels of individuals
following traumatic brain injury remain unclear: asystematic review. Brain Inj. 2016; 30(7):819-28.

39. Scholten AC, Haagsma JA, Cnossen MC, Olff M, Van Beeck EF, Polinder S. Prevalence of and risk factors for
anxiety and depressive disorders after traumatic brain injury: a systematic review. J Neurotrauma. 2016;33