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EVALUATING THE RELATIONSHIP BETWEEN DEPRESSION, COGNITIVE PERFORMANCE AND QUALITY OF LIFE FOLLOWING TRAUMATIC BRAIN INJURY WITHIN THE CONTEXT OF THE CHRONIC CARE MODEL

Rogers, Emily Helene (2009) EVALUATING THE RELATIONSHIP BETWEEN DEPRESSION, COGNITIVE PERFORMANCE AND QUALITY OF LIFE FOLLOWING TRAUMATIC BRAIN INJURY WITHIN THE CONTEXT OF THE CHRONIC CARE MODEL. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Depression is the most common mood disorder after traumatic brain injury (TBI). This study evaluated how the presence and/or severity of depression post-TBI affect a person's cognitive status and quality of life (QOL). Demographic variables, injury severity, and pre-morbid psychiatric histories were documented from patient interview and medical records. Persons with TBI were assessed at 6 and 12 months post-injury for posttraumatic depression using the Patient Health Questionnaire (PHQ-9). They were also evaluated for cognitive status and QOL at the same time points. Results indicate that persons with moderate/severe TBI exhibit worse cognitive status and report lower QOL post-injury than persons with no depression. Persons with mild depression report lower QOL than persons with no depression, but do not display worse cognitive functioning. The severity of posttraumatic depression, not just the presence of depression, affects a person's cognitive status and QOL after injury. TBI and posttraumatic depression are chronic conditions. The Chronic Care Model is a framework for identifying and improving care at multiple levels within the health care system including delivery system design, decision support, clinical information systems, self-management support, and within the community. The current health care delivery for persons with TBI suffering from posttraumatic depression and treated in southwestern Pennsylvania is discussed and areas for improvement within the system are identified. The public health significance of this research is important for understanding the relationship of depression, cognition and QOL after TBI and effectively targeting persons with posttraumatic depression to formulate interventions which allow for better outcome and QOL post-injury.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Rogers, Emily Helenerogerse@upmc.edu
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairLey, Christinechrisley@pitt.eduCHRISLEY
Committee MemberWagner, Amywagnerak@upmc.eduAKW4
Committee MemberFabio, Anthonyfabioa@upmc.edu
Date: 29 June 2009
Date Type: Completion
Defense Date: 27 March 2009
Approval Date: 29 June 2009
Submission Date: 8 April 2009
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: online community; depression screening; rural community
Other ID: http://etd.library.pitt.edu/ETD/available/etd-04082009-135840/, etd-04082009-135840
Date Deposited: 10 Nov 2011 19:35
Last Modified: 19 Dec 2016 14:35
URI: http://d-scholarship.pitt.edu/id/eprint/6901

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