The influence of pre-injury stressful life events on the life quality and mood symptoms following cerebral concussion

Abstract

Objective To test the reliability and validity of Chinese version of Stressful Life Events Questionnaire and the influence of preinjury stressful life events on the life quality and mood symptoms of the patents following cerebral concussion. Methods 285 patients with cerebral concussion were assessed by Stressful Life Events Questionnaire(SLESQ), PTSD Checklist civilian version(PCL-C), Thirty-Six-Item Short-Form Health Survey(SF-36), Hamilton Depression Rating Scale(HDRS), Hamilton Anxiety Scale(HAMA) at baseline. The patients had been reassessed with the HDRS, HAMA, SF-36 at 3 months after cerebral concussion. The hierarchical regression analyses were used to determine the influence of Stressful Life Events for the life quality and mood symptoms of the patient with cerebral concussion. Results The incidence of stressful life events was 42.8%.The multiple regression analysis showed the experience of stressful life events were the influence factor of scores on the SF-36, HDRS, HAMA after adjusted by the age, gender, education, income, social support, the scores of anxiety and depression before injury and the R2 value of SLESQ to SF-36 physical health factor, mental health factor, HDRS, HAMA was 0.064, 0.111, 0.145, 0.028, respectively. Conclusion The history of stressful events is the influence factor of the patient with cerebral concussion to have poor life quality and mood disorder. Key words: Cerebral concussion; Stressful life events questionnaire; Quality of life; Mood