Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury.

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Title: Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury.
Authors: Botchway-Commey, Edith (AUTHOR), Ryan, Nicholas P. (AUTHOR), Anderson, Vicki (AUTHOR), Catroppa, Cathy (AUTHOR)
Source: Neuropsychological Rehabilitation. Jun2025, Vol. 35 Issue 5, p905-929. 25p.
Subjects: Sleep quality, Young adults, Brain injuries, Quality of life, Psychological distress
Abstract: Background: Depression, anxiety, and stress are persistent and co-occurring symptoms in survivors of childhood traumatic brain injury (TBI), and often impact on health-related quality of life (HRQoL). This paper explored emotional distress symptom clusters and associated factors in young adults with childhood TBI. Methods: We included 54 young adults who sustained mild (n = 14), moderate (n = 27), and severe (n = 13) childhood TBI, at 20 years post-injury. The Depression Anxiety Stress Scale was administered. Cluster group membership was identified using two-step clustering and hierarchical clustering methods, and associated factors were assessed with multiple regression models. Results: Two symptom cluster groups were identified, including a No Distress (n = 66%) and an Elevated Distress (n = 33%) group, with the latter showing significantly higher symptoms of depression, anxiety, and stress (all p <.001). Elevated Distress group membership was linked to tobacco use and poor sleep quality, while poor HRQoL was associated with younger age at injury and Elevated Distress group membership. Conclusions: Using cluster methodology, we showed that one-third of young adults with childhood TBI had elevated emotional distress symptoms. This underscores the complex emotional profile of this subgroup and the need for assessment, analysis, and treatment methods that target a range of symptoms rather than relying on single-diagnostic protocols. [ABSTRACT FROM AUTHOR]
Copyright of Neuropsychological Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Botchway-Commey%2C+Edith%22&quot;&gt;Botchway-Commey, Edith&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ryan%2C+Nicholas+P%2E%22&quot;&gt;Ryan, Nicholas P.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Anderson%2C+Vicki%22&quot;&gt;Anderson, Vicki&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Catroppa%2C+Cathy%22&quot;&gt;Catroppa, Cathy&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Neuropsychological+Rehabilitation%22&quot;&gt;Neuropsychological Rehabilitation&lt;/searchLink&gt;. Jun2025, Vol. 35 Issue 5, p905-929. 25p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep+quality%22&quot;&gt;Sleep quality&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Young+adults%22&quot;&gt;Young adults&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Brain+injuries%22&quot;&gt;Brain injuries&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+distress%22&quot;&gt;Psychological distress&lt;/searchLink&gt;
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  Data: Background: Depression, anxiety, and stress are persistent and co-occurring symptoms in survivors of childhood traumatic brain injury (TBI), and often impact on health-related quality of life (HRQoL). This paper explored emotional distress symptom clusters and associated factors in young adults with childhood TBI. Methods: We included 54 young adults who sustained mild (n = 14), moderate (n = 27), and severe (n = 13) childhood TBI, at 20 years post-injury. The Depression Anxiety Stress Scale was administered. Cluster group membership was identified using two-step clustering and hierarchical clustering methods, and associated factors were assessed with multiple regression models. Results: Two symptom cluster groups were identified, including a No Distress (n = 66%) and an Elevated Distress (n = 33%) group, with the latter showing significantly higher symptoms of depression, anxiety, and stress (all p &lt;.001). Elevated Distress group membership was linked to tobacco use and poor sleep quality, while poor HRQoL was associated with younger age at injury and Elevated Distress group membership. Conclusions: Using cluster methodology, we showed that one-third of young adults with childhood TBI had elevated emotional distress symptoms. This underscores the complex emotional profile of this subgroup and the need for assessment, analysis, and treatment methods that target a range of symptoms rather than relying on single-diagnostic protocols. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Neuropsychological Rehabilitation is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09602011.2024.2375803
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        Text: English
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      – SubjectFull: Sleep quality
        Type: general
      – SubjectFull: Young adults
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Quality of life
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      – SubjectFull: Psychological distress
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      – TitleFull: Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury.
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            NameFull: Botchway-Commey, Edith
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            NameFull: Ryan, Nicholas P.
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            NameFull: Anderson, Vicki
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            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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