Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Department of Psychology, Marquette University, Milwaukee, WI, USA.
Clin Neuropsychol. 2022 Nov;36(8):2135-2152. doi: 10.1080/13854046.2021.1985617. Epub 2021 Oct 7.
Somatic complaints are known to complicate recovery after mild traumatic brain injury (mTBI), but the construct is poorly understood due to evolving definitions of associated disorders and uncertainty related to its position within the broader construct network of psychopathology. To better understand measures of somatic symptom reporting widely used with mTBI patients, we examined relationships between the Brief Symptom Inventory-18 Somatization (SOM) scale, the Minnesota Multiple Personality Inventory-2-Restructured Form Somatic Complaints (RC1) scale, other measures of psychological and personality functioning, and mTBI in both athlete concussion ( = 100) and civilian trauma ( = 75 mTBI, = 79 orthopedic injury) samples. The association between post-injury SOM and RC1 was moderate (=.37-.46) and similar to associations between these inventories and depression and anxiety symptoms. In civilians with mTBI, RC1 was more strongly associated with diverse personality dimensions than SOM. mTBI athletes reported increases in somatic symptoms from pre- to post-injury, with larger group effect sizes on SOM ( = 0.34, < .001) than RC1 ( = 0.09, = .003). Civilian mTBI patients showed a trend for somewhat higher post-injury RC1 scores than orthopedic trauma controls ( = 0.02, = .068). Findings add to the current knowledge of the influence of somatic complaints in mTBI. BSI-18 SOM and MMPI-2-RF RC1 are not interchangeable, as they are only modestly correlated and demonstrate differing associations with other clinical outcomes and mTBI.
躯体症状在轻度创伤性脑损伤（mTBI）后恢复过程中被认为是复杂的，但由于相关障碍的定义不断演变以及其在更广泛的精神病理学结构网络中的位置存在不确定性，因此对其结构的理解还很不完善。为了更好地理解 mTBI 患者广泛使用的躯体症状报告测量方法，我们研究了Brief Symptom Inventory-18 躯体化（SOM）量表、Minnesota Multiple Personality Inventory-2-Restructured Form 躯体抱怨（RC1）量表、其他心理和人格功能测量方法以及运动员脑震荡（ = 100）和民用创伤（ = 75 mTBI， = 79 骨科损伤）样本中的 mTBI 之间的关系。损伤后 SOM 和 RC1 之间的关联是中度的（=.37-.46），与这些量表和抑郁及焦虑症状之间的关联相似。在民用 mTBI 患者中，RC1 与多种人格维度的相关性强于 SOM。mTBI 运动员报告受伤后躯体症状增加，SOM（=0.34，<.001）的组间效应量大于 RC1（=0.09，<.003）。民用 mTBI 患者的 RC1 得分在受伤后略高于骨科创伤对照组（=0.02，<.068）。研究结果增加了当前对 mTBI 中躯体抱怨影响的认识。BSI-18 SOM 和 MMPI-2-RF RC1 不能互换，因为它们只有适度的相关性，并且与其他临床结果和 mTBI 的相关性不同。
