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Archives of Clinical Neuropsychology 2006 21(4):303-310; doi:10.1016/j.acn.2005.12.008
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© 2006 National Academy of Neuropsychology

Misdiagnosis of the persistent postconcussion syndrome in patients with depression

Grant L. Iverson*

Department of Psychiatry, University of British Columbia & Riverview Hospital 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada

* Tel.: +1 604 822 7588; fax: +1 604 822 7756. E-mail address giverson{at}interchange.ubc.ca


  Abstract

The purpose of this study is to examine the prevalence of postconcussion-like symptoms in patients with depression. Participants were 64 physician-diagnosed inpatients or outpatients with depression who had independently-confirmed diagnoses on the Structured Clinical Interview for DSM-IV. All completed the British Columbia Postconcussion Symptom Inventory, a 16-item measure designed to assess the frequency and severity of symptoms based on ICD-10 criteria for postconcussion syndrome. Specific endorsement rates of postconcussion-like symptoms ranged from 31.2% to 85.6% for symptoms rated mild or greater, and from 10.9% to 57.8% for symptoms rated moderate-to-severe. Approximately 9 out of 10 patients with depression met liberal self-report criteria for a postconcussion syndrome and more than 5 out of 10 met conservative criteria for the diagnosis. Implications for forensic neuropsychology will be discussed.

Keywords Postconcussion syndrome; Mild traumatic brain injury; Outcome; Depression

Accepted: December 14, 2005


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