The Post-Trauma Complaint Questionnaire. Preliminary validation study.
Dr Claire VALLAT-AZOUVIa, Mrs Sophie LIEGEYa, Prof Philippe AZOUVIb
a Antenne UEROS UGECAMIDF, b Hopital Raymond Poincaré
Objective. The objective of the present study is to present the first validation study of a new questionnaire, the Post-Trauma Complaint Questionnaire, designed to assess the complaints reported by patients suffering from an acquired brain injury, and by a significant other.
Methods. The questionnaire includes 25 questions addressing the various difficulties that may occur after an acquired brain injury, in different domains (cognition, behavior, mood, somatic). It was devised by a group of experts. Each question was rated on a dichotomic yes/no scale. Two versions were used, one as a patient self-rating complaint questionnaire, and the other as a proxy-rated scale, given to a close relative. We will present the results obtained in a group of about 700 patients who were referred to a specialized community-reentry programme after a traumatic brain injury (70% of cases) or a stroke.
Results. Most frequent complaints were related to mood and behavior changes. A principal component analysis yielded seven underlying factors. Different correlations patterns were found between these factors and demographic and injury-related variables. Proxy-ratings were significantly higher than patients’ self-ratings, suggesting some degree of lack of awareness, at least for a part of the domains investigated.
Discussion / Conclusion. The Post-Trauma Complaint Questionnaire appeared to be a simple and sensitive screening tool to address the difficulties subjectively encountered by patients with an acquired brain injury. It also permits to assess anosognosia, by comparing patients and proxy ratings.
Keywords : traumatic brain injury;anosognosia; cognitive impairments