Influence des symptômes dépressifs sur le participation sociale et la satisfaction de vie suite à un traumatisme craniocérébral léger
Purpose : There is much evidence regarding the impact of moderate and severe traumatic brain injury (TBI) on social participation (leisure and community integration), but little is known about social participation in the first months following mild traumatic brain injury (mTBI). However, it is well known that social participation is an integral part of a satisfying life. The aim of the study is to assess the impact of mood and post-concussive symptoms on social participation and life satisfaction early after mTBI. Method: The sample includes 85 participants aged between 18 and 61 years old who sustained mTBI. In the first months following mTBI, participants answered questionnaires measuring practice of leisure activities (pre and post-mTBI), community integration, anxiety and depression symptoms, fatigue, post-concussive symptoms and life satisfaction. Results: Total scores of interest, frequency of practice and leisure satisfaction are significantly lower after mTBI. Depressive symptoms are negatively associated with interest and satisfaction with leisure and with community integration. Finally, depressive symptoms is a moderator of interest and satisfaction with leisure, community integration and life satisfaction. Conclusion : These results suggest that mTBI negatively affects the practice of leisure activities, that symptoms of depression are associated with lower social participation and that they moderate the relationship between social participation and life satisfaction. Early post-mTBI intervention specifically targeting depressed mood is therefore recommended.
Mild traumatic brain injury Leisure Community integration Depression Life satisfaction