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BMC Neurology (1)
Journal of Neurology, Neurosurgery, and Psychiatry (1)
Ratcliff, Graham (2)
Chase, Susan (1)
Colantonio, Angela (1)
Ellis, Kristina (1)
Harris, Jocelyn E (1)
Newcombe, Freda (1)
Year of Publication
Gender differences in self reported long term outcomes following moderate to severe traumatic brain injury
Harris, Jocelyn E
The majority of research on health outcomes after a traumatic brain injury is focused on male participants. Information examining gender differences in health outcomes post traumatic brain injury is limited. The purpose of this study was to investigate gender differences in symptoms reported after a traumatic brain injury and to examine the degree to which these symptoms are problematic in daily functioning.
This is a secondary data analysis of a retrospective cohort study of 306 individuals who sustained a moderate to severe traumatic brain injury 8 to 24 years ago. Data were collected using the Problem Checklist (PCL) from the Head Injury Family Interview (HIFI). Using Bonferroni correction, group differences between women and men were explored using Chi-square and Wilcoxon analysis.
Chi-square analysis by gender revealed that significantly more men reported difficulty setting realistic goals and restlessness whereas significantly more women reported headaches, dizziness and loss of confidence. Wilcoxon analysis by gender revealed that men reported sensitivity to noise and sleep disturbances as significantly more problematic than women, whereas for women, lack of initiative and needing supervision were significantly more problematic in daily functioning.
This study provides insight into gender differences on outcomes after traumatic brain injury. There are significant differences between problems reported by men compared to women. This insight may facilitate health service planners and clinicians when developing programs for individuals with brain injury.
Spatial orientation in man: effects of left, right, and bilateral posterior cerebral lesions1
Journal of Neurology, Neurosurgery, and Psychiatry
Men with chronic, penetrating missile wounds of the brain were examined with two `spatial' tasks: a visually-guided stylus maze and a locomotor map-reading task. Men whose lesions involved the posterior part of the right cerebral hemisphere were significantly worse than those with left posterior lesions at stylus maze-learning. On the locomotor task, however, a highly significant deficit was found in the group of men with bilateral posterior cerebral lesions, while those with unilateral lesions of either hemisphere and those with bilateral frontal lesions were unimpaired. The contributions of the two cerebral hemispheres to the analysis of spatial information are discussed in the light of these results and it is suggested that, while the right hemisphere has a special role in the perception of space, it does not bear exclusive responsibility for the maintenance of spatial orientation.
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