Title Genetic vulnerability and adverse mental health outcomes following mild traumatic brain injury: a meta-analysis of CENTER-TBI and TRACK-TBI cohorts
Authors Kals, Mart ; Wilson, Lindsay ; Levey, Daniel F ; Parodi, Livia ; Steyerberg, Ewout W ; Richardson, Sylvia ; He, Feng ; Sun, Xiaoying ; Jain, Sonia ; Palotie, Aarno ; Ripatti, Samuli ; Rosand, Jonathan ; Manley, Geoff T ; Maas, Andrew I.R ; Stein, Murray B ; Menon, David K
DOI 10.1016/j.eclinm.2024.102956
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Is Part of eClinicalMedicine.. Amsterdam : Elsevier. 2024, vol. 78, art. no. 102956, p. 1-12.. ISSN 2589-5370
Abstract [eng] Background Post-traumatic stress disorder (PTSD) and depression are common after mild traumatic brain injury (mTBI), but their biological drivers are uncertain. We therefore explored whether polygenic risk scores (PRS) derived for PTSD and major depressive disorder (MDD) are associated with the development of cognate TBI-related phenotypes. Methods Meta-analyses were conducted using data from two multicenter, prospective observational cohort studies of patients with mTBI: the CENTER-TBI study (ClinicalTrials.gov ID NCT02210221) in Europe (December 2014– December 2017) and the TRACK-TBI study in the US (March 2014–July 2018). In both cohorts, the most common causes of injury were road traffic accidents and falls. Primary outcomes, specifically probable PTSD and depression, were defined at 6 months post-injury using scores ≥33 on the PTSD Checklist-5 and ≥15 on the Patient Health Questionnaire-9, respectively. We calculated PTSD-PRS and MDD-PRS for patients aged ≥17 years who had a Glasgow Coma Scale score of 13–15 upon hospital arrival and assessed their association with PTSD and depression following TBI. We also evaluated the transferability of the findings in a cohort of African Americans. [...].
Published Amsterdam : Elsevier
Type Journal article
Language English
Publication date 2024
CC license CC license description