Proinflammatory markers in prediction of post-traumatic psychological symptoms: a prospective cohort study

Alasdair George Sutherland, Gary Alexander Cameron, David Alan Alexander, James Douglas Hutchison

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Posttraumatic psychopathology (PTP) describes the spectrum of conditions that can complicate the recovery from commonly occurring musculoskeletal trauma. There is a clear association with the activation of the hypothalamic-pituitary-adrenal axis (HPAA), and we wished to examine the predictive value of proinflammatory markers of the HPAA and of the GABA, which acts as an inhibitory regulator. Methods. Levels of proinflammatory markers and GABA were measured in 84 patients who had suffered musculoskeletal injuries requiring hospitalisation. PTP was assessed by the use of the General Health Questionnaire (GHQ) at presentation and again at two- and six-month reviews. Results. Significant psychological disturbance was noted in 39% of patients at two months and falling back to 18% by six months. There was no correlation between any of the markers tested at presentation and PTP at follow-up. Discussion. The HPAA response to trauma and the development of PTP are extremely complex. It is unlikely that a simple blood assay will provide significant predictive information, while incident specific information and patient perception are of more practical use.
Original languageEnglish
Article number640659
Number of pages5
JournalMediators of Inflammation
Volume2008
Early online date10 Nov 2008
DOIs
Publication statusPublished - 2008

Keywords

  • Adolescent
  • Adult
  • Aged
  • Biological Markers
  • Humans
  • Inflammation
  • Male
  • Middle Aged
  • Musculoskeletal Diseases
  • Musculoskeletal System
  • Prospective Studies
  • Questionnaires
  • Stress Disorders, Post-Traumatic
  • Young Adult

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