Cornell University
Library
Cornell UniversityLibrary

eCommons

Help
Log In(current)
  1. Home
  2. Weill Cornell Medicine
  3. Medical College Research and Papers
  4. Department of Medicine
  5. Qualitative Analysis of Symptoms from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury.

Qualitative Analysis of Symptoms from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury.

File(s)
40260721.pdf (291.59 KB)
Permanent Link(s)
https://hdl.handle.net/1813/117371
Collections
Department of Medicine
Author
Gerber, L.M.
Shulman, K.S.
Wright, M.S.
Schiff, N.D.
Fins, J.J.
Abstract

Background: Studies of moderate-to-severe traumatic brain injury (TBI) report persistent clinical impairment post-injury. In the CENTURY-S study of deep brain stimulation (DBS) in chronic TBI, Schiff et al.'s paper, "Thalamic deep brain stimulation in traumatic brain injury: a phase 1, randomized feasibility study" demonstrated improvements in executive control. A companion narrative analysis by Fins et al., "Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury" Parts I and II described improvements in cognitive, behavioral, and emotional capabilities.Objective: The present study provides an aggregate symptom assessment utilizing pre- and post-DBS narratives from subjects and their family members.Methods: Drawing upon participants from the CENTURY-S study, Fins et al. conducted semi-structured interviews with five subjects with moderate-to-severe TBI and their family members. Transcripts were subsequently coded deductively and inductively in Dedoose by two independent investigators.Results: Subjects and families frequently volunteered memory and cognitive symptoms as well as difficulties with self-regulation, frustration, and irritability pre-DBS. Following stimulation, four subjects and four families noted improvement in memory and attention and focus, while three subjects and five families volunteered improvements in self-regulation. Fatigue improved in three subjects who previously reported this symptom and in one who did not.Conclusions: Secondary qualitative analysis of narrative data of DBS trial participants supports the incorporation of qualitative data as additional outcome measures in studies of DBS in TBI.

Journal / Series
NeuroRehabilitation
Volume & Issue
56(2)
Date Issued
1/21/25
Publisher
SAGE Publications
Keywords
WCM Library Coordinated Deposit
•
Humans
•
Brain Injuries, Traumatic
•
Deep Brain Stimulation
•
Male
•
Female
•
Adult
•
Middle Aged
•
Qualitative Research
•
Family
•
Thalamus
•
deep brain stimulation
•
narrative analysis
•
neuroethics
•
neuromodulation
•
symptom reporting
•
traumatic brain injury
Related DOI
https://doi.org/10.1177/10538135241296732
Previously Published as
Gerber LM, Shulman KS, Wright MS, Schiff ND, Fins JJ. Qualitative Analysis of Symptoms from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury. NeuroRehabilitation. 2025;56(2):143-151. doi: 10.1177/10538135241296732. PMID: 40260721.
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
Rights URI
https://creativecommons.org/licenses/by-nc-nd/4.0/
Type
article

Site Statistics | Help

About eCommons | Policies | Terms of use | Contact Us

copyright © 2002-2026 Cornell University Library | Privacy | Web Accessibility Assistance