Traumatic Brain Injury (TBI) Diagnosis Poster 74 The Miserable Middle Age: Age and Fatigue after TBI e NIDRR TBI Model System Module Study Yelena Goldin (JFK Johnson Rehabilitation Institute), Keith Cicerone, Joshua Cantor, Flora Hammond, Stephanie A. Kolakowsky-Hayner Objective: To examine the relationship between age and post-traumatic brain injury (TBI) fatigue one year after injury, taking into account contributing factors. Design: Observational cross-sectional. Setting: Four TBI Model Systems centers participating in the Fatigue and Insomnia Module. Participants: 241 community-dwelling adult volunteers with mild-to- severe TBI. Interventions: N/A Main Outcome Measure(s): Multidimensional Assessment of Fatigue(MAF), which asks individuals to rate the severity and impact of fatigue during the past week. The MAF is a measure of fatigue that has been widely used with individuals with chronic medical conditions. Results: The sample was stratified into three age groups: 18-34, 35-64, 65- older. Analysis of Variance showed that individuals age 35-64 reported significantly more fatigue than their younger and older counterparts. The groups also differed significantly in terms of center, gender, race, rela- tionship status, injury characteristics (Glasgow Coma Scale, LOC duration, PTA duration), depression, and average sleep duration. After controlling for these variables, significant differences among the middle age individ- uals remained for three fatigue variables: impact on ability to bathe/wash, impact on socialization, impact on leisure/recreational activities. Signifi- cantly higher rates of depression in individuals age 35-64 accounted for most other group differences in fatigue. Conclusions: Individuals age 35-64 reported significantly greater fatigue. While depression accounts for most aspects of fatigue in this age group, fatigue continues to have a distinct impact onself care, recreation, and socialization. This may be related to greater life demands for this age group and has significant implications for successful functioning and overall quality of life. Key Words: Traumatic Brain Injury, Age, Fatigue, Depression. Disclosure: Yelena Goldin has nothing to disclose. Poster 75 Major Depression in the First Year after Mild vs Moderate/Severe Traumatic Brain Injury: Link with Minor Depression Marie-Christine Ouellet (Centre Interdisciplinaire de Recherche en Re ´adaptation et Inte ´gration Sociale (CIRRIS)), Simon Beaulieu-Bon- neau, Valerie Laviolette, Myriam Giguere Objectives: (1) To compare rates of minor and major depressive episodes (MDE) among mild vs moderate/severe TBI (2) to explore the rate of conversion from minor depression to MDE and (3) to evaluate access to treatment. Design: Prospective cohort study Setting: Canadian level I trauma center, inpatient and outpatient rehabil- itation center, community Participants: 166 participants admitted to a Canadian level I trauma center following TBI (mean age 42 years Æ 15; 77% men; 50% mild, 47.6% moderate-severe TBI). Interventions: N/A Main Outcome Measure: Mini International Neuropsychiatric Interview for DSM-IV. Results: At 4 months post-injury MDE was found in 21.6% of mild TBI compared to 9.5% of moderate/severe (x 2 (1)Z 3.70, p Z .055). Rates at 8 months were 26.8% in mild and 17.2% in moderate/severe, and at 12 months, 23.4% and 14.8% respectively (p>.05). Minor depression was significantly more frequent in moderate/severe TBI at 12 months (x 2 (1)Z 4.608, p Z .032). Among persons with minor depression at 4 months (all severities confounded), 40% developed a MDE between 8-12 months (compared to 12.5% of persons without depression (x 2 (1)Z 8.91, p Z .003). Among persons with MDE at 8 months, 69.6% had consulted a health professional and 39.1% were receiving medication. Conclusions: Major depression seems to develop at different rates in mild vs moderate/severe TBI in the first year after the injury, mild TBI being are particularly vulnerable in the first few months. Individuals with minor depression are clearly at risk for developing a MDE and should thus be systematically screened and receive preventive psychological care. About one third of persons with TBI fulfilling criteria for a MDE report they have not consulted a health-care professional for their psycholog- ical health. Key Words: Traumatic brain injury, Depression, Minor depression, Major depression, Mild, Moderate/Severe, Prospective, Consultation Disclosure: Marie-Christine Ouellet has nothing to disclose. Poster 76 Women Living with ABI: Pilot Study of Community Health and Well- being Needs Michiko Caringal (University of Toronto), Karen Yoshida, Sandra Sokoloff, Pia Kontos, Halina Lin Haag, Angela Colantonio Objective: To explore the experiences of women with ABI to better understand their general and gender-specific health and well-being chal- lenges and concerns. Design: Focus group; qualitative, thematic analysis. Setting: Community. Participants: A sample of survivors, formal and informal caregivers of women with ABI (nZ16) from across Canada. Interventions: Not applicable. Main Outcome Measures: Not applicable. Results: Participants across subgroups identified significant barriers to successful community re-integration for women survivors with ABI and reported an overall lack of ABI knowledgeable professionals across disciplines. Addressing this gap, we will discuss key themes and identified gender specific challenges under three interrelated headings: 1. Socio-cultural values and expectations related to gender roles and responsibilities: nurturing roles, career expectations, and dismissive professionals. Archives of Physical Medicine and Rehabilitation journal homepage: www.archives-pmr.org Archives of Physical Medicine and Rehabilitation 2013;94:37-52 0003-9993/13/$36 - see front matter ª 2013 by the American Congress of Rehabiliation Medicine