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    题名: Perceived Change in Physical, Cognitive, and Emotional Symptoms after Mild Traumatic Brain Injury in Patients Endorsing Pre-Injury Anxiety or Depression
    作者: 楊啟正
    Yang, Chi-Cheng;Karr, Justin E.;Iverson, Grant L.;Huang, Sheng-Jean;Silverberg, Noah D.
    贡献者: 心理系
    日期: 2020-05
    上传时间: 2020-07-21 13:18:45 (UTC+8)
    摘要: The objective of this study was to compare patients with acute-to-subacute mild traumatic brain injury (mTBI) on post-concussion symptom reporting based on whether they retrospectively recalled experiencing pre-injury anxiety or depression. Patients with mTBI (n = 297; 40.4% men; mean = 38.2 years old, standard deviation [SD] = 14.0, range = 17–65), referred from an emergency department in Taipei, Taiwan, were seen in a neurosurgical outpatient clinic on average 7.7 days since injury (SD = 5.7, range = 0 – 21 days), at which time they completed a checklist of post-concussion symptoms. Patients rated their current symptom severity and retrospectively rated their pre-injury symptom severity on 15 physical, cognitive, and emotional symptoms. Patients were grouped based on whether they did or did not have mild or greater pre-injury anxiety or depression based on this scale. Those with pre-injury anxiety or depression had greater pre-injury (all p`s < 0.001, d range: 0.92–2.03) and post-injury (all p`s < 0.001, d range: 0.65–1.00) symptom severity. However, when analyzing perceived change in symptoms (i.e., post-injury ratings minus pre-injury ratings), only perceived change in cognitive symptoms differed across groups (p = 0.018, d = 0.29), which became non-significant after controlling for gender. Greater post-concussion symptom severity in patients with pre-existing mental health problems may be mostly attributable to elevated symptoms before injury. These findings demonstrate the clinical value of retrospective pre-injury symptom assessment in mTBI management. Greater post-concussion symptom severity in patients with pre-injury mental health problems may represent a continuation of greater pre-injury symptom severity rather than a greater increase in symptom severity after mTBI.
    關聯: Journal of Neurotrauma, Vol.37, No.10, pp.1183-1189
    数据类型: article
    DOI 連結: https://doi.org/10.1089/neu.2019.6834
    DOI: 10.1089/neu.2019.6834
    显示于类别:[心理學系] 期刊論文

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