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https://nccur.lib.nccu.edu.tw/handle/140.119/130710
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| Title: | Perceived Change in Physical, Cognitive, and Emotional Symptoms after Mild Traumatic Brain Injury in Patients Endorsing Pre-Injury Anxiety or Depression |
| Authors: | 楊啟正
Yang, Chi-Cheng;Karr, Justin E.;Iverson, Grant L.;Huang, Sheng-Jean;Silverberg, Noah D. |
| Contributors: | 心理系 |
| Date: | 2020-05 |
| Issue Date: | 2020-07-21 13:18:45 (UTC+8) |
| Abstract: | 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. |
| Relation: | Journal of Neurotrauma, Vol.37, No.10, pp.1183-1189 |
| Data Type: | article |
| DOI 連結: | https://doi.org/10.1089/neu.2019.6834 |
| DOI: | 10.1089/neu.2019.6834 |
| Appears in Collections: | [心理學系] 期刊論文
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