Aggressive Behavior following traumatic brain injury - How common is common?
Aggressive Behavior following traumatic brain injury - How common is common?
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DOI：
10.1097/00001199-200601000-00005
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发表时间：
2006-01-01
影响因子：
2.4
通讯作者：
Felmingham, K
中科院分区：
文献类型：
--
作者：
Baguley, IJ;Cooper, J;Felmingham, K
目的：评估创伤性脑损伤（TBI）幸存者出院后6、24和60个月时攻击行为的患病率和预测因素。设计：回顾性分析了来自出院TBI患者的5年随访尖端研究的混合横截面和纵向数据。单位：一个专门的脑损伤康复服务的三级转诊医院。患者：228例中度至重度TBI患者。主要结局指标：外显攻击量表;损伤相关变量（特别是格拉斯哥昏迷和结局量表以及创伤后遗忘持续时间）;以及一组出院后问卷（Beck抑郁量表、创伤投诉列表、一般健康问卷等）。结果：在任何给定的随访期内，25%的参与者被归类为攻击性。攻击性，如果存在的话，一直与抑郁症，并发创伤投诉，受伤时年龄较小，对生活的满意度低，而不是与伤害，人口统计学，或发病前的特征。抑郁是与受伤后任何时候的攻击行为最显著相关的因素，其次是受伤时的年轻人。结论：攻击性是TBI后常见的、波动的和长期的问题。侵略和心理社会变量之间的潜在关联，为所有受影响的TBI幸存者提供持续的外展服务和心理和行为干预提供支持。
Objective: To assess the prevalence and predictors of aggressive behavior among traumatic brain injury (TBI) survivors at 6, 24, and 60 months postdischarge. Design: Mixed cross-sectional and longitudinal data from a 5-year follow-tip study of discharged TBI patients analyzed retrospectively. Setting: A specialized Brain Injury Rehabilitation Service of a tertiary referral hospital. Patients: Two hundred twenty-eight (228) patients with moderate to severe TBI. Main Outcome Measures: The Overt Aggression Scale; injury-related variables (in particular, Glasgow Coma and Outcome scales and posttraumatic amnesia duration); and a battery of postdischarge questionnaires (Beck Depression Inventory, Trauma Complaints List, General Health Questionnaire, etc). Results: At any given follow-tip period, 25% of the participants were classified as aggressive. Aggression, where present, was consistently associated with depression, concurrent traumatic complaints, younger age at injury, and low satisfaction with life rather than with injury, demographic, or premorbid characteristics. Depression was the factor that was most significantly associated with aggressive behavior at all times postinjury followed by a younger age at the time of injury. Conclusions: Aggression is a common, fluctuating, and long-term problem following TBI. The underlying association between aggression and psychosocial variables lends support to the provision of ongoing Outreach services and psychological and behavioral interventions for all affected TBI survivors.