Psychosocial and emotional outcomes 10 years following traumatic drain injury
Psychosocial and emotional outcomes 10 years following traumatic drain injury
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DOI：
10.1097/01.htr.0000290972.63753.a7
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发表时间：
2007-09-01
影响因子：
2.4
通讯作者：
Schoenberger, Michael
中科院分区：
文献类型：
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作者：
Draper, Kristy;Ponsford, Jennie;Schoenberger, Michael
目的：探讨颅脑损伤(TBI)后10年的心理社会结局与人口学变量、损伤严重程度、当前认知功能、情绪状态、攻击性、饮酒和疲劳的关系。地点：以社区为基础的随访。参与者：53名患有轻度到非常严重的创伤性脑损伤的参与者，有10年的病史和其他重要的病史。测量：悉尼心理社会再融合量表、扩展格拉斯哥结果量表、医院焦虑和抑郁量表、NFI攻击性量表、疲劳严重程度量表、酒精使用障碍识别测验、注意/处理速度、记忆和执行功能的神经心理学测验。结果：心理社会功能在职业活动领域最低，在生活技能领域最高。包括教育、创伤后健忘症持续时间、许多认知测量、并发疲劳、攻击性、焦虑和抑郁在内的变量都与心理社会结果显著相关，尽管脑外伤参与者和亲属之间的相关性程度不同。创伤后遗忘症的持续时间与亲属测量的心理社会结果的相关性最强；焦虑、攻击性和抑郁是由TBI参与者进行评级时最强的预测因子。自我报告的疲劳、抑郁和饮酒是攻击性的最强预测因素。结论：重要的是要解决焦虑、抑郁、疲劳和饮酒等问题，以此作为改善脑外伤后长期心理社会结局的可能手段。
Objectives: To investigate the association of psychosocial outcome 10 years following traumatic brain injury (TBI) with demographic variables, injury severity, current cognitive functioning, emotional state, aggression, alcohol use, and fatigue. Setting: Community-based follow-up. Participants: Fifty-three participants with mild to very severe TBI sustained 10 years previously and significant others. Measures: Sydney Psychosocial Reintegration Scale, Extended Glasgow Outcome Scale, Hospital Anxiety and Depression Scale, NFI Aggression scale, Fatigue Severity Scale, Alcohol Use Disorders Identification Test, neuropsychological tests of attention/processing speed, memory, and executive function. Results: Psychosocial functioning was lowest in the occupational activity domain and highest in the living skills domains. Variables including education, posttraumatic amnesia duration, numerous cognitive measures, concurrent fatigue, aggression, anxiety, and depression were all significantly associated with psychosocial outcome, although the strength of correlations varied between ratings of participants with TBI and relatives. Posttraumatic amnesia duration was most strongly associated with psychosocial outcome measured by relatives; anxiety aggression, and depression were the strongest predictors when ratings were assigned by participants with TBI. Self-reported fatigue, depression, and alcohol use were the strongest predictors of aggression. Conclusions: It is important to address problems with anxiety, depression, fatigue, and alcohol use as a possible means of improving long-term psychosocial outcome following TBI.