Neuropsychiatric Sequelae of Traumatic Brain Injury

Neuropsychiatric Sequelae of Traumatic Brain Injury
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DOI:
10.1055/s-0029-1223878
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发表时间:
2009-07-01
影响因子:
2.7
通讯作者:
LaFrance, W. Curt, Jr.
LaFrance, W. Curt, Jr.
中科院分区:
医学3区
文献类型:
--
作者:
Nicholl, Jeffrey;LaFrance, W. Curt, Jr.

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创伤性脑损伤(TBI)的发病率正在上升,特别是在退伍军人中。很多时候,TBI的运动和感觉后果得到了解决,但TBI后的神经精神后遗症,可能与运动和感觉缺陷一样,甚至比运动和感觉缺陷更具破坏性,却被忽视了。脑外伤后可出现认知、情绪、焦虑、思想、冲动和物质障碍以及各种人格障碍。创伤性脑损伤的神经精神后遗症不仅干扰日常功能,而且严重阻碍康复努力。迄今为止,很少有大规模的研究着眼于各种治疗方式的有效性,包括心理治疗和药物干预。
The prevalence of traumatic brain injury (TBI) is increasing, particularly in the population of veterans. Many times, the motor and sensory consequences of TBI are addressed, but the post-TBI neuropsychiatric sequelae, which may be as, or even more devastating than the motor and sensory deficits, are left unattended. Cognitive, mood, anxiety, thought, impulse, and substance disorders, and a variety of personality disorders can be seen following TBI. The neuropsychiatric sequelae of TBI not only interfere with day-to-day function, but can severely impede rehabilitation efforts. To date, there have been few large-scale studies looking at the effectiveness of the various treatment modalities, including psychotherapeutic and pharmacological interventions.