Brief report of affective state and depression status after traumatic brain injury.

Brief report of affective state and depression status after traumatic brain injury.
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DOI:
10.1037/a0036294
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发表时间:
2014-05
影响因子:
2.7
通讯作者:
Skidmore ER
Skidmore ER
中科院分区:
医学3区
文献类型:
--
作者:
Juengst SB;Arenth PM;Whyte EM;Skidmore ER

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探讨成人慢性创伤性脑损伤(TBI)患者情绪状态(积极情绪和消极情绪)与抑郁状态的关系。这是一项针对社区居住的慢性创伤性脑损伤成人(n=64)的横断面队列研究,使用积极和消极影响量表(PANAS)评估情感状态(积极和消极影响)与抑郁状态(无抑郁、抑郁发作史和当前抑郁发作)之间的关系,使用精神障碍初级保健评估(PRIME-MD)。抑郁状态组的情感状态在积极情绪(F (2,61) = 5.10, p = 0.009)和消极情绪(F (2,61) = 8.19, p = 0.001)上存在显著差异。无抑郁者的积极情绪(M = 35.67, SD = 9.08)高于有抑郁史者(M = 27.64, SD = 8.59, p = 0.007),负性情绪(M = 14.52, SD = 5.08)低于有抑郁史者(M = 20.21, SD = 5.08, p = 0.006)或有抑郁史者(M = 22.29, SD = 6.21, p = 0.001)。情感状态差,包括低积极情感和高消极情感,与抑郁症诊断有关。在脑外伤后,即使没有当前的抑郁发作,也存在高度的负面情绪。这些数据强调,除了筛查成年慢性脑外伤患者的情绪障碍外,还需要评估情感状态。
To examine the relationship between affective state (positive and negative affect) and depression status among adults with chronic traumatic brain injury (TBI). This is a cross-sectional cohort study of community-dwelling adults with chronic TBI (n=64) that assesses the relationship between affective state (positive and negative affect), using the Positive and Negative Affect Schedule (PANAS), and depression status, categorized as no depression, history of depressive episode, and current depressive episode, using the Primary Care Evaluation of Mental Disorders (PRIME-MD). Affective state differed significantly across depression status groups for both positive affect (F (2, 61) = 5.10, p = .009) and negative affect (F ( 2, 61) = 8.19, p = .001). Participants with no depression reported higher positive affect (M = 35.67, SD = 9.08) than those with a current depressive episode (M = 27.64, SD = 8.59, p = .007) and lower negative affect (M = 14.52, SD = 5.08) than those with a history of a depressive episode (M = 20.21, SD = 5.08, p = .006) or those with a current depressive episode (M = 22.29, SD = 6.21, p = .001). Poor affective state, including both low positive affect and high negative affect, is associated with depression diagnosis. High negative affect is present, even in the absence of a current depressive episode, after TBI. These data highlight the need to assess affective state in addition to screening for mood disorders among adults with chronic TBI.
DOI: 10.1016/j.apmr.2011.03.005
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