轻度创伤性脑损伤中创伤后压力症状的模式及其与结果的关系:潜伏的个人资料分析
Josh W Faulkner1, Deborah L Snell2, Alice Theadom3
1School of Psychology, Te Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.
Journal of clinical and experimental neuropsychology
|June 23, 2023
概括
在轻度创伤性脑损伤 (mTBI) 之后,创伤后压力症状 (PTSS) 聚合到四个配置文件中,影响恢复. 一个有弹性的人格表现出更好的结果,而另一些人没有显著差异,为mTBI患者的临床护理提供了信息.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 创伤后应激症状 (PTSS) 与轻度创伤性脑损伤 (mTBI) 后的较差结果有关.
- 了解PTSS概况可以改善对mTBI的管理.
- 确定不同的PTSS集群对于有针对性的干预至关重要.
研究的目的:
- 在患有mTBI的个体中识别PTSS的潜形状.
- 检查PTSS概况与mTBI结果 (脑震荡后症状,功能状态) 之间的关联.
- 探索PTSS个人资料成员的人口和受伤相关预测因素.
主要方法:
- 隐形形状分析 (LPA) 用于在mTBI的三个月内在252名成年人中识别PTSS集群.
- 回归分析检查了个人资料成员的预测因素.
- 安科瓦 (ANCOVA) 对一般心理痛苦进行了控制,评估了基线和六个月后期的mTBI概况和结果之间的关系.
主要成果:
- 确定了四种PTSS概况:性 (49.6%),中度 (30.6%),中度高入侵/避免 (14.3%) 和高度症状 (5.6%).
- 较低的教育/失业和受伤原因 (袭击,MVA) 预测了更高的症状概况.
- 弹性特征在两个时间点都显示出明显更好的mTBI结果.
结论:
- PTSS 概况与mTBI 结果有很大关系,即使在控制一般痛苦时也是如此.
- 弹性特征与优越的恢复轨迹有关.
- 需要进一步的研究,但这些发现提高了对mTBI中PTSS的理解,以改善临床护理.
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