灾难化与轻度创伤性脑损伤后过度认知症状报告有关
Shuyuan Shi1, Edwina L Picon1, Mathilde Rioux1
1Department of Psychology, University of British Columbia.
Neuropsychology
|November 2, 2023
概括
灾难化或负面的症状解释与轻度创伤性脑损伤 (mTBI) 后过度报告认知问题有关. 这一发现突显了解决心理因素在mTBI恢复中的重要性.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 在轻度创伤性脑损伤 (mTBI) 后持续的认知症状经常与客观的神经心理测试结果缺乏相关性.
- 灾难化,以过度负面的症状解释为特征,可能解释了mTBI患者的这种差异.
- 了解这种关系对于有效的mTBI管理和恢复至关重要.
研究的目的:
- 调查症状灾难化和认知症状报告与寻求治疗mTBI的个体的神经心理表现之间的关联.
- 确定灾难化是否预测主观认知投诉和客观认知功能之间的差异.
- 探索情感痛苦作为这种关系中的共同变量的作用.
主要方法:
- 一项随机对照试验的基线数据的二次分析,涉及77名患有mTBI的成年人.
- 经过验证的调查问卷评估了灾难性,认知症状和情感困扰.
- 使用国家卫生研究院工具箱认知电池评估神经心理表现,使用通用线性模型分析差异.
主要成果:
- 症状灾难化显着与更严重的认知症状相关,独立于神经心理表现 (β = 0.44).
- 灾难化也与更高的主观-客观认知差异相关 (β = 0.43).
- 即使考虑了情绪上的痛苦,这些关联仍然很重要.
结论:
- 灾难化与mTBI后认知功能的误解有关,特别是与客观表现相比,认知症状的过度报告.
- 症状灾难化可能是影响认知症状报告在mTBI后的几个月的一个关键因素.
- 解决灾难化可能对改善mTBI患者认知投诉的管理至关重要.
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