远程轻度创伤性脑损伤特征和创伤后压力对退伍军人的处理速度和执行功能的影响
Ryan C Thompson1, Meredith R D Melinder2,3, Heather A Daly2
1Department of Neurology, University of Virginia Health System, Charlottesville, Virginia, USA.
Journal of neuropsychology
|January 12, 2024
概括
创伤后压力症状,而不是轻度创伤性脑损伤的特征,显著影响退伍军人的认知表现. 较高的压力症状得分与较慢的处理速度和执行功能相关,使恢复复杂化.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 军事医学 军事医学
背景情况:
- 轻度创伤性脑损伤 (mTBI) 和创伤后压力在军事服务人员中很常见.
- 这两种情况都存在认知症状,可能会阻碍恢复.
- 了解它们的相互作用对于有效治疗至关重要.
研究的目的:
- 检查远程mTBI特征和当前创伤后压力症状如何影响退伍军人的神经心理表现.
- 确定导致mTBI后认知困难的特定因素.
主要方法:
- 分析了152名退伍军人的档案数据,这些退伍军人有远程mTBI和认知问题.
- 评估包括mTBI损伤特征,诊断,创伤后应激障碍检查清单-军事版本 (PCL-M) 评分和神经心理测试 (处理速度,注意力,执行功能).
- 使用了等级线性回归和调解分析.
主要成果:
- 较高的PCL-M分数与Trail Making Test (TMT) A和B部分的表现较慢有显著的相关性.
- 创伤后压力症状缓和了意识改变 (AOC) 对TMT表现的影响.
- PCL-M分数调解了AOC和TMT表现之间的关系,表明心理痛苦是关键因素.
结论:
- 远程mTBI特征,如AOC,与认知缺陷没有直接联系.
- 创伤后压力症状与处理速度和执行功能受损密切相关.
- 在退伍军人中,心理困扰对经历mTBI后持续的认知问题有显著的贡献.
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