在脑震荡后恢复过程中出现创伤后压力症状
Stephen C Bunt1, Hannah Doggett1, Kristin Wilmoth1,2
1Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA.
Journal of clinical and experimental neuropsychology
|August 31, 2024
概括
脑震荡后的创伤后应激症状 (PTSS) 是常见的. 最初的焦虑,抑郁和情绪症状预测了康复期间PTSS的严重程度,有助于早期识别.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 运动医学 运动医学
背景情况:
- 持续的脑震荡症状可能受到心理因素的影响.
- 在康复期间的创伤后应激症状 (PTSS) 与先前存在的/受伤相关因素之间的关系尚未完全理解.
- 识别导致PTSS的因素可以改善脑震荡后的治疗.
研究的目的:
- 在脑震荡恢复期间调查创伤后应激症状 (PTSS) 的预测因素.
- 分析受伤前的情绪史,受伤相关因素和最初的情绪状态作为PTSS的预测因素.
- 了解心理因素在脑震荡症状学中的作用.
主要方法:
- 包括287名被诊断为最近脑震荡的参与者 (年龄为13至75岁).
- 分析了受伤前的情绪史,受伤因素和最初的情绪状态.
- 用DSM-5 (PCL-5) 的创伤后压力检查清单来评估康复期间的PTSS.
主要成果:
- 61%的参与者报告至少有一次PTSS.
- 运动脑震荡评估工具5 (SCAT5) 的初始症状严重程度与焦虑 (GAD-7) 和抑郁 (PHQ-8) 分数相关.
- 最初的SCAT5情绪严重程度,PHQ-8和GAD-7得分预测了随访时的PTSS严重程度 (R2 = 0.554).
结论:
- 在初始评估时,焦虑和抑郁症状以及SCAT5情绪症状预测了PTSS水平和康复期间的风险.
- PTSS代表了对脑震荡损伤的反应的一个重要维度.
- 临床医生可以在初步评估期间使用SCAT5等简要评估来识别患PTSS风险的个体.
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