在创伤性脑损伤后住院的成年人的主观认知功能:为期四年的随访
Simon Beaulieu-Bonneau1,2, Éléonore Sarazin1,2, Marie-Christine Ouellet1,2,3
1École de psychologie, Faculté des sciences sociales, Université Laval, Québec, QC, Canada.
概括
创伤性脑损伤 (TBI) 后的主观认知功能低于平均水平,并在四年内保持稳定. 在轻度和中度至重度的TBI病例中,认知问题是相似的.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 创伤性脑损伤 (TBI) 显著影响认知功能.
- 对创伤后主观认知功能的纵向数据对于理解恢复轨迹至关重要.
- 以前的研究往往侧重于客观测量,因此需要关注患者报告的结果.
研究的目的:
- 追踪TBI后成年人的主观认知功能在四年内发生的变化.
- 为了比较轻度TBI和中度至重度TBI组之间的认知功能.
- 确定影响认知恢复的社会人口和临床因素.
主要方法:
- 一个纵向观察队列研究的二次分析.
- 包括222名成年人住院治疗TBI (65%轻度,35%中度至重度).
- 在多个时间点使用医学结果研究认知功能量表 (MOS-COG) 评估主观认知功能,直到TBI后48个月.
主要成果:
- 主观认知功能在TBI后的4个月和24-36个月之间略有下降.
- 在轻度和中度至重度的TBI组之间,没有发现认知功能演变的显著差异.
- 较差的认知功能与增加的抑郁,焦虑,失眠,疲劳和生活质量下降相关.
结论:
- 创伤后的主观认知功能通常低于规范值,并且在四年内相对稳定.
- 认知投诉在轻度和中度至重度的TBI严重程度上是可比的.
- 相关的心理压力和疲劳显著影响人们对认知健康的感知.
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