Huang D B, Spiga R, Koo H
Department of Internal Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Brain Inj. 2005 Oct;19(11):903-8. doi: 10.1080/02699050400004773.
The purpose of this study was to examine if the physical disabilities of patients with traumatic brain injury (TBI) would influence the assessment of depression when using the Zung depression scale.
Patients with TBI (n=59) were assessed 1 year after injury for depression by both a psychiatrist and the use of the Zung depression scale.
By psychiatric evaluation, seven of 17 (41%) patients with severe TBI and one of 20 (5%) of the patients with moderate TBI were diagnosed with major depressive disorder. With the Zung depression scale, 10 of 17 (59%) patients with severe TBI met the cut-off (scored >55) for depression, whereas none of the patients with moderate (n=20) or mild (n=22) TBI did. The mean (SD) scores of the somatic scale were 2.91 (0.93), 2.49 (0.92) and 1.25 (0.43) for each group. The mean scores of the affective scale were 2.58 (0.90), 1.85 (0.79) and 1.24 (0.46). For patients with moderate (p<0.05) and severe (p<0.10) TBI, scores on the somatic items exceeded scores on their affective items. No difference in somatic and affective scale scores was noted for the patients with mild TBI.
The increased endorsement of somatic results may be the somatic difficulties associated with traumatic brain injury.
本研究旨在探讨创伤性脑损伤（TBI）患者的身体残疾是否会影响使用zung抑郁量表时对抑郁症的评估。
对59例TBI患者在受伤1年后由精神科医生进行抑郁症评估，并使用zung抑郁量表。
通过精神科评估，17例重度TBI患者中有7例（41%），20例中度TBI患者中有1例（5%）被诊断为重度抑郁症。使用zung抑郁量表时，17例重度TBI患者中有10例（59%）达到抑郁症临界值（得分>55），而中度（n=20）或轻度（n=22）TBI患者均无此情况。每组的躯体量表平均（标准差）得分分别为2.91（0.93）、2.49（0.92）和1.25（0.43）。情感量表平均得分分别为2.58（0.90）、1.85（0.79）和1.24（0.46）。对于中度（p<0.05）和重度（p<0.10）TBI患者，躯体项目得分超过情感项目得分。轻度TBI患者的躯体和情感量表得分无差异。
躯体结果认可度增加可能是与创伤性脑损伤相关的躯体困难所致。
