Silver Jonathan M, McAllister Thomas W, Arciniegas David B
Department of Psychiatry, New York University, New Yourk, NY, USA.
Am J Psychiatry. 2009 Jun;166(6):653-61. doi: 10.1176/appi.ajp.2009.08111676.
Traumatic brain injury (TBI) is a common occurrence with multiple possible neuropsychiatric sequelae, including problems with cognition, emotion, and behavior. While many individuals experience significant improvement over the first months following mild TBI, a nontrivial minority will develop persistent, functionally impairing post-TBI symptoms. Depression and cognitive impairment are among the most common such symptoms, and they may respond to a combination of rehabilitative and pharmacologic treatments. This article discusses the clinical approach to treating an individual with depression and cognitive complaints following mild TBI. Recommendations regarding the diagnosis, evaluation, and treatment of these problems are offered.
创伤性脑损伤(TBI)很常见,会引发多种可能的神经精神后遗症,包括认知、情绪和行为方面的问题。虽然许多人在轻度TBI后的头几个月会有显著改善,但仍有相当一部分人会出现持续性的、功能受损的TBI后症状。抑郁和认知障碍是最常见的此类症状,它们可能对康复治疗和药物治疗的联合使用有反应。本文讨论了治疗轻度TBI后出现抑郁和认知主诉患者的临床方法。并针对这些问题的诊断、评估和治疗提出了建议。