Department of Mental Health and Behavioral Sciences, James A. Haley VA, Tampa, FL 33612, USA.
J Int Neuropsychol Soc. 2010 Jan;16(1):194-9. doi: 10.1017/S1355617709990841. Epub 2009 Sep 17.
Patients with a history of mild (n = 134) or moderate-to-severe (n = 91) TBI were asked to complete the Neurobehavioral Symptom Inventory (NSI) and the Posttraumatic Stress Disorder Checklist. Consistent with prior research, significantly more postconcussion symptoms were endorsed by the mild group. After controlling for age, time since injury, and mechanism of injury, TBI severity continued to be significantly related to postconcussion complaints on the NSI. However, after controlling for these same variables, along with posttraumatic stress disorder symptom severity, there no longer were differences between the TBI severity groups. That is, patients with mild TBI did not endorse significantly more complaints (adjusted mean = 22.4) than the moderate-to-severe group (adjusted mean = 21.8). These findings suggest that much of the symptom complaints in mildly injured patients may be due to emotional distress.
有轻度脑外伤病史的患者（n = 134）或中重度脑外伤病史的患者（n = 91）被要求完成神经行为症状量表（NSI）和创伤后应激障碍检查表。与先前的研究一致，轻度组报告的脑震荡后症状明显更多。在控制年龄、受伤时间和损伤机制后，脑外伤严重程度与 NSI 上的脑震荡后抱怨仍有显著相关性。然而，在控制这些相同的变量以及创伤后应激障碍症状严重程度后，脑外伤严重程度组之间不再存在差异。也就是说，轻度脑外伤患者（调整后的平均值 = 22.4）并不比中重度组（调整后的平均值 = 21.8）报告更多的抱怨。这些发现表明，轻度受伤患者的许多症状抱怨可能是由于情绪困扰。
