School of Psychology and Psychiatry, Monash University, Melbourne, Australia.
J Head Trauma Rehabil. 2010 Sep-Oct;25(5):330-8. doi: 10.1097/HTR.0b013e3181ccc893.
To examine the effect of age and time postinjury on emotional distress, 5 to 22 years following traumatic brain injury (TBI).
One hundred twelve participants with mild to very severe TBI, aged 16 to 81 years at the time of injury, and 112 healthy controls matched for current age, gender, education, and estimated IQ.
The Hospital Anxiety and Depression Scale (HADS).
The difference in HADS scores between participants with TBI and controls did not vary according to the separate variables of age at injury or time postinjury. There was an interaction between age at injury and time postinjury whereby the youngest group demonstrated higher HADS scores with longer time postinjury, whereas the older groups displayed lower HADS scores with longer time postinjury, relative to controls.
Long-term emotional outcome following TBI is related to the combined influence of age and time postinjury. Higher levels of emotional distress, evident at longer time postinjury in younger individuals, are particularly concerning and warrant attention from clinicians.
研究创伤性脑损伤（TBI）后 5 至 22 年，年龄和受伤后时间对情绪困扰的影响。
112 名轻度至重度 TBI 患者，受伤时年龄为 16 至 81 岁，112 名健康对照者按当前年龄、性别、教育程度和估计智商匹配。
医院焦虑抑郁量表（HADS）。
TBI 患者和对照组之间的 HADS 评分差异与受伤时的年龄或受伤后时间的单独变量无关。受伤时的年龄和受伤后时间之间存在交互作用，即最年轻的组在受伤后时间较长时表现出更高的 HADS 评分，而年龄较大的组在受伤后时间较长时表现出较低的 HADS 评分，与对照组相比。
TBI 后的长期情绪结果与年龄和受伤后时间的综合影响有关。在年轻个体中，受伤后时间较长时出现的更高水平的情绪困扰尤其令人关注，需要临床医生关注。
