Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48108, USA.
J Head Trauma Rehabil. 2011 Sep-Oct;26(5):355-63. doi: 10.1097/HTR.0b013e3181f20146.
To determine relationships among chronic stress, fatigue-related quality of life (QOL-F), and related covariates after mild to moderate traumatic brain injury (TBI).
Observational and cross-sectional.
A total of 84 community-dwelling individuals with mild to moderate TBI recruited from multiple out patient rehabilitation clinics assessed on average 15 months after injury.
Self-report surveys and chart abstraction.
Neurofunctional Behavioral Inventory, Perceived Stress Scale-14, Impact of Events Scale, McGill Pain Short-form Scale, and modified version of the Fatigue Impact Scale.
QOL-F was associated with somatic symptoms, perceived situational stress, but not with event-related stress (posttraumatic stress disorder symptoms) related to index TBI, preinjury demographic, or postinjury characteristics. Somatic symptoms and chronic situational stress accounted for 42% of the variance in QOL-F.
QOL-F in community-dwelling individuals with mild to moderate TBI is associated with chronic situational stress and somatic symptoms. Symptom management strategies may need to include general stress management to reduce fatigue burden and improve quality of life.
确定轻度至中度创伤性脑损伤（TBI）后慢性应激、与疲劳相关的生活质量（QOL-F）以及相关协变量之间的关系。
观察性和横断面研究。
共有 84 名来自多个门诊康复诊所的、患有轻度至中度 TBI 的社区居民，在损伤后平均 15 个月接受评估。
自我报告调查和图表摘录。
神经功能行为量表、感知压力量表-14、事件影响量表、麦吉尔疼痛简短量表和疲劳影响量表的修订版。
QOL-F 与躯体症状、感知情境压力相关，但与与 TBI 相关的事件相关压力（创伤后应激障碍症状）、受伤前的人口统计学特征或受伤后的特征无关。躯体症状和慢性情境压力占 QOL-F 方差的 42%。
患有轻度至中度 TBI 的社区居民的 QOL-F 与慢性情境压力和躯体症状有关。症状管理策略可能需要包括一般压力管理，以减轻疲劳负担并提高生活质量。
