Webb Nadia E, Little Brittany, Loupee-Wilson Stephanie, Power Elizabeth M
The Chicago School of Professional Psychology, Chicago, IL, USA.
NeuroRehabilitation. 2014;34(4):625-36. doi: 10.3233/NRE-141074.
Traumatic Brain Injury (TBI) initiates a cascade of neuromodulatory damage that blurs the distinctions between physical and psychological medicine. Monitoring endocrine function through labs is not part of the medical care algorithm for treatment of TBI, but the clinical symptoms are easily misidentified as they include: depression, fatigue, poor concentration, irritability and a decline in overall cognitive functioning. The reciprocal flow of change between neuroendocrine health and psychosocial health is well established within the field of neuroscience, social psychology, endocrinology and behavioral neurology, but has not translated into patient care.
This paper outlines common neuroendocrine disruptions secondary to TBI and their clinical implications for treating mental health professionals.
Wider adoption of the consensus guidelines on the detection and monitoring of endocrine abnormalities post-TBI may diminish the severity of functional impairment and improve quality of life.
创伤性脑损伤（TBI）引发一系列神经调节损伤，模糊了物理医学与心理医学之间的界限。通过实验室监测内分泌功能并非TBI治疗医疗护理流程的一部分，但临床症状很容易被误诊，因为这些症状包括：抑郁、疲劳、注意力不集中、易怒以及整体认知功能下降。神经内分泌健康与心理社会健康之间的相互变化关系在神经科学、社会心理学、内分泌学和行为神经病学领域已得到充分证实，但尚未转化为患者护理实践。
本文概述了TBI继发的常见神经内分泌紊乱及其对心理健康专业人员治疗的临床意义。
更广泛地采用关于TBI后内分泌异常检测和监测的共识指南，可能会减轻功能障碍的严重程度并改善生活质量。
