Powell Matthew R, Brown Allen W, Klunk Danielle, Geske Jennifer R, Krishnan Kamini, Green Cassie, Bergquist Thomas F
Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Department of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
J Clin Psychol Med Settings. 2019 Dec;26(4):470-482. doi: 10.1007/s10880-019-09602-w.
This study explored the relationship between injury severity and depressive symptoms for treatment-seeking individuals with traumatic brain injury (TBI). The Mayo Classification System was used to classify TBI severity in 72 participants who completed the Patient Health Questionnaire at admission and at dismissal from rehabilitation. Patients with mild TBI reported more depressive symptoms than those with moderate or severe TBI at admission and at dismissal. Although injury severity groups differed by gender composition, gender had no effect on severity of depressive symptoms. All participants reported fewer depressive symptoms at dismissal from rehabilitation, including lower endorsement of dysphoria by discharge. Participants with mild TBI, however, continued to report depressive symptoms of a mild severity at dismissal, with residual problems with anhedonia. These findings underscore the benefit of interdisciplinary post-acute rehabilitation services for persons with TBI of any severity, including those with mild injury.
本研究探讨了寻求治疗的创伤性脑损伤（TBI）患者的损伤严重程度与抑郁症状之间的关系。采用梅奥分类系统对72名参与者的TBI严重程度进行分类，这些参与者在入院时和康复出院时完成了患者健康问卷。轻度TBI患者在入院时和出院时报告的抑郁症状比中度或重度TBI患者更多。尽管损伤严重程度组在性别构成上存在差异，但性别对抑郁症状的严重程度没有影响。所有参与者在康复出院时报告的抑郁症状均减少，包括出院时烦躁不安的认可度降低。然而，轻度TBI参与者在出院时仍报告有轻度抑郁症状，存在快感缺失的残留问题。这些发现强调了跨学科急性后期康复服务对任何严重程度的TBI患者的益处，包括轻度损伤患者。
