你只有一个大脑。成人对青少年创伤性脑损伤后急性和持续症状体验的反思。
You only get one brain. Adult reflections on acute and ongoing symptom experiences after traumatic brain injury in adolescence.
机构信息
School of Psychology, The University of Auckland, Auckland, New Zealand.
National Institute for Stroke and Applied Neurorehabilitation, Auckland University of Technology, Auckland, New Zealand.
出版信息
Brain Inj. 2021 Aug 24;35(10):1308-1315. doi: 10.1080/02699052.2021.1972336. Epub 2021 Sep 6.
BACKGROUND
This research adds to the scarce literature regarding adolescent experiences of traumatic brain injury (TBI). It uses a qualitative methodology to explore the symptoms experienced after sustaining a TBI at this unique stage of development including their persistence into adulthood.
METHODS
Thirteen adults (aged 20-25 years; mean 23 years) who sustained a mild-moderate TBI during adolescence (aged 13-17 years at injury), approximately 7.7 years (range = 6.7-8.0 years) prior, participated in the research. Semi-structured individual interviews, analyzed using thematic analysis, explored participants' experiences surrounding and following their TBIs.
RESULTS
TBI during adolescence can result in significant acute symptoms, particularly headaches, fatigue, and difficulties in thinking. Participants' descriptions of the extent and impact of these symptoms reflected feelings of frustration and often anxiety and/or depression. Difficulties could persist for years post-TBI and sometimes had not resolved at all.
CONCLUSIONS
Even mild TBI during adolescence can result in significant acute and ongoing symptoms, which can contribute to emotional distress in the long term.
背景
本研究补充了关于青少年创伤性脑损伤（TBI）经历的稀缺文献。它采用定性方法探讨了在这一独特发育阶段经历的症状，包括这些症状在成年后持续存在的情况。
方法
13 名成年人（年龄 20-25 岁；平均 23 岁）在青少年时期（受伤时年龄为 13-17 岁）遭受了轻度至中度 TBI，大约在 7.7 年前（范围为 6.7-8.0 年），参与了这项研究。半结构化的个人访谈，使用主题分析进行分析，探讨了参与者在 TBI 前后的经历。
结果
青少年时期的 TBI 可导致显著的急性症状，特别是头痛、疲劳和思维困难。参与者对这些症状的严重程度和影响的描述反映了他们的挫败感，并且常常伴随着焦虑和/或抑郁情绪。这些问题可能会持续多年，有时甚至根本没有得到解决。
结论
即使是青少年时期的轻度 TBI 也可能导致显著的急性和持续症状，这可能会导致长期的情绪困扰。
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