RoNeuro Institute for Neurological Research and Diagnostic, Cluj-Napoca, Romania.
Department of Neurosciences, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
J Med Life. 2022 Apr;15(4):436-442. doi: 10.25122/jml-2022-0120.
Patients with traumatic brain injury (TBI) of varying severities are experiencing adverse outcomes during and after rehabilitation. Besides depression and anxiety, post-traumatic stress disorder (PTSD) is highly encountered in civilian and military populations. As more prospective and retrospective studies - focused on evaluating new or old psychological therapies in inpatient, outpatient, or controlled environments, targeting patients with PTSD with or without a history of TBI - are carried out, researchers are employing various scales to measure PTSD as well as other psychiatric diagnoses or cognitive impairments that might appear following TBI. We aimed to explore the literature published between January 2010 and October 2021 by querying three databases. Our preliminary results showed that several scales - such as the Clinician-Administered PTSD Scale (CAPS), the Posttraumatic Stress Disorder Checklist Military Version (PCL-M) as well as Specific Version (PCL-S), and Civilian Version (PCL-C) - have been frequently used for PTSD diagnosis and symptom severity. However, heterogeneity in the scales used when assessing and evaluating additional psychiatric comorbidities and cognitive impairments are due to the study aim and therapeutic approaches. Therefore, conducting an intervention focusing on post-TBI PTSD patients requires increased attention to patients' medical history in capturing multiple cognitive impairments and affected neuropsychological processes when designing the study and including validated instruments for measuring primary and secondary neuropsychological outcomes.
患有不同严重程度创伤性脑损伤 (TBI) 的患者在康复期间和康复后都经历着不良后果。除了抑郁和焦虑之外,创伤后应激障碍 (PTSD) 在平民和军人中也很常见。随着越来越多的前瞻性和回顾性研究——专注于评估新的或旧的心理治疗方法,在住院、门诊或对照环境中,针对有或没有 TBI 病史的 PTSD 患者——的进行,研究人员正在使用各种量表来测量 PTSD 以及其他可能在 TBI 后出现的精神科诊断或认知障碍。我们旨在通过查询三个数据库来探索 2010 年 1 月至 2021 年 10 月期间发表的文献。我们的初步结果表明,一些量表——如临床医生管理的 PTSD 量表 (CAPS)、军人版创伤后应激障碍检查表 (PCL-M) 以及特定版本 (PCL-S) 和民用版 (PCL-C)——已被频繁用于 PTSD 的诊断和症状严重程度的评估。然而,在评估和评估其他精神共病和认知障碍时使用的量表的异质性是由于研究目的和治疗方法不同。因此,针对 TBI 后 PTSD 患者进行干预需要更加关注患者的病史,在设计研究时要捕捉到多种认知障碍,并包括用于测量主要和次要神经心理学结果的经过验证的工具,以影响神经心理过程。