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伤前精神病史、亚急性症状和人格特征可预测轻度创伤性脑损伤后 3 个月的社会再融入。

Pre-injury psychiatric history, subacute symptoms and personality traits predict social reintegration at 3-month post-mild traumatic brain injury.

机构信息

Department of Psychology, University of Montreal, Montreal, Quebec, Canada.

Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Quebec, Canada.

出版信息

Brain Inj. 2024 Nov 9;38(13):1075-1083. doi: 10.1080/02699052.2024.2373919. Epub 2024 Jul 17.

Abstract

BACKGROUND

The purpose of the study was to identify whether the presence of a pre-injury psychiatric history, subacute post-concussive symptoms (PCS) and personality traits were predictive of less favorable social reintegration for 3 months following a mild traumatic brain injury (mTBI).

METHOD

A total of 76 patients with mTBI were included, and the presence of a pre-injury psychiatric history was identified from the medical chart. One-month post-accident, these patients completed the assessing personality traits and the to measure subacute PCS. Social reintegration was measured using the at 3-month post-accident.

RESULTS

The presence of pre-injury psychiatric history, high levels of subacute PCS and Cluster B personality traits such as histrionic and borderline features were significant predictors of social reintegration quality at 3-month post injury.

CONCLUSION

This study provides new insights on cluster B personality traits and its influence on recovery and social reintegration at 3-month post mTBI.

摘要

背景

本研究旨在确定是否存在损伤前的精神病史、亚急性脑震荡后症状(PCS)和人格特质,这些因素是否能预测轻度创伤性脑损伤(mTBI)后 3 个月的社会再融入情况较差。

方法

共纳入 76 例 mTBI 患者,从病历中确定损伤前是否存在精神病史。在事故发生后 1 个月,这些患者完成了评估人格特质的 和测量亚急性 PCS 的 。在事故发生后 3 个月使用 评估社会再融入情况。

结果

损伤前存在精神病史、亚急性 PCS 水平较高以及表现型和边缘型等 B 类人格特质是损伤后 3 个月社会再融入质量的显著预测因素。

结论

本研究为 B 类人格特质及其对 mTBI 后 3 个月的恢复和社会再融入的影响提供了新的见解。

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