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Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury.
Rehabilitation Psychology ( IF 1.9 ) Pub Date : 2021-11-29 , DOI: 10.1037/rep0000422
Guillaume Lamontagne 1 , Geneviève Belleville 1 , Simon Beaulieu-Bonneau 1 , Guillaume Souesme 2 , Josée Savard 1 , Marie-Josée Sirois 3 , Myriam Giguère 2 , Danielle Tessier 1 , Natalie Le Sage 3 , Marie-Christine Ouellet 1
Affiliation  

PURPOSE/OBJECTIVE The goals of the present study were (a) to document the prevalence of anxiety-related disorders and anxiety symptoms at 4, 8, and 12 months postinjury in individuals with mild traumatic brain injury (mTBI) while considering preinjury history of anxiety disorders and (b) to verify whether the presence of anxiety in the first months after mTBI was associated with more symptoms present 1 year after the injury. Research Method/Design: One hundred and twenty participants hospitalized after an accident and having sustained mTBI were assessed at 4, 8, and 12 months postaccident with the Mini-International Neuropsychiatric Interview, the Hospital Anxiety and Depression Scale, and questionnaires assessing fatigue, irritability, perceived stress, cognitive difficulties, depression, insomnia, and pain. RESULTS At 4 months, 23.8% of participants presented with at least one anxiety-related disorder compared with 15.2% at 8 months and 11.2% at 12 months. Overall, 32.5% presented with at least one anxiety disorder over the first 12 months post-mTBI. Participants with a history of anxiety (20.5%) were significantly more anxious after their accident. Individuals who were anxious 4 months after the accident presented with more symptoms in different areas 12 months postinjury compared with nonanxious individuals. CONCLUSIONS/IMPLICATIONS The present results highlight that anxiety should be evaluated and managed carefully as it appears to be a key factor in the persistence of other mTBI-related symptoms. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

在遭受轻度创伤性脑损伤后的第一年出现焦虑症状和障碍。

目的/目标 本研究的目标是 (a) 记录轻度创伤性脑损伤 (mTBI) 个体在受伤后 4、8 和 12 个月时焦虑相关疾病和焦虑症状的患病率,同时考虑受伤前的焦虑病史(b) 验证 mTBI 后最初几个月的焦虑是否与受伤后 1 年出现的更多症状有关。研究方法/设计:在事故后 4、8 和 12 个月对 120 名因事故住院并持续发生 mTBI 的参与者进行了评估,包括迷你国际神经精神病学访谈、医院焦虑和抑郁量表以及评估疲劳、易怒的问卷、感知压力、认知困难、抑郁、失眠和疼痛。结果在 4 个月时,23。8% 的参与者出现至少一种与焦虑相关的疾病,而 8 个月时为 15.2%,12 个月时为 11.2%。总体而言,32.5% 的人在 mTBI 后的前 12 个月内出现至少一种焦虑症。有焦虑史的参与者(20.5%)在事故发生后更加焦虑。与不焦虑的个体相比,事故后 4 个月焦虑的个体在受伤后 12 个月的不同区域表现出更多的症状。结论/影响 目前的结果强调,焦虑应该被仔细评估和管理,因为它似乎是其他 mTBI 相关症状持续存在的关键因素。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。总体而言,32.5% 的人在 mTBI 后的前 12 个月内出现至少一种焦虑症。有焦虑史的参与者(20.5%)在事故发生后更加焦虑。与不焦虑的个体相比,事故后 4 个月焦虑的个体在受伤后 12 个月的不同区域表现出更多的症状。结论/影响 目前的结果强调,焦虑应该被仔细评估和管理,因为它似乎是其他 mTBI 相关症状持续存在的关键因素。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。总体而言,32.5% 的人在 mTBI 后的前 12 个月内出现至少一种焦虑症。有焦虑史的参与者(20.5%)在事故发生后更加焦虑。与不焦虑的个体相比,事故后 4 个月焦虑的个体在受伤后 12 个月的不同区域表现出更多的症状。结论/影响 目前的结果强调,焦虑应该被仔细评估和管理,因为它似乎是其他 mTBI 相关症状持续存在的关键因素。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。与不焦虑的个体相比,事故后 4 个月焦虑的个体在受伤后 12 个月的不同区域表现出更多的症状。结论/影响 目前的结果强调,焦虑应该被仔细评估和管理,因为它似乎是其他 mTBI 相关症状持续存在的关键因素。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。与不焦虑的个体相比,事故后 4 个月焦虑的个体在受伤后 12 个月的不同区域表现出更多的症状。结论/影响 目前的结果强调,焦虑应该被仔细评估和管理,因为它似乎是其他 mTBI 相关症状持续存在的关键因素。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2021-11-29
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