| dc.contributor | 心理系 | - |
| dc.creator (作者) | 楊啟正 | - |
| dc.creator (作者) | Yang, Chi-Cheng; Karr, Justin E.; Iverson, Grant L.; Huang, Sheng-Jean; Silverberg, Noah D. | - |
| dc.date (日期) | 2020-05 | - |
| dc.date.accessioned | 21-Jul-2020 13:18:45 (UTC+8) | - |
| dc.date.available | 21-Jul-2020 13:18:45 (UTC+8) | - |
| dc.date.issued (上傳時間) | 21-Jul-2020 13:18:45 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/130710 | - |
| dc.description.abstract (摘要) | The objective of this study was to compare patients with acute-to-subacute mild traumatic brain injury (mTBI) on post-concussion symptom reporting based on whether they retrospectively recalled experiencing pre-injury anxiety or depression. Patients with mTBI (n = 297; 40.4% men; mean = 38.2 years old, standard deviation [SD] = 14.0, range = 17–65), referred from an emergency department in Taipei, Taiwan, were seen in a neurosurgical outpatient clinic on average 7.7 days since injury (SD = 5.7, range = 0 – 21 days), at which time they completed a checklist of post-concussion symptoms. Patients rated their current symptom severity and retrospectively rated their pre-injury symptom severity on 15 physical, cognitive, and emotional symptoms. Patients were grouped based on whether they did or did not have mild or greater pre-injury anxiety or depression based on this scale. Those with pre-injury anxiety or depression had greater pre-injury (all p`s < 0.001, d range: 0.92–2.03) and post-injury (all p`s < 0.001, d range: 0.65–1.00) symptom severity. However, when analyzing perceived change in symptoms (i.e., post-injury ratings minus pre-injury ratings), only perceived change in cognitive symptoms differed across groups (p = 0.018, d = 0.29), which became non-significant after controlling for gender. Greater post-concussion symptom severity in patients with pre-existing mental health problems may be mostly attributable to elevated symptoms before injury. These findings demonstrate the clinical value of retrospective pre-injury symptom assessment in mTBI management. Greater post-concussion symptom severity in patients with pre-injury mental health problems may represent a continuation of greater pre-injury symptom severity rather than a greater increase in symptom severity after mTBI. | - |
| dc.format.extent | 116 bytes | - |
| dc.format.mimetype | text/html | - |
| dc.relation (關聯) | Journal of Neurotrauma, Vol.37, No.10, pp.1183-1189 | - |
| dc.title (題名) | Perceived Change in Physical, Cognitive, and Emotional Symptoms after Mild Traumatic Brain Injury in Patients Endorsing Pre-Injury Anxiety or Depression | - |
| dc.type (資料類型) | article | - |
| dc.identifier.doi (DOI) | 10.1089/neu.2019.6834 | - |
| dc.doi.uri (DOI) | https://doi.org/10.1089/neu.2019.6834 | - |
