Biopsychosocial correlates of fatigue in young adult survivors of childhood traumatic brain injury: A prospective cohort study.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2025-01-01 Epub Date: 2024-02-21 DOI:10.1080/09602011.2024.2319910
Nohely Lee Marmol, Nicholas P Ryan, Nikita Sood, Elle Morrison, Edith Botchway-Commey, Vicki Anderson, Cathy Catroppa
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Abstract

This prospective cohort study aimed to evaluate the potential role of injury, socio-demographic and individual psychological factors in predicting long-term fatigue outcomes in young adult survivors of childhood TBI at 16-years post-injury. The study included 51 young adults diagnosed with childhood TBI from 2-12 years of age. Twenty age-and-sex-matched controls were included for comparison. Findings showed that almost one-in-four TBI participants (24%) endorsed clinically elevated fatigue at 16-years post-injury. Despite the relatively large proportion of TBI participants endorsing clinically significant fatigue, group comparisons revealed that the TBI and control groups did not significantly differ on fatigue symptom severity or rates of clinically elevated fatigue. For the TBI group, post-injury fatigue was significantly associated with socio-demographic and psychological factors, including lower educational level, higher depression symptom severity, and more frequent substance use. Higher fatigue was also associated with lower self-reported quality of life (QoL) in the physical, psychological, and environmental domains, even after controlling for depressive symptom severity, socio-demographic, and injury-related factors. Overall, findings show that a substantial proportion of young adults with a history of childhood TBI experience clinically elevated fatigue at 16-years post-injury. Identification and treatment of modifiable risk-factors (e.g. depression symptoms, substance use) has potential to reduce fatigue.

儿童脑外伤年轻幸存者疲劳的生物心理社会相关因素:前瞻性队列研究
这项前瞻性队列研究旨在评估损伤、社会人口学和个人心理因素在预测儿童创伤性脑损伤年轻幸存者伤后 16 年的长期疲劳结果方面的潜在作用。研究对象包括 51 名在 2-12 岁期间被诊断患有儿童创伤性脑损伤的年轻成年人。研究还纳入了 20 名年龄和性别匹配的对照组进行比较。研究结果表明,几乎四分之一的儿童创伤性脑损伤患者(24%)在伤后 16 年的临床表现为疲劳度升高。尽管有相对较大比例的创伤性脑损伤患者表示有明显的临床疲劳感,但分组比较显示,创伤性脑损伤组和对照组在疲劳症状严重程度或临床疲劳感升高率方面并无显著差异。对于创伤性脑损伤组而言,伤后疲劳与社会人口和心理因素有显著关联,包括教育水平较低、抑郁症状严重程度较高以及更频繁地使用药物。即使在控制了抑郁症状严重程度、社会人口和受伤相关因素后,较高的疲劳度也与身体、心理和环境领域自我报告的生活质量(QoL)较低有关。总之,研究结果表明,在有儿童创伤性脑损伤病史的年轻人中,有相当一部分人在伤后16年时会出现临床症状加重的疲劳感。识别和治疗可改变的风险因素(如抑郁症状、药物使用)有可能减轻疲劳。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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