A cross sectional study of post-concussion symptoms following mild traumatic brain injury in an Asian population: Influence of negative mental states and somatic features

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2026-03-01 Epub Date: 2025-12-26 DOI:10.1016/j.jpsychores.2025.112492

Simon L. Collinson , Nicole Chen , Kathryn Ponniah , Ray Chua , Annette Chen , Ang Beng Ti

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引用次数: 0

Abstract

Objective

Persistent post-concussion symptoms resulting from a mild traumatic brain injury that typically last longer than three months may stem from a complex interaction of neurological and psychological factors, particularly negative mental states. Negative mental states including pessimism and depression are associated with post-concussion phenomena may be highly pertinent to Asian societies. The objective of this study was to examine the respective influences of culture specific psychological factors in the presentation of post-concussion symptoms.

Method

We examined the relationship between somatisation, depression and pessimism in 83 Asian mild traumatic brain injury (mTBI) outpatients and found depression levels, including cognitive/affective depression and somatic depression sub-factors, were significantly greater in patients with moderate or severe symptoms.

Results

Somatic depression was the best predictor of the severity of post-concussion symptoms especially in individuals who were more pessimistic.

Conclusion

The findings highlight negative mental states and cultural differences in the manifestation of post-concussion symptoms that should inform both clinical assessment and intervention for persistent PCS.

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亚洲人群轻度外伤性脑损伤后脑震荡症状的横断面研究：消极精神状态和躯体特征的影响

目的：轻度外伤性脑损伤引起的持续性脑震荡后症状通常持续3个月以上，可能是神经和心理因素复杂相互作用的结果，尤其是消极的精神状态。包括悲观和抑郁在内的消极精神状态与脑震荡后的现象有关，这可能与亚洲社会高度相关。本研究的目的是探讨文化特定心理因素在脑震荡后症状表现中的各自影响。方法：我们对83例亚洲轻度创伤性脑损伤（mTBI）门诊患者的躯体化、抑郁和悲观情绪之间的关系进行了研究，发现抑郁水平，包括认知/情感抑郁和躯体抑郁亚因素，在中度或重度症状患者中显著更高。结果：躯体抑郁是脑震荡后症状严重程度的最佳预测因子，特别是在悲观的个体中。结论：研究结果强调了消极的精神状态和文化差异在脑震荡后症状的表现，应为持续性PCS的临床评估和干预提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.