Depression Following Mild Traumatic Brain Injury

C. Cullum, C. Munro
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Abstract

Interest in concussion and traumatic brain injury (TBI) has increased to an all-time high due to recent media attention and public awareness. Mild TBI (mTBI), or concussion, is the most common, accounting for roughly 75% to 90% of all TBIs. Although symptoms vary, typical neurobehavioral domains affected in TBI include physical, cognitive, sleep, and emotional. Whereas the vast majority of people at all ages recover well from mTBI, risk factors and mechanisms for prolonged recovery and so-called post-concussion syndrome remain poorly understood. Nevertheless, detection and treatment of symptoms are important in order to facilitate recovery, as psychological factors may complicate or exacerbate the clinical picture. Post-mTBI depressive symptoms have multifactorial determinants, reflecting a complex neurobiopsychosocial condition.
轻度创伤性脑损伤后抑郁症
由于最近媒体的关注和公众的意识,对脑震荡和创伤性脑损伤(TBI)的兴趣已经增加到历史最高水平。轻度创伤性脑损伤(mTBI)或脑震荡是最常见的,约占所有创伤性脑损伤的75%至90%。虽然症状各不相同,但典型的脑外伤影响的神经行为领域包括身体、认知、睡眠和情绪。尽管绝大多数人在所有年龄段都能从mTBI中恢复良好,但长期恢复的风险因素和机制以及所谓的脑震荡后综合症仍然知之甚少。然而,由于心理因素可能使临床症状复杂化或恶化,因此发现和治疗症状对于促进康复很重要。mtbi后抑郁症状有多因素决定因素,反映了复杂的神经生物心理社会状况。
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