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경도 외상성 뇌손상 환자에서 주관적 우울감에 따른 인지 기능의 변화

Alteration of Cognitive Function in Mild Traumatic Brain Injury Patients Grouped by Subjective Depression

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참고문헌

키워드

주제분류정신과학

초록

본 연구에서는 외상성 뇌손상 환자에서 주관적 우울감에대한 평가 척도인 BDI가 환자의 인지 기능 저하와 유의한상관관계를 보였으며, 외상성 뇌손상 환자에서 환자의 인지기능에 대한 평가를 하기 이전 BDI를 시행하여 주관적 우울감을 확인하고 이를 치료할 필요성이 있음을 확인할 수 있었다. 향후 연구에서는 외상성 뇌손상의 후유증에 대한 평가및 외상성 뇌손상의 중증도를 포함하고, 환자의 보상 수준에따른 증상의 과장 가능성을 배제하여 연구를 진행할 필요성이 있을 것으로 사료된다.

Abstract

Objectives To examine the association of subjective depressive symptoms and cognitive dysfunction in patients with mild traumatic brain injury (mTBI). Methods 36 patients with mTBI without structural abnormality in the brain imaging study were recruited. Participants were subdivided into two groups by a cutoff score of 70T in the Beck Depression Inventory (BDI). Cognitive functions including intelligence, memory, and executive function were significantly lower in the <70T group compared to the ≥70T group. In addition, BDI scores were negatively correlated with performances in most of the neuropsychological tests. Results Patients group who scored 70T or more in the BDI showed significantly lower scores in most items of the neuropsychological tests. Conclusion High subjective depression is associated with low neuropsychological performance in mTBI.

참고문헌 (29)

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