COMPARISON BETWEEN ACUTE-ONSET AND DELAYED-ONSET DEPRESSION FOLLOWING TRAUMATIC BRAIN INJURY

被引:0
作者
JORGE, RE
ROBINSON, RG
ARNDT, SV
FORRESTER, AW
GEISLER, F
STARKSTEIN, SE
机构
[1] UNIV IOWA,COLL MED,DEPT PSYCHIAT,IOWA CITY,IA 52242
[2] JOHNS HOPKINS UNIV,SCH MED,DEPT PSYCHIAT,BALTIMORE,MD 21205
[3] UNIV MARYLAND,DIV NEUROSURG,DEPT SURG,MARYLAND INST EMERGENCY MED SERV SYST,CTR SHOCK TRAUMA,BALTIMORE,MD 21201
[4] INST NEUROL INVEST DR RAUL CARREA,DEPT BEHAV NEUROL,BUENOS AIRES,ARGENTINA
关键词
D O I
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中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sixty-six patients admitted for the treatment of acute closed head injury were assessed for the presence of mood disorders during the in-hospital period and at 3-, 6-, and 12-month follow-ups. Diagnosis was made using a structured psychiatric interview and DSM-III criteria. A total of 28 patients had major depression at some time during the study: 17 had acute-onset depression and 11 had delayed-onset depression. Acute-onset depressions are related to lesion location and may have their etiology in biological responses of the injured brain, whereas delayed depressions may be mediated by psychosocial factors, suggesting psychological reaction as a possible mechanism.
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页码:43 / 49
页数:7
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