Predictors of longitudinal depression trajectories after traumatic brain injury in Latin America: A multi-site study

Autor:	Paul B. Perrin, Maria Cristina Quijano-Martinez, Michael A. Trujillo, Silvia Leonor Olivera Plaza, Anna N Cariello, Juan Carlos Arango-Lasprilla, Yaneth Rodriguez Agudelo
Rok vydání:	2020
Předmět:	Adult Male 030506 rehabilitation Time Factors Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Colombia Neuropsychological Tests 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Brain Injuries Traumatic Injury prevention medicine Humans Cognitive Dysfunction Longitudinal Studies Cognitive rehabilitation therapy Mexico Depression (differential diagnoses) Rehabilitation Depression business.industry Neuropsychology Cognition Middle Aged medicine.disease Latin America Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Clinical psychology
Zdroj:	NeuroRehabilitation. 46:205-212
ISSN:	1878-6448 1053-8135
Popis:	Background Latin America has exceptionally high rates of traumatic brain injury (TBI), but very little research has been conducted on longitudinal TBI outcomes in this global region. Objective This study examined whether cognitive dysfunction and social disadaptation in individuals with TBI in Latin America at hospital discharge predict longitudinal trajectories of depression at baseline, 2 months, and 4 months. Methods A sample of 109 people with a new TBI was recruited from three hospitals: Mexico City, Mexico, Cali, Colombia and Neiva, Colombia. Participants completed measures of cognitive dysfunction and social disadaptation before hospital discharge and measures of depression at baseline, 2 months, and 4 months. Results Results suggested that depression scores were found to decrease over time in a quadratic (or U-shaped) fashion, and more significant cognitive dysfunction at hospital discharge was associated with higher longitudinal depression trajectories. Social disadaptation did not exert a unique effect on depression trajectories after controlling for cognitive dysfunction. Depression trajectories changed differentially over time as a function of baseline cognitive dysfunction, such that for those with high cognitive impairment, depression scores started high and then dropped to a moderated range and plateaued, but for individuals with low cognitive dysfunction, depression scores started lower and decreased linearly but moderately. Conclusions The results suggest a strong need for neuropsychological assessments and evidence-based cognitive rehabilitation strategies to be implemented immediately after TBI in Latin America, which could exert salubrious effects on depression trajectories over time.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33d5a304909a4a078658e885773b4e23 https://doi.org/10.3233/nre-192972 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.