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      RELACIÓN ENTRE DEPRESIÓN Y ATENCIÓN EN PACIENTES CON TRAUMATISMO CRANEOENCEFÁLICO LEVE Translated title: RELATIONSHIP BETWEEN DEPRESSION AND ATTENTION IN PATIENTS WHIT MILD CRANEOENCEPHALIC TRAUMA

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          Abstract

          El objetivo de este estudio descriptivo correlacional, era explorar la relación que existe entre la depresión y la atención en pacientes con traumatismo craneoencefálico leve (TCEL). Se aplicaron las ediciones en castellano del Test de Colores y Palabras de Stroop y del Inventario de Depresión de Beck-II a una muestra de 64 participantes hispanoparlantes entre 19 y 61 años, del Neurobehavioral Institute of Miami que asistieron entre junio 2003 y junio 2004, y a familiares. Se aplicaron pruebas t, chi cuadrado y correlación de Pearson de la estadística descriptiva. Se encontró que en los controles saludables no hay una relación significativa entre depresión y atención, mientras que en los pacientes con TCEL se identificó una relación en la condición color-palabra.

          Translated abstract

          The objective of this correlational descriptive study was to explore the relationship between depression and attention on patients with mild traumatic brain injury (MTBI). The Spanish version of The Stroop Color and Word Test and the Beck Depression Inventory-II were applied to a sample of 64 participants between 19 and 61 years old. The t, chi square and Pearson correlation tests were applied. In the healthy controls there was no significative relation, while in the patients with MTBI a relationship in the condition of the color-word from the Stroop Color and Word Test was identified.

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          Major depression following traumatic brain injury.

          Ricardo E Jorge, Robert G Robinson, David Moser … (2004)
          Major depression is a frequent psychiatric complication among patients with traumatic brain injury (TBI). To our knowledge, however, the clinical correlates of major depression have not been extensively studied. To determine the clinical, neuropsychological, and structural neuroimaging correlates of major depression occurring after TBI. Prospective, case-controlled, surveillance study conducted during the first year after the traumatic episode occurred. Settings University hospital level I trauma center and a specialized rehabilitation unit. The study group consisted of 91 patients with TBI. In addition, 27 patients with multiple traumas but without evidence of central nervous system injury constituted the control group. The patients' conditions were evaluated at baseline and at 3, 6, and 12 months after the traumatic episode. Psychiatric diagnosis was made using a structured clinical interview and DSM-IV criteria. Neuropsychological testing and quantitative magnetic resonance imaging were performed at the 3-month follow-up visit. Major depressive disorder was observed in 30 (33%) of 91 patients during the first year after sustaining a TBI. Major depressive disorder was significantly more frequent among patients with TBI than among the controls. Patients with TBI who had major depression were more likely to have a personal history of mood and anxiety disorders than patients who did not have major depression. Patients with major depression exhibited comorbid anxiety (76.7%) and aggressive behavior (56.7%). Patients with major depression had significantly greater impairment in executive functions than their nondepressed counterparts. Major depression was also associated with poorer social functioning at the 6-and 12-month follow-up, as well as significantly reduced left prefrontal gray matter volumes, particularly in the ventrolateral and dorsolateral regions. Major depression is a frequent complication of TBI that hinders a patient's recovery. It is associated with executive dysfunction, negative affect, and prominent anxiety symptoms. The neuropathological changes produced by TBI may lead to deactivation of lateral and dorsal prefrontal cortices and increased activation of ventral limbic and paralimbic structures including the amygdala.
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            The prevalence and symptom rates of depression after traumatic brain injury: a comprehensive examination.

            J S Kreutzer, R T Seel, E Gourley (2001)
            Differing definitions of depression, limited sample sizes, and variability in methodologies have contributed to equivocal findings about the prevalence of depression among persons with traumatic brain injury. The present investigation used standardized diagnostic criteria and a large sample to identify the manifestations of depression after TBI. 722 outpatients with brain injury, referred for comprehensive assessment at a regional Level I trauma centre, were studied. Depressive symptoms were characterized utilizing standard DSM-IV criteria and the Neurobehavioural Functioning Inventory. Forty-two per cent of patients with brain injury met the prerequisite number of symptoms for a DSM-IV diagnosis of major depressive disorder. Fatigue (46%), frustration (41%), and poor concentration (38%) were the most commonly cited manifestations of depression. Many patients with brain injury are at great risk for developing depressive disorders. Future research should focus on prognostic factors, developing protocols for identification of high risk patients, and examining the efficacy of treatment interventions.
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              Postconcussional disorder following mild to moderate traumatic brain injury: anxiety, depression, and social support as risk factors and comorbidities.

              Juquan Song, W Boake, C. Contant … (2001)
              Previous studies of postconcussional disorder (PCD) have utilized a dimensional approach (i.e., number and/or severity ratings of symptoms) to study postconcussional symptoms. This study used a syndromal approach (modified form of the DSM-IV criteria) for investigating risk factors for developing PCD, 3-months postinjury. The head trauma requirement was waived in order to determine specificity of symptoms to traumatic brain injury. Preliminary results from this ongoing study indicated significant risk factors including female gender, poor social support, and elevated self-reported depressive symptoms at 1-month postinjury. Comorbidities included concurrent diagnosis of major depressive disorder and/or posttraumatic stress disorder. Hispanics were significantly less likely to develop PCD than other racial/ethnic groups. PCD resulted more frequently from motor vehicle accidents and assaults. Screening tests for PCD risk factors/comorbidities performed shortly after injury (i.e., during routine follow-up clinic appointments) coupled with appropriate referrals for psychoeducational interventions and support groups may avoid prolonged loss of productivity and poor perceived quality of life in these patients.
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                Author and article information

                Journal
                Journal ID (publisher-id): up
                Title: Universitas Psychologica
                Abbreviated Title: Univ. Psychol.
                Publisher: Pontificia Universidad Javeriana (Bogotá, , Colombia )
                ISSN (Print): 1657-9267
                Publication date (Print and electronic): October 2006
                Volume: 5
                Issue: 3
                Pages: 647-658
                Affiliations
                [01] orgnameUNIVERSITY OF MIAMI
                Article
                Publisher ID: S1657-92672006000300017 Publisher ID: S1657-9267(06)00500317
                SO-VID: a369b7ae-f7c3-45e0-b280-a394fd401d7b
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Date revision received : 07 June 2006
                Date received : 05 May 2006
                Date accepted : 12 June 2006
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 65, Pages: 12
                Product

                SciELO Periódicos Eletrônicos em Psicologia

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Subject: Articulos originales

                Keywords: Atención,Depresión,Neuropsicología,Traumatismo craneoencefálico,Attention,Depression,Neuropsychology,Traumatic brain injury
                Data availability:
                Keywords: Atención, Depresión, Neuropsicología, Traumatismo craneoencefálico, Attention, Depression, Neuropsychology, Traumatic brain injury

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