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Arch Clin Neuropsychol ; 33(2): 131-142, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-28655191

RESUMO

OBJECTIVE: Patients with mild traumatic brain injury (MTBI) usually suffer from the post-concussion symptoms (PCS). PCS could recover by 3 months post-injury, but some patients still persistently complain of those symptoms for years. Accordingly, the Chang-Gung University Brief Intervention for Post-Concussion Symptoms (CGU-BIPCS) was developed to intervene PCS based on the established advantages of health education. This prospective study thus aims to evaluate the effectiveness of CGU-BIPCS for patients with MTBI. METHODS: A total of 130 participants, which included 53 healthy participants and 77 patients with MTBI. Patients were further subdivided as two groups: "regular intervention" (RI) and "health education intervention" (EI). PCS of patients with MTBI were respectively evaluated at 2 weeks and 3 months post-injury, and symptoms of healthy participants were also examined. RESULTS: Both patients in RI and EI reported significantly more PCS than healthy participants did at 2 weeks and 3 months post-injury but less PCS at 3 months than at 2 weeks post-injury. However, the PCS endorsement of patients in RI and EI were not significantly different. In addition, more patients in EI reported significantly PCS deterioration than patients in RI did at 3 months post-injury. CONCLUSIONS: Although establishing the effectiveness of CGU-BIPCS was unsuccessful in this study, it is further suggested that a potential iatrogenic effect from this kind of early interventions should never be overlooked.


Assuntos
Concussão Encefálica/complicações , Concussão Encefálica/terapia , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/etiologia , Intervenção Educacional Precoce/métodos , Adulto , Concussão Encefálica/epidemiologia , Concussão Encefálica/psicologia , Estudos de Coortes , Depressão/epidemiologia , Depressão/etiologia , Intervenção Educacional Precoce/estatística & dados numéricos , Feminino , Humanos , Doença Iatrogênica , Masculino , Pessoa de Meia-Idade , Índices de Gravidade do Trauma
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