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

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  • معلومة اضافية
    • المصدر:
      Publisher: IOS Press Country of Publication: Netherlands NLM ID: 9113791 Publication Model: Print Cited Medium: Internet ISSN: 1878-6448 (Electronic) Linking ISSN: 10538135 NLM ISO Abbreviation: NeuroRehabilitation Subsets: MEDLINE
    • بيانات النشر:
      Publication: Amsterdam : IOS Press
      Original Publication: Reading, MA : Andover Medical Publishers, Inc., c1991-
    • الموضوع:
      Neuropsychological Tests*; Brain Injuries, Traumatic/*diagnosis ; Brain Injuries, Traumatic/*epidemiology ; Depression/*diagnosis ; Depression/*epidemiology; Adult ; Brain Injuries, Traumatic/psychology ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/epidemiology ; Cognitive Dysfunction/psychology ; Colombia/epidemiology ; Depression/psychology ; Female ; Humans ; Latin America/epidemiology ; Longitudinal Studies ; Male ; Mexico/epidemiology ; Middle Aged ; Predictive Value of Tests ; Time Factors
    • نبذة مختصرة :
      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.
    • Contributed Indexing:
      Keywords: Latin America; Traumatic brain injury; caregivers; depression; rehabilitation
    • الموضوع:
      Date Created: 20200222 Date Completed: 20200831 Latest Revision: 20200831
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.3233/NRE-192972
    • الرقم المعرف:
      32083603