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KMID : 0371719960120010001
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Wonkwang Psychiatry
1996 Volume.12 No. 1 p.1 ~ p.23
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Depression Following Traumatic Brain Injury
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Rho Seung-Ho
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Abstract
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The author has reviewed the literatures about depression following traumatic brain injury(TBI). A large number of patients with TBI can suffer from chronic neuropsychiatric sequelae of traumatic injury. Many patients complain of feeling depressed after TBI, but the reported frequency of post-TBI depression has varied from 6% to 77%. Post-TBI depression may be transient syndromes lasting for a few weeks or persistent disorders lasting for many months. The former may be associated with neuropsychological disturbances whereas the latter may be reactive psychological responses to physical or cognitive impairment. Neuroanatomical and neurochemical changes that occur after TBI may predispose patients to the development of the depression, and the degree of physical and cognitive impairment do not appear to play a prominent role in the development of the depression. Several issues for diagnosis and differential diagnosis of depressed mood after TBI are discussed. Also discussed are specific therapeutic interventions. including the appropriate use of medication and psychological treatment.
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KEYWORD
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Traumatic brain injury, Closed head injury, Depression Mood
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