Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021
Background: Introduction: depression and anxiety are common following traumatic brain injury (TBI). However, the relationship between these disorders and TBI severity remains contradictory. The objective of this study was to evaluate the association between the occurrence of anxious or depressive sy...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2023-07-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/347138 |
| _version_ | 1797785174345252864 |
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| author | Óscar Eduardo Quiñónez García Ana María Posada Borrero Fabio Alonso Salinas Durán Luz Helena Lugo Agudelo Héctor Iván García García Blanca Cecilia Cano Kelly Payares Álvarez |
| author_facet | Óscar Eduardo Quiñónez García Ana María Posada Borrero Fabio Alonso Salinas Durán Luz Helena Lugo Agudelo Héctor Iván García García Blanca Cecilia Cano Kelly Payares Álvarez |
| author_sort | Óscar Eduardo Quiñónez García |
| collection | DOAJ |
| description | Background: Introduction: depression and anxiety are common following traumatic brain injury (TBI). However, the relationship between these disorders and TBI severity remains contradictory. The objective of this study was to evaluate the association between the occurrence of anxious or depressive symptoms and TBI severity in adults with moderate or severe TBI in Medellín, Antioquia.
Methods: Analytical study with a prospective cohort of patients aged 18 years and above with moderate or severe TBI. State and trait anxiety symp-toms (measured using the STAI-E and STAI-R, respectively) and depressive symptoms (measured using the PHQ-9) were assessed at baseline and at 6 months, and compared based on TBI severity measured using the Glasgow Coma Scale (GCS).
Results: A total of 58 patients were included, with 35 having severe TBI and 23 having moderate TBI. 70.6% of the patients completed the follow-up. Traffic accidents and falls accounted for 86% of the TBI causes. Patients with severe TBI exhibited more intense depressive symptoms at baseline (p=0.027) and at six months (p=0.012). No significant differences were found in anxiety symptoms between groups, except for trait anxiety at six months in the severe TBI group (p=0.043).
Conclusions: The intensity of depressive symptoms measured by the PHQ-9 is directly related to TBI severity assessed by the GCS, while the relationship between anxiety symptoms and TBI severity is less clear. |
| first_indexed | 2024-03-13T00:50:20Z |
| format | Article |
| id | doaj.art-71ebd361263a430fabccb7671d2e7069 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-03-13T00:50:20Z |
| publishDate | 2023-07-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-71ebd361263a430fabccb7671d2e70692023-07-07T19:27:19ZspaUniversidad de AntioquiaIatreia0121-07932011-79652023-07-01363306316https://doi.org/10.17533/udea.iatreia.172Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021Óscar Eduardo Quiñónez García0https://orcid.org/0000-0003-3306-6076Ana María Posada Borrero1https://orcid.org/0000-0002-0727-3269Fabio Alonso Salinas Durán2https://orcid.org/0000-0003-2970-2703Luz Helena Lugo Agudelo3https://orcid.org/0000-0002-3467-8835Héctor Iván García García4https://orcid.org/0000-0002-3549-1263Blanca Cecilia Cano5https://orcid.org/0000-0001-9724-6629Kelly Payares Álvarez6https://orcid.org/0000-0002-1134-3290Universidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, Colombia https://orcid.org/0000-0002-1134-3290Background: Introduction: depression and anxiety are common following traumatic brain injury (TBI). However, the relationship between these disorders and TBI severity remains contradictory. The objective of this study was to evaluate the association between the occurrence of anxious or depressive symptoms and TBI severity in adults with moderate or severe TBI in Medellín, Antioquia. Methods: Analytical study with a prospective cohort of patients aged 18 years and above with moderate or severe TBI. State and trait anxiety symp-toms (measured using the STAI-E and STAI-R, respectively) and depressive symptoms (measured using the PHQ-9) were assessed at baseline and at 6 months, and compared based on TBI severity measured using the Glasgow Coma Scale (GCS). Results: A total of 58 patients were included, with 35 having severe TBI and 23 having moderate TBI. 70.6% of the patients completed the follow-up. Traffic accidents and falls accounted for 86% of the TBI causes. Patients with severe TBI exhibited more intense depressive symptoms at baseline (p=0.027) and at six months (p=0.012). No significant differences were found in anxiety symptoms between groups, except for trait anxiety at six months in the severe TBI group (p=0.043). Conclusions: The intensity of depressive symptoms measured by the PHQ-9 is directly related to TBI severity assessed by the GCS, while the relationship between anxiety symptoms and TBI severity is less clear.https://revistas.udea.edu.co/index.php/iatreia/article/view/347138anxietybrain injuriestraumaticdepressionpatient health questionnaire |
| spellingShingle | Óscar Eduardo Quiñónez García Ana María Posada Borrero Fabio Alonso Salinas Durán Luz Helena Lugo Agudelo Héctor Iván García García Blanca Cecilia Cano Kelly Payares Álvarez Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 Iatreia anxiety brain injuries traumatic depression patient health questionnaire |
| title | Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 |
| title_full | Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 |
| title_fullStr | Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 |
| title_full_unstemmed | Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 |
| title_short | Association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of Medellín, 2019 - 2021 |
| title_sort | association of depression and anxiety with the severity of traumatic brain injury in patients from the metropolitan area of medellin 2019 2021 |
| topic | anxiety brain injuries traumatic depression patient health questionnaire |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/347138 |
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