J Korean Neuropsychiatr Assoc.  2012 Sep;51(5):300-305.

Alteration of Cognitive Function in Mild Traumatic Brain Injury Patients Grouped by Subjective Depression

Affiliations
  • 1Department of Psychiatry, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea. hanyjung@schbc.ac.kr

Abstract


OBJECTIVES
To examine the association of subjective depressive symptoms and cognitive dysfunction in patients with mild traumatic brain injury (mTBI).
METHODS
36 patients with mTBI without structural abnormality in the brain imaging study were recruited. Participants were subdivided into two groups by a cutoff score of 70T in the Beck Depression Inventory (BDI). Cognitive functions including intelligence, memory, and executive function were significantly lower in the <70T group compared to the > or =70T group. In addition, BDI scores were negatively correlated with performances in most of the neuropsychological tests.
RESULTS
Patients group who scored 70T or more in the BDI showed significantly lower scores in most items of the neuropsychological tests.
CONCLUSION
High subjective depression is associated with low neuropsychological performance in mTBI.

Keyword

Traumatic brain injury; Beck Depression Inventory; Cognitive function; Depression

MeSH Terms

Brain Injuries
Depression
Executive Function
Humans
Intelligence
Memory
Neuroimaging

Reference

1. CDC. gov [hompage on the Internet]. updated 2012 Feb 17; cited 2012 Jun 20. Atlanta, USA: Centers for Disease Control and Prevention;Available from: http://www.cdc.gov/.
Article
2. Silver JM, McAllister TW, Arciniegas DB. Depression and cognitive complaints following mild traumatic brain injury. Am J Psychiatry. 2009. 166:653–661.
3. Oddy M, Coughlan T, Tyerman A, Jenkins D. Social adjustment after closed head injury: a further follow-up seven years after injury. J Neurol Neurosurg Psychiatry. 1985. 48:564–568.
4. Brooks N, McKinlay W, Symington C, Beattie A, Campsie L. Return to work within the first seven years of severe head injury. Brain Inj. 1987. 1:5–19.
Article
5. Niemann H, Ruff RM, Kramer JH. An attempt towards differentiating attentional deficits in traumatic brain injury. Neuropsychol Rev. 1996. 6:11–46.
Article
6. Richardson JTE. Clinical and neuropsychological aspects of closed head injury. 2000. 2nd ed. Sussex: Psychology Press;97–122.
7. Wiegner S, Donders J. Performance on the California Verbal Learning Test after traumatic brain injury. J Clin Exp Neuropsychol. 1999. 21:159–170.
8. Stuss DT, Ely P, Hugenholtz H, Richard MT, LaRochelle S, Poirier CA, et al. Subtle neuropsychological deficits in patients with good recovery after closed head injury. Neurosurgery. 1985. 17:41–47.
9. Brooks J, Fos LA, Greve KW, Hammond JS. Assessment of executive function in patients with mild traumatic brain injury. J Trauma. 1999. 46:159–163.
10. Ho MR, Bennett TL. Efficacy of neuropsychological rehabilitation for mild-moderate traumatic brain injury. Arch Clin Neuropsychol. 1997. 12:1–11.
11. Vaishnavi S, Rao V, Fann JR. Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic. Psychosomatics. 2009. 50:198–205.
12. Rapoport MJ, McCullagh S, Streiner D, Feinstein A. The clinical significance of major depression following mild traumatic brain injury. Psychosomatics. 2003. 44:31–37.
13. Bombardier CH, Fann JR, Temkin NR, Esselman PC, Barber J, Dikmen SS. Rates of major depressive disorder and clinical outcomes following traumatic brain injury. JAMA. 2010. 303:1938–1945.
14. Fisman M. Pseudodementia. Prog Neuropsychopharmacol Biol Psychiatry. 1985. 9:481–484.
15. Rapoport MJ, McCullagh S, Shammi P, Feinstein A. Cognitive impairment associated with major depression following mild and moderate traumatic brain injury. J Neuropsychiatry Clin Neurosci. 2005. 17:61–65.
16. Scid4. org [homapage on the Internet]. updated 2011 Nov; cited 2012 Jun 20. New York: Biometrics Research Department of Columbia University at NYSPI;Available from: http://www.scid4.org/.
17. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961. 4:561–571.
18. Han HM, Yeom TH, Shin YW, Kim KH, Yun DJ, Jung KJ. A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc. 1986. 25:487–500.
Article
19. Rhee MK, Lee YH, Park SH, Sohn CH, Chung YC, Hong SK, et al. A standardization study of Beck Depression Inventory 1 - Korean version(K-BDI): reliability and factor analysis. Korean J Psychopathol. 1995. 4:77–95.
Article
20. Wechsler D. Manual for the Wechsler Adult Intelligence Scale - Revised. 1981. New York: The Psychological corporation.
Article
21. Yeum TH, Park YS, Oh KJ, Kim JK, Lee YH. Korean-Wechsler Adult Intelligence Scale. 1992. Seoul: Korea Guidance.
Article
22. Kim HK. Rey-Kim Memory Test. 1999. Daegu: Neuropsychology Publishing Company;11–18.
Article
23. Kim HK. Kims Frontal-Executive Neuropsychological Test: the guide. 1999. Daegu: Neuropsychology Publishing Company;21–62.
Article
24. Chamelian L, Feinstein A. The effect of major depression on subjective and objective cognitive deficits in mild to moderate traumatic brain injury. J Neuropsychiatry Clin Neurosci. 2006. 18:33–38.
Article
25. Jorge RE, Robinson RG, Moser D, Tateno A, Crespo-Facorro B, Arndt S. Major depression following traumatic brain injury. Arch Gen Psychiatry. 2004. 61:42–50.
Article
26. Sackeim HA, Freeman J, McElhiney M, Coleman E, Prudic J, Devanand DP. Effects of major depression on estimates of intelligence. J Clin Exp Neuropsychol. 1992. 14:268–288.
Article
27. Homaifar BY, Brenner LA, Gutierrez PM, Harwood JF, Thompson C, Filley CM, et al. Sensitivity and specificity of the Beck Depression Inventory-II in persons with traumatic brain injury. Arch Phys Med Rehabil. 2009. 90:652–656.
Article
28. Sliwinski M, Gordon WA, Bogdany J. The Beck Depression Inventory: is it a suitable measure of depression for individuals with traumatic brain injury? J Head Trauma Rehabil. 1998. 13:40–46.
Article
29. Whiteside DM, Galbreath J, Brown M, Turnbull J. Differential response patterns on the Personality Assessment Inventory (PAI) in compensation-seeking and non-compensation-seeking mild traumatic brain injury patients. J Clin Exp Neuropsychol. 2012. 34:172–182.
Article
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr