Analysis Of Influencing Factors On Depression In Patients With Cerebral Trauma

Objective The incidence of traumatic brain injury accounts for about33%of bodytrauma, including severe brain injury accounts for about20%, about40%of patients leftin severe disability, depression was10%-70%. Traumatic brain injury, acute onset,severe illness, high mortality, patients in the treatment and recovery process may losesome or all of the self-care ability, the ability to work, mostly with varying degrees ofcognitive impairment, serious impact on their quality of life. This study investigate theoccurrence of depression after traumatic brain injury as well as the severity ofdepressive symptoms related factors, to clarify its pathogenesis, screening high-riskpatients and the establishment of effective interventions provide a theoretical basis.Methods Hospitalization due to acute brain injury after discharge has a clear historyof traumatic brain injury hospitalization, voluntarily participated in the survey, patientsaged16years or more, with text reading and communication skills, and the ability tosuccessfully complete the survey128patients from2psychiatrists according toDSM-IV diagnostic criteria for diagnosis of the patient is suffering from depression.With Hamilton Depression Scale (HAMD) Evaluation study the degree of depression,self-designed questionnaire using the patient’s age, gender, education level andeconomic conditions, as well as admission Glasgow Coma Score (GCS), surgical cases,intracranial hematoma, brain stem injury and brain damage range, and whether there isdisability after discharge. Using multivariate Logistic regression and multiple linearregression analysis depression after traumatic brain injury occurs and the severity ofdepressive symptoms related factors. Results Multivariate logistic regression results detected the association between theGCS score, operation, disability, brain stem injury and depression in patients withcerebral trauma (P<0.05). The GCS score was negatively associated with the risk ofdepression. Operation, brain stem injury and disability can increase the risk ofdepression. Multiple linear regression results detected the association between the GCSscore, operation, disability and the severity of depression in patients with cerebraltrauma (P<0.05). The GCS score was negatively associated with the severity ofdepression. Operation and disability can increase depressive symptoms.Conclusions The GCS score, operation, disability and brain stem injury are theinfluencing factors on depression in patients with cerebral trauma. The GCS score,operation and disability are the influencing factors on the severity of depression inpatients with cerebral trauma. We should take the targeted interventions for patients athigh risk during clinical treaate of depression.