Traumatic Brain Injury and Psychiatric Comorbidity

Yıl 2021, Cilt: 13 Sayı: 3, 511 - 523, 30.09.2021

Filiz Kulacaoğlu Filiz İzci

https://doi.org/10.18863/pgy.820768

Öz

Traumatic brain injury (TBI) is determined as a pathology of brain and a changing of a function of the brain caused by an external force. It may cause death and disability. Most of the time, psychological symptoms occur after TBI. The most common comorbid psychiatric conditions after TBI are adjustment disorder, phobic disorder, panic attacks, post-traumatic stress disorder (PTSD), acute stress disorder and depression. Psychiatric morbidity after TBI harms on the recovery. Since psychiatric conditions after TBI may cause social and occupational problems, understanding the prevalence and pathogenesis of post-TBI psychiatric syndromes is essential for developing treatment strategies and managing with sequelae of TBI. In this review we aimed to elucidate clinical features and treatment approaches to TBI with comorbid psychiatric situations evaluating published studies.

Anahtar Kelimeler

trauma, brain injury, psychiatric comorbidity

Travmatik Beyin Hasarında Psikiyatrik Komorbidite

Öz

Travmatik beyin hasarı (TBH), darbe sonucu oluşan beynin fonksiyonunda bozulma olmasıdır. TBH sonucu ölüm ve sakatlık görülebilir. TBH sonrası psikiyatrik durumlar sıklıkla görülmektedir. TBH sonrası en sık görülen psikiyatrik bozukluklar, uyum bozukluğu, fobik bozukluk, panik atak, travma sonrası stres bozukluğu (TSSB), akut stres bozukluğu, alkol kullanım bozukluğu ve depresyondur. Psikiyatrik komorbid durumlar TBH sonrası iyileşmeyi olumsuz yönde etkilemektedir. TBH sonrası eşlik eden psikiyatrik hastalıkların sosyal yaşam ve iş hayatında sorunlara yol açması nedeniyle, TBH sonrası gelişen psikiyatrik bozuklukların sıklığını ve nasıl oluştuğunun bilinmesi, tedavi stratejilerinin geliştirilmesi açısından önem taşımaktadır. Bu derlemede, TBH sonrası gelişen komorbid psikiyatrik hastalıkların klinik özelliklerini ve son tedavi yaklaşımlarını anlatmayı hedefledik

Anahtar Kelimeler

travma, beyin hasarı, psikiyatrik komorbidite

Kaynakça

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