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Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic.

机译：颅脑外伤后的神经精神问题：揭示无声的流行病。

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BACKGROUND: Traumatic brain injury (TBI) is a significant public health concern. According to the Centers for Disease Control and Prevention, about 1.4 million people in the United States sustain a TBI annually. OBJECTIVE: This review places particular emphasis on the current knowledge of effective treatment of TBI symptoms, and proposes directions for future research. RESULTS: Neuropsychiatric problems are more prevalent and longer-lasting in TBI patients than in the general population. About 40% of TBI victims suffer from two or more psychiatric disorders, and a similar percentage experience at least one unmet need for cognitive, emotional, or job assistance 1 year after injury. The entire spectrum of TBI severity, from mild to severe, is associated with an increase in psychiatric conditions. CONCLUSION: Despite the high incidence of severe consequences of TBI, there are scarce empirical data to guide psychiatric treatment. Some approaches that have been helpful include cognitive and behavioral therapy and pharmacologic treatment. The authors list specific research recommendations that could further identify useful therapeutic interventions.
机译：背景：脑外伤（TBI）是一个重大的公共卫生问题。根据疾病控制与预防中心的数据，美国每年约有140万人维持TBI。目的：本综述特别强调了有效治疗TBI症状的当前知识，并提出了未来研究的方向。结果：与普通人群相比，TBI患者的神经精神问题更为普遍且持续时间更长。大约40％的TBI受害者患有两种或多种精神疾病，受伤后1年，至少有一个未满足的认知，情感或工作援助需求经历了类似的百分比。 TBI严重程度的整个范围，从轻度到重度，都与精神状况的增加有关。结论：尽管TBI严重后果的发生率很高，但是缺乏指导精神病治疗的经验数据。一些有用的方法包括认知和行为治疗以及药物治疗。作者列出了可以进一步确定有用的治疗干预措施的具体研究建议。

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