CLINICAL STUDY OF RELATED FACTORS AND PSYCHOLOGICAL INTERVENTIONS IN PATIENTS WITH POST-CONCUSSION SYNDROME

Hongjun Sun¹, Zhaoxun Wang², Hongtao Wei¹, Qinglong Meng¹, Guanhui Duan¹, Weiwei Sun¹, Jianxun He^3* 

¹The Affiliated Hospital of Northwest University for Nationalities, Gansu, China - ²Lanzhou Second People's Hospital, Gansu, China

Running header: Clinical study of PCS after mTBI - ³Second Provincial People's Hospital of Gansu, Lanzhou, Gansu, China

Objectives: To analyze the related factors of post-concussion syndrome (PCS) after mild traumatic brain injury and to provide a clinical basis for the prevention and treatment of PCS.

Methods: Relevant data were collected from 67 patients diagnosed with PCS after mild traumatic brain injury and 30 patients who were asymptomatic after mild traumatic brain injury and who had been admitted to the Affiliated Hospital of Northwest University for Nationalities in China between August 2016 and June 2019. Logistic regression was used to identify the risk factors of PCS; 67 of the patients from Affiliated Hospital of Northwest University for Nationalities in China with PCS were randomly divided into two groups: a conventional drug group (32 patients) and a psychological intervention group (35 patients). Patients in both groups were subjected to conventional PCS drug treatments, while those in the psychological intervention group received both conventional treatment and psychological intervention. Both groups were evaluated using the Symptom Checklist 90 (SCL-90) and the Rivermead PCS Questionnaire (RPQ) at the beginning of the treatment and one month after treatment.

Results: violent injury, compensation or litigation, and occupation were found to be statistically significant. Specially, our research found that somatic symptoms significantly improved among the conventional drug group after treatment, while all aspects significantly improved among the psychological intervention group. 

Conclusions: violent injury, compensation or litigation, and occupation were found to be the most important factors leading to PCS after mild traumatic brain injury. drug therapy combined with psychological intervention was shown to significantly promote recovery from PCS. It provides theoretical basis for early intervention and psychological intervention of PCS.