脑外伤所致精神障碍患者智商测验有效性研究

Study on Effect IQ for the Patients with Mental Disorders Caused by Cerebral Trauma

目的研究脑外伤所致精神障碍患者智商测验情况及其结果的有效性。方法选择于我院住院和门诊脑外伤所致精神障碍患者49例为研究组;住院的非脑外伤所致精神障碍患者27例为对照组。两组患者均接受韦氏智力测验。相关变量有脑外伤所致精神障碍患者的年龄、性别、文化程度、工龄、有无工伤证明、有无意识障碍、受伤时在综合医院住院时间、诊断脑外伤所致精神障碍距受伤日的时间、神经外科诊断、辅助检查结果、精神科诊断,接受测验时的情况资料。应用SPSS 11.0统计分析。结果脑外伤所致精神障碍患者受伤的客观资料不足,意识障碍和辅助检查阳性率低。在时间变量上脑外伤所致精神障碍的产生与脑外伤的相关性下降。在对其智商测验时受主导心理趋势影响,改变了智商测验的成就测验性质,致智商一定程度失真、偏低。结论评估脑外伤所致精神障碍患者智力不仅凭智商值低,还应参考其受伤时的诊断、意识情况、辅助检查结果及目前的日常生活能力及社交能力等综合评估。

Objective To study the status and effect of IQ results of patients with mental disorders caused by cerebral trauma. Methods 49 patients with mental disorders caused by cerebral trauma in outpatient and hospitalizes were used for study group; compared with 27 hospitalize patients with non-cerebral trauma mental disorders for control group, two group patients were tested by WAIS. The correlate variances include age, sex, educated degree, length of service, trauma identification, the level of conscious disturbance, length of stay in the general hospital as injuring, time between cerebral trauma and mental disorders caused by cerebral trauma, neurosurgery diagnosis, auxiliary examination, psychoiatric diagnosis, the information status as tested, the date is statistically analyzed by SPSS 11.00 package. Results Objective data is insufficient which proved to be injured. It is low for the positive ratio of conscious disturbance and auxiliary examination. The associativity declines that between mental disorders caused by cerebral trauma and cerebral trauma in the time. They are influnced by dominant psYchological tendency when patient with mental disorders caused by cerebral trauma were tested by WAIS. The nature of the achievement test in IQ has been changed. SO that the score of WAIS is partly, false and low. Conclusion The evaluate intelligence of patient with mental disorders caused by cerebrai trauma will depend on not only their low IQ, but also cerebral trauma diagnosis i.njured, conscious condition, the result of auxiliary examination and the ability of daily life and social contact, and so on.