脑外伤综合征患者人格特点研究

Study on the Personality Characteristics of Patients with Brain Injury Syndrome

目的探讨脑外伤综合征患者性格特点,寻找相对客观的评估其病情的方法。方法以明尼苏达多相人格量表(MMPI)评定患者的人格特点。以自评焦虑量表(SAS),自评抑郁量表(SDS)测量情绪状态,以判定患者对量表的理解,间接了解其获益心理和补偿心理。用SPSS11.0对数据进行统计分析。结果MMPI各因子分70分以上者Q:1例(3.12%),F:22例(68.75%),K:2例(6.25%),Hs:2例(6.25%),D:10例(31.25%),Hy:21例(65.62%),Pd:12例(37.50%),Mf:5例(15.62%),Pa:15例(46.87%),Pt:16例(50.00%),Sc:5例(15.62%),Ma:2例(6.25%),Si:4例(12.50%);SAS:50分以下:0例,51～62分:15例(46.87%),63～74分:12例(37.50%),75分以上6例(18.75%);SDS:50分以下:0例,51～62分:11例(34.37%),63～74分:16例(50.00%),75分以上6例(18.75%);SAS最小值51,最大值88;SDS最小值56,最大值92。反映主观焦虑抑郁情绪的SAS、SDS分值的升高与MMPI因子F分升高相一致,同时表现在MMPI因子Pa、Pt、Sc、Si分值的升高。结论脑外伤综合征患者有夸大病情的倾向;有许多叙述不清的身体不适;主观焦虑抑郁情绪和精神病症状表现明显;常多疑、敌意和好争论。

Objective To explore the personality characteristics of brain injury syndrome patients, and find the methods for objectively evaluating the condition of patients. Methods We evaluated patients＇ personality characteristics by using Minnesota Multiphasic Personality Inventory（MMPI）, and measured emotion condition by SAS and SDS, which could be used to decide the patients＇ comprehensive faculty of these scales and indirectly found out their obtain benefit .psychology and compensatory psychology. SPSS 11.0 was used to carry out statistic analysis. Results The factor score of MMPI over 70 followed： Q： 1case （3.12%）, F： 22cases （68.75%）, K： 2cases （6.25%）, Hs： 2cases （6.25%）, D： 10cases （31.25%）, Hy： 21cases （65.62%）, Pd： 12cases （37.50%）, Mr： 5eases （15.62%）, Pa： 15cases （46.87%）, Pt： 16cases （50. 00%）, Sc： 5eases （15.62%）, Ma, 2cases （6. 25%）, Si： 4cases （12.50%）. SAS： The fraction under 50： 0case. 51-62 fraction： 15cases （46.87%）. 63-74 fraction： 12cases （37. 50%）. The fraction over 75： 6cases （18.75%）. SDS： the fraction under 50： 0case. 51-62 fraction： llcases （34.37%）. 63 74 fraction ： 16cases （50.00%）. The fraction over 75 ： 6cases （18.75%）. SAS minimum 51, maximum 88. SDS minimum 56, maximum 92. The raised fractions of SAS and SDS reflected anxious and depressing emotion were equal to that of factor F fraction of MMPI. At the same time, Pa, Pt, Sc and Si factor scores of MMPI raised. Conclusion The patients with brain injury syndrome could exaggerate disease. A lot of physical malaise had not be described clearly. Subjective anxious and depressing emotion and psychotic symptoms were obvious. The patients were suspicious, hostile and quarrelsome.