脑外伤所致精神障碍的影响因素分析

The analysis of related factors of mental disorder due to brain damage

目的探讨脑外伤之后引起精神障碍发作的各种影响因素。方法以天津市安定医院近五年来脑外伤所致精神障碍的患者48例为研究组,以天津医科大学总医院出现脑外伤但未出现精神障碍的患者48例为对照,研究引起脑外伤所致精神障碍的影响因素。由专家组讨论选定相关因素,并进行Logistic回归。结果人格、脑损伤范围、颅内血肿、格拉斯哥分度量表评分(GCS)、脑干损伤及归因方式等六项在研究组和对照组均有统计学意义(P<0.05),最后GCS,EPQ和归因方式进入预测方程。结论脑外伤所致精神障碍的发生不仅与患者的脑损伤的严重程度有关,还与人格和归因方式等心理因素有关。

Objective To investigate the related factors which contributed to the occurrence of mental disorder due to brain damage.Methods The study group was selected from the psychiaitric hospital,there were 48 inpatients and the 48 patients with brain damage without mental disorder from the general hospital formed the control group.Used the Logistic regression to identify the risk factors.All the possible risk factors were discussed and decided by the experts group.Results There were altogether 6 factors which were statistically different between the study group and control group（P0.05）.In the Logistic regression equation,EPQ,attributive style andd GCS were included.Conclusion The incidence of mental disorder due to brain damage had much to do with not only somatic damage such as location and severity,but also psychological factors such as presonality and attributive style.