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轻度脑损伤发病后不同阶段的精神心理障碍特征 被引量:4

The psychiatrical and psychological characteristics of the patients with mild brain injury at different periods
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摘要 目的:观察轻度脑损伤患者发病后不同时期的精神心理特征,探讨进行心理干预的可能性。方法:38例轻度脑损伤患者在急性期(发病后15d内)和病情平稳期(第16~30天)分别接受了精神卫生症状自评量表(SCL-90)调查,并与31例正常人(对照组)测试结果比较。结果:轻度脑损伤患者急性期强迫犤(0.78±0.24)分犦、人际关系犤(0.73±0.20)分犦、抑郁犤(0.76±0.25)分犦、焦虑犤(0.82±0.31)分犦、敌对犤(0.73±0.22)分犦、恐怖犤(0.69±0.23)分犦、偏执犤(0.75±0.24)分犦等因子明显高于对照组(t=2.141~2.475,P均<0.05)。病情平稳期中前者的躯体化、人际关系、抑郁和精神病性等因子明显高于对照组(t=2.045~2.342,P均<0.05),轻度脑损伤患者SCL-90测试阳性项目排列中急性期多以烦躁、恐惧、易激惹、焦虑和抑郁等表现为主,而平稳期则以躯体性症状(头痛、头昏、腰痛),睡眠障碍和记忆力减退为主要特征。结论:轻度脑损伤患者发病后不同阶段精神心理异常表现是不一样的,心理干预方法应有针对性。 AIM:To explore the psychiatrical and psychosocial characteristics of the patients at different periods following mild brain injury and to discuss the possibility of psychological intervention. METHODS:During acute period(within 15 d) and stable period(16-30 d), 38 cases of patients with mild brain injury were assessed by symptom checklist 90(SCL 90).Their results were compared with 31 cases of normal subjects (control group, CG) . RESULTS:During the acute period's the SCL 90 scores of obsessive compulsive (0.78±0.24),interpersonal sensitivity (0.73±0.20),depression(0.76±0.25),anxiety(0.82±0.31),hostility(0.73±0.22),phobic anxiety (0.69±0.23) and paranoid ideation (0.75±0.24) of the patients with mild brain injury were significantly higher than those of the CG group (t=2.141-2.475,all P< 0.05).During the stable period, the scores of somatization, interpersonal sensitivity, depression and psychoticism in the patients with mild brain injury were greatly higher than those of the CG group (t=2.045-2.342,all P< 0.05). In the positive items of SCL 90 test, the majority characteristics of the patients with mild brain injury at the acute period were restlessness, panic, irritability, anxiety ad depression, the majority characteristics of the patients at the stable period were somatization symptom (headache, dizzy and lumbago), sleep obstacle and memory decline. CONCLUSION:The psychiatrical and psychological characteristics of the patients with mild brain injury at different period are not the same, so the methods of psychological intervention ought to aim directly at different symptoms.
作者 于勇
出处 《中国临床康复》 CSCD 2004年第1期24-25,共2页 Chinese Journal of Clinical Rehabilitation
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