Martin C, Viguier D, Deloche G, Dellatolas G
Epidémiologie et Biostatistiques, INSERM U472, 16 avenue Paul Vaillant-Couturier, 94807 Villejuif, France.
Brain Inj. 2001 Nov;15(11):947-59. doi: 10.1080/02699050110065655.
The present investigation aims to show which specific difficulties are reported with greater frequency in traumatic brain injury (TBI) patients than in controls, and in hetero-assessment than in self-assessment. Ninety-seven patients with severe TBI were compared to 97 controls matched for age and gender. The 63-item European Brain Injury Questionnaire (EBIQ) was completed by patients, close relatives and controls. A principal component analysis showed three main factors: "depressive mood", "cognitive difficulties", and "difficulties in social interactions". Relatives scored higher than patients for items concerning the three domains. Patients scored higher than controls for "depressive mood" and "cognitive difficulties", but not for "difficulties in social interactions", which included items related to both self-assertion and lack of self-control. After TBI, emotional problems and, especially, depressive mood associated to cognitive difficulties have an important impact in everyday life and family functioning. Difficulties in social interactions are not specific of TBI patients.
本研究旨在表明，与对照组相比，创伤性脑损伤（TBI）患者在哪些特定困难方面的报告频率更高，以及与自我评估相比，在他人评估中哪些特定困难方面的报告频率更高。将97例重度TBI患者与97例年龄和性别匹配的对照组进行比较。患者、近亲及对照组完成了63项欧洲脑损伤问卷（EBIQ）。主成分分析显示出三个主要因素：“抑郁情绪”、“认知困难”和“社交互动困难”。在涉及这三个领域的项目上，亲属的得分高于患者。在“抑郁情绪”和“认知困难”方面，患者的得分高于对照组，但在“社交互动困难”方面并非如此，该领域包括与自我主张和缺乏自我控制相关的项目。TBI后，情绪问题，尤其是与认知困难相关的抑郁情绪，对日常生活和家庭功能有重要影响。社交互动困难并非TBI患者所特有。
