Prigatano G P
Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013.
J Consult Clin Psychol. 1992 Jun;60(3):360-8. doi: 10.1037//0022-006x.60.3.360.
Personality disturbances associated with traumatic brain injury are reviewed. The varied structural pathology of the brain in this patient group makes it difficult to specify how different brain lesions may result in specific emotional and motivational disturbances. However, an attempt to clarify terms and review empirical findings is made. Longitudinal prospective studies that utilize appropriate control groups are needed. Future research may especially benefit by considering the long-term effects of early agitation following traumatic brain injury as well as the problem of aspontaneity and impairment of self-awareness.
本文综述了与创伤性脑损伤相关的人格障碍。该患者群体大脑结构病理的多样性使得难以明确不同的脑损伤如何导致特定的情绪和动机障碍。然而,本文试图对相关术语进行澄清并回顾实证研究结果。需要开展使用适当对照组的纵向前瞻性研究。未来的研究若考虑创伤性脑损伤后早期躁动的长期影响以及自发性和自我意识受损问题,可能会尤其受益。