Westcott M C, Alfano D P
Department of Applied Psychology, University of Calgary, Calgary, Alberta, Canada.
Brain Inj. 2005 Dec 20;19(14):1261-7. doi: 10.1080/02699050500150104.
Assessment of emotional functioning is a critical aspect of the clinical neuropsychological evaluation of individuals following mild traumatic brain injury (MTBI). The objective of this study was to examine the utility of the Symptom Checklist-90-Revised as a brief tool for assessing psychological and symptomatic distress following MTBI.
A contrasted groups approach, involving three clinical groups (MTBI, Whiplash Associated Disorder, Type I Diabetes) and a non-clinical control group, was used in this study.
The group with MTBI scored significantly higher on the majority of primary symptom dimensions and global distress indices of the SCL-90-R compared to both the diabetes and non-clinical control groups. Analysis of individual cases further revealed that 68.2% of the participants in the group with MTBI were classified as positive cases, a rate significantly higher than that of the diabetes and non-clinical control groups. The group with MTBI did not differ significantly from the group of individuals with whiplash associated disorder with respect to elevation of primary symptom dimensions or global distress indices, or the number of cases classified as positive.
The results of this study suggest that the SCL-90-R has considerable utility as a general measure of psychological and symptomatic distress following MTBI.
对轻度创伤性脑损伤（MTBI）患者进行临床神经心理学评估时，情绪功能评估是一个关键方面。本研究的目的是检验症状自评量表-90修订版（SCL-90-R）作为评估MTBI后心理和症状困扰的简短工具的效用。
本研究采用对比组方法，涉及三个临床组（MTBI、挥鞭样相关障碍、I型糖尿病）和一个非临床对照组。
与糖尿病组和非临床对照组相比，MTBI组在SCL-90-R的大多数主要症状维度和总体困扰指数上得分显著更高。对个体病例的分析进一步显示，MTBI组中68.2%的参与者被归类为阳性病例，这一比例显著高于糖尿病组和非临床对照组。MTBI组在主要症状维度或总体困扰指数的升高以及归类为阳性的病例数量方面与挥鞭样相关障碍个体组没有显著差异。
本研究结果表明，SCL-90-R作为MTBI后心理和症状困扰的一般测量方法具有相当大的效用。
