Schopp Laura H, Shigaki Cheryl L, Bounds Thomas A, Johnstone Brick, Stucky Renee C, Conway Debbie L
Department of Health Psychology, School of Health Professions, University of Missouri, Columbia, USA.
J Head Trauma Rehabil. 2006 May-Jun;21(3):213-25. doi: 10.1097/00001199-200605000-00002.
To evaluate differences in outcome in persons with violent versus nonviolent traumatic brain injury (TBI) etiology.
Two-group (violent vs nonviolent) 1-year follow-up study.
Midwestern medical center TBI Model System serving a predominantly rural catchment area.
Forty-five (n = 19 violent TBI etiology; n = 26 nonviolent TBI etiology) inpatients with primary diagnosis of TBI followed up as outpatients 1 year after injury.
Substance use, income source, employment status, Wechsler Adult Intelligence Scale--Revised (abbreviated version), Logical Memory I and II from the Wechsler Memory Scale--Revised, Wide Range Achievement Test--Third Edition Reading subtest, Trail-Making Tests A and B, Rey Auditory Verbal Learning Test, Community Integration Questionnaire, Neurobehavioral Functioning Inventory.
Members of the violent group were more likely to be men, of a racial minority, unemployed, and have low income. Substance abuse was common among both groups prior to injury, with significant declines at 1 year. Follow-up also revealed significant group differences in verbal intelligence, social integration, productivity, and source of income, but nonsignificant difference in employment. In all comparisons, more favorable outcomes were found for the nonviolent group.
Persons with violent injury etiology have poorer premorbid functioning and are likely to have less favorable outcomes than the general population with TBI. Therefore, persons with violent TBI etiology may require more intensive aftercare programming to promote improved rehabilitation outcomes.
评估暴力性与非暴力性创伤性脑损伤（TBI）病因患者的预后差异。
两组（暴力性与非暴力性）1年随访研究。
服务于主要为农村集水区的中西部医疗中心TBI模型系统。
45例（n = 19例暴力性TBI病因；n = 26例非暴力性TBI病因）原发性TBI诊断的住院患者，在受伤1年后作为门诊患者进行随访。
物质使用情况、收入来源、就业状况、韦氏成人智力量表修订版（简版）、韦氏记忆量表修订版中的逻辑记忆I和II、广泛成就测验第三版阅读子测验、连线测验A和B、雷伊听觉词语学习测验、社区融入问卷、神经行为功能量表。
暴力组成员更可能为男性、少数族裔、失业且收入低。两组在受伤前物质滥用情况均常见，1年时显著下降。随访还显示，两组在言语智力、社会融入、生产力和收入来源方面存在显著差异，但在就业方面无显著差异。在所有比较中，非暴力组的预后更有利。
暴力性损伤病因的患者病前功能较差，与一般TBI人群相比，预后可能更不理想。因此，暴力性TBI病因的患者可能需要更强化的后期护理计划，以促进康复效果改善。
