Dooley Julian J, Anderson Vicki, Hemphill Sheryl A, Ohan Jeneva
Department of Psychology, The University of Melbourne, Melbourne, Victoria, Australia.
Brain Inj. 2008 Oct;22(11):836-46. doi: 10.1080/02699050802425444.
To examine aggression in adolescent males with and without traumatic brain injury (TBI).
Quasi-experimental, matched-participants design.
Thirty-nine adolescents were examined, including a TBI group (n = 11) and a matched, uninjured comparison group (n = 28). Participants with TBI were injured an average of 8.3 years (SD = 4.2 years) prior. Participants and parents completed the Youth Self Report (YSR) and the Child Behavior Checklist (CBCL), both measures of global psychopathology. In addition, the theoretically-driven Reactive and Proactive Aggression Questionnaire (RPQ) and the Form of Aggression Scale (FAS) were completed.
When compared using the YSR and CBCL, no group differences were detected. In contrast, using the self-report RPQ, participants with TBI reported more reactive and proactive aggression than non-injured peers. Using the FAS, participants with TBI reported engaging in aggression out of frustration and not to dominate or acquire objects.
Aggressive behaviours are a long-term outcome after paediatric TBI. Measures of global psychopathology do not permit detailed examination of specific behaviour problems such as aggression, which may provide inaccurate data from which to derive incidence rates. In contrast, theoretically-driven measures can provide greater insight into post-TBI aggression with important treatment implications.
研究有无创伤性脑损伤（TBI）的青少年男性的攻击性。
准实验性、匹配参与者设计。
对39名青少年进行了检查，包括一个TBI组（n = 11）和一个匹配的未受伤对照组（n = 28）。TBI组参与者平均在8.3年前受伤（标准差 = 4.2年）。参与者及其父母完成了青少年自我报告（YSR）和儿童行为检查表（CBCL），这两种都是衡量整体精神病理学的量表。此外，还完成了理论驱动的反应性和主动性攻击问卷（RPQ）以及攻击形式量表（FAS）。
使用YSR和CBCL进行比较时，未发现组间差异。相比之下，使用自我报告的RPQ，TBI组参与者报告的反应性和主动性攻击比未受伤的同龄人更多。使用FAS时，TBI组参与者报告其攻击行为是出于挫折感，而非为了支配或获取物品。
攻击性行为是小儿TBI后的长期后果。整体精神病理学的测量方法无法详细检查诸如攻击等特定行为问题，这可能会提供不准确的数据以得出发病率。相比之下，理论驱动的测量方法可以更深入地了解TBI后的攻击行为，具有重要的治疗意义。
