Cullum C M, Bigler E D
Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80204.
J Nerv Ment Dis. 1991 May;179(5):274-8. doi: 10.1097/00005053-199105000-00005.
Indices of self-reported depression and psychological adjustment after stroke were evaluated using a short form of the MMPI. Patients with poststroke periods of 2 to 6 and 7 to 24 months were selected, and indices of general intellectual functioning and lesion size/location were obtained. Despite similar levels of intellectual functioning and lesion parameters, the longer duration group showed significantly higher depression scores and significant (T greater than 70) elevations on several other clinical scales of the MMPI. In contrast, the mean overall profile of the short-duration group was roughly within normal limits. These findings have implications for the clinical assessment and treatment of stroke patients and long-term psychological adjustment after stroke.
使用明尼苏达多相人格调查表(MMPI)简表对中风后自我报告的抑郁和心理调适指标进行了评估。选取中风后2至6个月和7至24个月的患者,并获取其一般智力功能以及病灶大小/位置的指标。尽管两组患者的智力功能水平和病灶参数相似,但病程较长组的抑郁评分显著更高,并且在MMPI的其他几个临床量表上也有显著升高(T大于70)。相比之下,病程较短组的总体平均剖面图大致在正常范围内。这些发现对中风患者的临床评估和治疗以及中风后的长期心理调适具有启示意义。