Gdansk Centre for Neuropsychological Studies, Non-public Health Care Centre Gdansk-Południe, Gdansk, Poland.
Med Sci Monit. 2011 Jan;17(1):CR14-25. doi: 10.12659/msm.881322.
The aim of this research was to evaluate the effectiveness of the post-accessive Conduct Disorder Therapy Program administered within the "Academy of Life" in the reduction of behavioural disorder in adolescents following traumatic brain injury (TBI).
MATERIAL/METHODS: 100 adolescents from Gdansk and adjacent areas, psychiatrically diagnosed with "frontal lobe syndrome" following a TBI, were examined. Group A included 50 participants examined and treated at the Reintegration and Training Center of the Foundation for Persons with Brain Dysfunctions. Group B comprised 50 people matched for age and sex, under treatment at the Gdansk Center for Neuropsychological Studies, Gdansk-Południe Non-Public Health Care Center. Group A used the above therapy programme, while group B did not. The studies included an analysis of documentation, neuro-imaging (CT or MRI), clinical interviews, the Mini-Mental State Examination and the Frontal Behavioural Inventory.
The therapy program had a significant impact on conduct disorders, the most visible differences being within neurological disorders and the least visible within cognitive disorders. It also influenced the social reintegration of adolescents following TBI, as demonstrated by the greater increase in the percentage of participants from group A returning to school and hobbies practised before the accident.
The results indicate that the evaluated therapy program is effective in reducing behavioral disorders in adolescents following brain injury, and their reintegration into society.
本研究旨在评估“生活学院”内实施的创伤性脑损伤（TBI）后少年继发型注意缺陷多动障碍治疗方案的疗效，以减少行为障碍。
材料/方法：对 100 名来自格但斯克及周边地区、TBI 后被诊断为“额叶综合征”的青少年进行了检查。A 组包括 50 名在脑功能障碍基金会再融入和培训中心接受检查和治疗的参与者。B 组包括 50 名年龄和性别匹配、在格但斯克神经心理研究中心、格但斯克-波隆尼非公立医院接受治疗的人员。A 组使用上述治疗方案，B 组未使用。研究包括对文档、神经影像学（CT 或 MRI）、临床访谈、简易精神状态检查和额叶行为量表的分析。
该治疗方案对品行障碍有显著影响，最明显的差异是在神经障碍方面，最不明显的是在认知障碍方面。它还影响了 TBI 后青少年的社会再融入，表现为 A 组参与者重返学校和事故前从事的业余爱好的比例显著增加。
研究结果表明，所评估的治疗方案可有效减少脑损伤后青少年的行为障碍，并促进其重新融入社会。
