De Mol J, Genaux J
Service de Psychiatrie, de l'Hôpital Universitaire Brugmann, Bruxelles, Belgique.
Acta Psychiatr Belg. 1987;87:676-87.
After reviewing the literature on post-concussional syndrome in head injured patients and some studies which have contributed to objectify post-traumatic personality characteristics, the authors were particularly interested in studying depressive signs complained of by such patients without any psychopathological history. The analysis of a group of 47 head injured patients shows that one in two patients openly revealed such depressive tendencies. These patients, who were observed on average less than one year after the trauma, do not differ from the others, whether by age, sex, the severity of the head injury, the existence of a neurosurgical operation. However, they showed many symptoms which were different from those of the other patients in the group and different from those of the whole group. This "depressive" syndrome appears in a more specifically anxious form. The study of the Rorschach's test, on the other hand, does not show any change in the basic personality, especially inhibited in the two groups. For the patients who do not complain openly of depressive signs, the hypothesis of a masked depression was raised. This perspective is compared with the literature's data and allowed to point out several forms of post-traumatic depression.
在查阅了有关头部受伤患者脑震荡后综合征的文献以及一些有助于客观化创伤后人格特征的研究后，作者特别感兴趣于研究此类无任何精神病理学病史患者所诉说的抑郁症状。对一组47名头部受伤患者的分析表明，每两名患者中就有一人公开表现出此类抑郁倾向。这些患者在创伤后平均不到一年就接受了观察，无论在年龄、性别、头部受伤的严重程度、是否进行过神经外科手术方面，都与其他患者没有差异。然而，他们表现出许多与该组其他患者以及整个组不同的症状。这种“抑郁”综合征以一种更具特异性的焦虑形式出现。另一方面，对罗夏测试的研究并未显示出基本人格有任何变化，尤其是两组中均表现出抑制。对于未公开诉说抑郁症状的患者，提出了隐匿性抑郁的假设。这一观点与文献数据进行了比较，并指出了几种创伤后抑郁的形式。
