Elsass L, Kinsella G
Psychol Med. 1987 Feb;17(1):67-78. doi: 10.1017/s003329170001299x.
This paper describes research which sought to investigate and describe the interpersonal relationships and vulnerability to psychiatric disturbance in severely closed head injured subjects. The head injured subjects were severely injured, with mild or extremely severely injured individuals being excluded from this study. Self-report by the injured individual was compared with relatives' reports. Fifteen head injured people were individually matched with non-head injured people from the general population who acted as controls. Each subject nominated one 'close other' for comparative interview. The dependent variables included interpersonal relationships, non-psychotic psychiatric disturbance and behavioural change. The head injured group differed significantly from the control group in the quantity of interaction but not in the perceived quality of interaction. The groups differed significantly on behavioural change. No significant difference was found between responses given by the head injured and their 'close other' compared with the controls. Deficient quantity of interpersonal relationships and greater vulnerability to psychiatric disorders was shown in this sample. Further research on the assessment of long-term social outcome and psychiatric stability in the head injured could assist in the improved long-term rehabilitation of the survivors.
本文描述了一项研究，该研究旨在调查和描述重度闭合性颅脑损伤患者的人际关系以及易患精神障碍的情况。颅脑损伤患者伤势严重，轻度或极重度受伤个体被排除在本研究之外。将受伤个体的自我报告与亲属的报告进行比较。15名颅脑损伤患者分别与来自普通人群的非颅脑损伤者（作为对照）进行匹配。每个受试者指定一名“亲密他人”进行对比访谈。因变量包括人际关系、非精神病性精神障碍和行为改变。颅脑损伤组与对照组在互动量上有显著差异，但在互动的感知质量上无显著差异。两组在行为改变方面有显著差异。与对照组相比，颅脑损伤患者及其“亲密他人”给出的回答没有显著差异。该样本显示出人际关系数量不足以及更容易患精神障碍。对颅脑损伤患者长期社会结局和精神稳定性评估的进一步研究有助于改善幸存者的长期康复情况。
