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重度钝性颅脑损伤后的人格与行为变化——亲属视角

Personality and behavioural change after severe blunt head injury--a relative's view.

作者信息

Brooks D N, McKinlay W

出版信息

J Neurol Neurosurg Psychiatry. 1983 Apr;46(4):336-44. doi: 10.1136/jnnp.46.4.336.

DOI:10.1136/jnnp.46.4.336
PMID:6842246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1027357/
Abstract

A close relative of 55 severely head injured adults rated the personality of the patient at 3, 6 and 12 months after injury, using a Yes/No judgement, and analogue scales comprising bipolar adjectives. The relative assessed the "current" as well as the "premorbid" personality at each time. Personality change was associated with many negative scores on the analogue scale, and increasing negative scores were associated with high "subjective burden" on the relative. Severity of injury (post-traumatic amnesia) was of no significance in predicting the extent or pattern of personality change.

摘要

55名重度颅脑损伤成年人的一位近亲,分别在受伤后3个月、6个月和12个月,通过“是/否”判断以及包含双极形容词的视觉模拟量表,对患者的性格进行评分。这位近亲每次都对“当前”以及“病前”性格进行评估。性格变化与视觉模拟量表上的许多负面分数相关,而负面分数的增加与近亲的高“主观负担”相关。损伤严重程度(创伤后遗忘症)在预测性格变化的程度或模式方面并无意义。

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本文引用的文献

1
The short-term outcome of severe blunt head injury as reported by relatives of the injured persons.受伤者亲属报告的严重钝性头部损伤的短期结果。
J Neurol Neurosurg Psychiatry. 1981 Jun;44(6):527-33. doi: 10.1136/jnnp.44.6.527.
2
Disability after severe head injury: observations on the use of the Glasgow Outcome Scale.重度颅脑损伤后的残疾情况:关于格拉斯哥预后量表使用情况的观察
J Neurol Neurosurg Psychiatry. 1981 Apr;44(4):285-93. doi: 10.1136/jnnp.44.4.285.
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The patient with severe head injury and his family. A follow-up study of 50 patients.重度颅脑损伤患者及其家属。50例患者的随访研究。
Scand J Rehabil Med. 1974;6(4):180-3.
4
Some observations on the course of events after severe injury of the head. Hunterian Lecture delivered at the Royal College of Surgeons of England on12th January 1967.关于头部严重损伤后一系列事件经过的一些观察。1967年1月12日在英国皇家外科医学院发表的享特利安讲座。
Ann R Coll Surg Engl. 1967 Dec;41(6):460-79.
5
Changes in life patterns and symptoms of low mood as reported by wives of severly brain-injured soldiers.重度脑损伤士兵的妻子所报告的生活模式变化及情绪低落症状。
J Consult Clin Psychol. 1976 Dec;44(6):881-8. doi: 10.1037//0022-006x.44.6.881.
6
Stresses upon the relatives of head-injured patients.头部受伤患者亲属所承受的压力。
Br J Psychiatry. 1978 Dec;133:507-13. doi: 10.1192/bjp.133.6.507.
7
Living with the characterologically altered brain injured patient.与性格改变的脑损伤患者一起生活。
J Clin Psychiatry. 1978 Jul;39(7):592-8.
8
Psychological consequences of blunt head injury.钝性头部损伤的心理后果。
Int Rehabil Med. 1979;1(4):160-5. doi: 10.3109/03790797909164037.