Fordyce D J, Roueche J R, Prigatano G P
J Neurol Neurosurg Psychiatry. 1983 Jul;46(7):620-4. doi: 10.1136/jnnp.46.7.620.
The emotional characteristics of head injury patients referred for neuropsychological testing were examined as a function of the time since injury. Patients referred more than 6 months from injury were more emotionally distressed on the MMPI and Katz Adjustment Scale (relatives form) compared to those tested 6 months or earlier. The more chronic head trauma patients were more anxious and depressed, more confused in their thinking, and more socially withdrawn compared to the acute patient group. These differences in emotional functioning appeared to be independent of level of neuropsychological impairment and the initial length of coma. Premorbid personality and increased awareness of impaired functioning with the passage of time are discussed as possible mediators of enhanced emotional distress in some chronic head injury patients.
对因神经心理测试而转诊的头部受伤患者的情绪特征进行了研究，该研究将其作为受伤后时间的函数。与受伤6个月或更早接受测试的患者相比，受伤超过6个月后转诊的患者在明尼苏达多相人格调查表（MMPI）和卡茨适应量表（亲属版）上的情绪困扰更大。与急性患者组相比，慢性头部创伤患者更焦虑、更抑郁、思维更混乱，社交退缩更明显。这些情绪功能上的差异似乎与神经心理损伤程度和初始昏迷时长无关。文章讨论了病前人格以及随着时间推移对功能受损的认识增加，这些可能是一些慢性头部受伤患者情绪困扰加剧的中介因素。
