Dikmen S S, Ross B L, Machamer J E, Temkin N R
Department of Rehabilitation Medicine, University of Washington, Seattle 98195, USA.
J Int Neuropsychol Soc. 1995 Jan;1(1):67-77. doi: 10.1017/s1355617700000126.
Psychosocial outcome at one year post-injury was examined prospectively in 466 hospitalized head-injured subjects, 124 trauma controls, and 88 friend controls. The results indicate that head injury is associated with persistent psychosocial limitations. However, the presence and extent of limitations are related to the demographics of the population injured, to other system injuries sustained in the same accident, and particularly to the severity of the head injury. More severe head injuries are associated with limitations implying greater dependence on others including poorer Glasgow Outcome Scale (GOS) ratings, dependent living, unemployment, low income, and reliance on family and social subsidy systems. Head injury severity is more closely related to more objective indices of psychosocial outcome (e.g., employment) than to self-perceived psychosocial limitations, such as measured by the Sickness Impact Profile (SIP).
对466名住院的头部受伤患者、124名创伤对照组和88名朋友对照组进行了前瞻性研究，以调查受伤一年后的心理社会结果。结果表明，头部受伤与持续的心理社会限制有关。然而，限制的存在和程度与受伤人群的人口统计学特征、同一事故中遭受的其他系统损伤有关，尤其与头部受伤的严重程度有关。更严重的头部损伤与意味着对他人更大依赖的限制有关，包括较差的格拉斯哥预后量表（GOS）评分、依赖他人生活、失业、低收入以及对家庭和社会补贴系统的依赖。头部损伤的严重程度与心理社会结果的更客观指标（如就业）的关系比与自我感知的心理社会限制（如通过疾病影响量表（SIP）测量）的关系更为密切。
