Longitudinal Study of Emotional, Social, and Physical Changes after Traumatic Brain Injury
Longitudinal Study of Emotional, Social, and Physical Changes after Traumatic Brain Injury
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脑外伤后情绪、社交和身体变化的纵向研究
DOI：
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发表时间：
1988
影响因子：
3
通讯作者：
K. O'brien
中科院分区：
文献类型：
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作者：
M. Lezak;K. O'brien
了解创伤性脑损伤后人格改变的性质和过程，是合理规划和有效管理创伤性脑损伤患者的许多行为和社会问题的必要条件。因此，我们使用波特兰适应性量表（PAI）记录了39名男性TBI患者在创伤后5年内的情绪和社会适应水平以及身体状态的社会相关方面，该量表是为本研究开发的一种工具。对21个项目的回答（7个涉及气质和个性，8个涉及社会行为活动，6个涉及身体能力）进行分析，以确定中度至重度障碍的证据。确定了三种类型的问题领域：(a)在整个5年随访期间，许多患者存在持续困难；(b)那些随着时间的推移而持续显著改善的；(c)那些有轻微或可变改善的人。在创伤后5年，大多数患者仍有一种或多种社交功能障碍。
Understanding the nature and course of personality alterations following traumatic brain injury (TBI) is needed for rational planning and effective management of TBI patients' many behavioral and social problems. Therefore, levels of emotional and social adjustment and socially relevant aspects of physical status during the first 5 years posttrauma were documented for 39 male TBI patients at six time intervals using the Portland Adaptability Inventory (PAI), an instrument developed for this study. Responses to 21 items (seven dealing with Temperament and personality, eight with Activities of Social Behavior, and six with Physical Competence) were analyzed for evidence of moderate to severe impairment. Three types of problem areas were identified: (a) those which represented persistent difficulty for many patients throughout the 5-year follow-up period; (b) those in which there was significant improvement that was sustained over time; and (c) those in which there was slight or variable improvement. At 5 years posttrauma, most patients were still socially dysfunctional in one or more ways.