The phenomenology of personality change due to traumatic brain injury in children and adolescents.
The phenomenology of personality change due to traumatic brain injury in children and adolescents.
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儿童和青少年脑外伤所致人格改变的现象学。
DOI：
10.1176/jnp.13.2.161
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Lansing,AE
中科院分区：
文献类型：
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作者：
Max,JE;Robertson,BA;Lansing,AE
作者旨在提供儿童创伤性脑损伤（PC）所致人格改变的临床丰富描述。样本由连续受伤的儿童组成。在创伤性脑损伤（TBI）后住院时评估了94名5至14岁的受试者。一个标准化的精神病学访谈，神经精神评定量表，用于引出PC的症状。59%的重度（22/37）和5%的轻度/中度（3/57）TBI受试者发生PC。在37例严重TBI受试者中，PC的不稳定亚型最常见（49%），其次是攻击性和去抑制亚型（各38%），冷漠（14%）和偏执（5%）。在严重TBI中也常见的是持续性（35%）。一个详细的案例，PC症状的许多临床小插曲，并列出其频率为临床医生提供了一个更广泛的参考框架引出PC的症状。
The authors aimed to contribute a clinically rich description of personality change due to traumatic brain injury (PC) in children. The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain injury (TBI). A standardized psychiatric interview, the Neuropsychiatric Rating Schedule, was used to elicit symptoms of PC. PC occurred in 59% of severe (22/37) and 5% of mild/moderate (3/57) TBI subjects. Among the 37 severe TBI subjects, the labile subtype of PC was the most common (49%), followed by the aggressive and disinhibited subtypes (38% each), apathy (14%), and paranoia (5%). Also frequent in severe TBI was perseveration (35%). A detailed case example, numerous clinical vignettes of PC symptoms, and a tabulation of their frequencies provide clinicians a broader frame of reference for eliciting symptoms of PC.