PSYCHOSOCIAL OUTCOME IN HEAD INJURY

创伤性头部损伤代表着一个重要的健康问题--它们会 由于发病频率较高，受影响的人群以前是健康的年轻人。 人，他们与高死亡率和持续性 残疾人，特别是伤势较重的人。大致 新增中重度至重度颅脑损伤病例8万例 每年在美国住院治疗。 尽管这些损伤的特征是大量的损伤，但心理社会 结果或恢复日常生活活动的能力是最高的 对患者、患者家属和社会的重要性 大号的。文献缺乏足够的心理社会结果信息，如 如问题的严重程度、具体情况、原因、恢复情况 以及谁将拥有他们的预测。 这项建议的目的包括：1)确定范围和规模 心理社会角色活动的局限性及其康复，以及 预测中重度至重型颅脑损伤患者的预后。2) 检查患者和其他重要报告之间的一致性 患者的心理社会功能，并确定是什么调解了每个人。3) 在不同方面检查感知的生活质量(即患者满意度 心理社会角色活动与探究二者的关系 在这些领域的满意度和实际独立水平。4)描述 感受到的对另一半的负担，并检查是什么贡献 为它干杯。5)开始确定心理测量属性，如可靠性 心理社会活动访谈--一种心理社会测量工具 是与这个项目一起开发的。 这项研究将检查222例中重度颅脑损伤病例和 在1、6、12个月和2-4年后，他们的另一半 受伤。头部受伤幸免于难的50名创伤控制组将 在伤后12个月进行检查。40例头部受伤的病例将被 重新测试可靠性估计。信息的好处是 此提案生成的数据包括经验信息，以便更好地 卫生服务的分配，不同干预措施的发展 减少残疾的策略、改进的临床决策、协助 患者和家庭在规划未来方面的作用，并澄清 与健康相关的心理社会结果中的某些测量问题。

Traumatic head injuries represent an important health problem -- they occur with high frequency, the population affected is previously healthy young people and they are associated with high mortality and persistent disabilities, particularly in the more severely injured. Approximately 80,000 new cases with moderately severe to severe head injuries are hospitalized each year in the United States. Even though numerous impairments characterize these injuries, psychosocial outcome or the ability to resume everyday life activities is of utmost importance to the patient, the patients's family, and to the society at large. The literature lacks adequate psychosocial outcome information such as the magnitude of the problems, their specifics, their causes, recovery from them, and prediction of who will have them. The aims of this proposal include; 1) Determine the extent and magnitude of limitations in psychosocial role activities, their recovery, and prediction in patients with moderately severe to severe head injuries. 2) Examine the consistency between patient and significant other reports of patients' psychosocial functioning and determine what mediates each. 3) Examine perceived quality of life (i.e. patient satisfaction) in various psychosocial role activities and explore the relationship between satisfaction and actual level of independence in these areas. 4) Describe the perceived burden on the significant other and examine what contributes to it. 5) Begin to determine psychometric properties such as reliability and validity of the Psychosocial Activity Interview, a psychosocial measure developed in conjunction with this project. This study will examine 222 moderately to severely head-injured cases and their significant others at 1, 6, and 12 months, and 2-4 years after the injury. Fifty trauma controls with injuries that spared the head will be examined at 12 months post-injury. Forty head-injured cases will be retested for reliability estimation.The benefits of the information to be generated by this proposal include empirical information for better allocation of health services, development of different intervention strategies to reduce disability, improved clinical decisions, assisting patients and families in planning for the future, and clarification of certain measurement issues in health-related psychosocial outcome.