PSYCHOSOCIAL OUTCOME IN HEAD INJURY

创伤性头部损伤代表了一个重要的健康问题-他们发生 发病率高，受影响的人群以前是健康的年轻人 人与人之间，有着很高的死亡率， 残疾人，特别是受伤较重的人。约 80，000例中重度至重度头部受伤的新病例 每年在美国住院。 尽管这些损伤的特征是许多损伤， 结果或恢复日常生活活动的能力是最重要的 对患者、患者家属和社会的重要性 大.文献缺乏足够的心理社会结果信息， 问题的严重性、具体情况、原因、恢复情况 他们的预言，他们的预言，他们的预言。 本提案的目的包括：1）确定 心理社会角色活动的局限性及其恢复， 中重度至重度脑损伤患者的预测。（二） 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，并确定是什么介导的。第三章 检查各种生活质量（即患者满意度） 心理社会角色活动，并探讨 在这些方面的满意度和实际独立程度。4)描述 重要的另一半的感知负担，并检查是什么导致了 5）开始确定心理测量学属性，如可靠性 心理社会活动访谈，一项心理社会测量， 与这个项目一起开发的。 这项研究将检查222例中度至重度头部受伤病例， 他们的重要他人在1，6，12个月，和2-4年后， 损伤50名头部受伤的外伤对照组将被 伤后12个月检查。40例头部受伤病例将在 重新测试的可靠性估计。信息的好处是， 本建议所产生的包括经验信息，以更好地 卫生服务的分配，不同干预措施的发展 减少残疾的战略，改善临床决策，协助 病人和家属在规划未来，并澄清 与健康相关的心理社会结果的某些测量问题。

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.