Catherine Gagnon, Laurence Trépanier, Stéphany Denault, Maude Laguë-Beauvais, Rajeet Saluja, Jennifer Massad, Michel Abouassaly, Elaine de Guise
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引用次数: 0
摘要
研究背景本研究旨在确定轻度创伤性脑损伤(mTBI)后3个月内,是否存在伤前精神病史、亚急性脑震荡后症状(PCS)和人格特质可预测较差的重返社会情况:方法:共纳入76名轻微创伤性脑损伤(mTBI)患者,并从病历中确定这些患者是否有受伤前精神病史。事故发生一个月后,这些患者完成了评估人格特质的 Millon 多轴临床量表第三版和测量亚急性 PCS 的 Rivermead 脑震荡后症状问卷。在事故发生三个月后,使用第四版 Mayo-Portland 适应性量表对重新融入社会的情况进行了测量:结果:受伤前的精神病史、高水平的亚急性 PCS 以及 B 群人格特质(如组织型人格和边缘型人格)是伤后 3 个月重返社会质量的重要预测因素:本研究为 B 群人格特质及其对创伤后 3 个月康复和重返社会的影响提供了新的见解。
Pre-injury psychiatric history, subacute symptoms and personality traits predict social reintegration at 3-month post-mild traumatic brain injury.
Background: The purpose of the study was to identify whether the presence of a pre-injury psychiatric history, subacute post-concussive symptoms (PCS) and personality traits were predictive of less favorable social reintegration for 3 months following a mild traumatic brain injury (mTBI).
Method: A total of 76 patients with mTBI were included, and the presence of a pre-injury psychiatric history was identified from the medical chart. One-month post-accident, these patients completed the Millon Multiaxial Clinical Inventory, 3rd Edition assessing personality traits and the Rivermead Post-Concussion Symptoms Questionnaire to measure subacute PCS. Social reintegration was measured using the Mayo-Portland Adaptability Inventory, 4th Edition at 3-month post-accident.
Results: The presence of pre-injury psychiatric history, high levels of subacute PCS and Cluster B personality traits such as histrionic and borderline features were significant predictors of social reintegration quality at 3-month post injury.
Conclusion: This study provides new insights on cluster B personality traits and its influence on recovery and social reintegration at 3-month post mTBI.
期刊介绍:
Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.