法医学杂志2016，Vol.32Issue(2)：100-104,5.DOI:10.3969/j.issn.1004-5619.2016.02.006
道路交通事故中脑外伤所致人格改变与精神伤残评定
Personality Change due to Brain Trauma Caused by Traffic Accidents and Its Assess-ment of Psychiatric Impairment
摘要
Abstract
Objective To explore the m ain perform ance of personality change in people w ith m ild psy-chiatric im pairm ents w hich due to the brain traum a caused by traffic accidents and its value in assess-m ent of psychiatric im pairm ent. Methods The condition of personality change of patients w ith traum atic brain injury caused by traffic accident w as evaluated by the Scale of Personality Change Post-traum atic Brain Injury (SPCPTBI). Furtherm ore, the correlation betw een the personality change and the degrees of traum atic brain injury and psychiatric im pairm ent w ere explored. Results In 271 sam ples, 239 (88.2% ) w ith personality changes. A m ong these 239 sam ples, 178 (65.7% ), 46 (17.0% ), 15 (5.5% ) w ith m ild, m oderate and severe personality changes, respectively. The ratio based on the extent of personality changes to the degree of brain traum a w as not significant (P>0.05), but the total score difference betw een the groups w as significant (P<0.05). There w as no statistical significance betw een the m edium and high severity brain traum a groups. The higher degree of personality changes, the higher rank of m ental disabilities. The total score difference of the scale of personality change am ong the different m ild psychiatric im pair-m ent group w as significant (P<0.05). The difference betw een other psychiatric im pairm ent levels had statistical significance (P<0.05) except level 7 and 8. Conclusion The occurrence of personality change due to traum atic brain injury caused by traffic accident w as high. Correlations exist betw een the personality change and the degree of psychiatric im pairm ent. Personality change due to brain traum a caused by traffic accident can be assessed effectively by m eans of SPCPTBI, and the correlation betw een the total score and the extent of traum atic brain injury can be found.关键词
司法精神病学/颅脑损伤/事故,交通/人格改变/精神伤残Key words
forensic psychiatry/brain injuries/accidents, traffic/personality change/psychiatric im pairm ent分类
社会科学引用本文复制引用
樊慧雨,张钦廷,汤涛,蔡伟雄..道路交通事故中脑外伤所致人格改变与精神伤残评定[J].法医学杂志,2016,32(2):100-104,5.基金项目
国家自然科学基金资助项目 （）
