CAJ | 학술논문

目的探讨脑震荡患者的心理状况特征.方法对186例脑震荡患者进行90项症状自评量表(SCL-90)评定,并与常模(正常人阳件症状均分)比较.结果腩震荡患者SCL-90总分(137.71±39.48),总均分(1.53±0.44),阳性项目数(32.90±19.41),躯体化症状因子分(1.57±0.52)、强迫症状因子分(1.79±0.50)、焦虑症状因子分(1.50±0.49)、敌对症状因子分(1.63±0.57)、恐惧症状因子分(1.57±0.51)、偏执症状因子分(1.62±0.51)、精神病性因子分(1.49±0.43)明显高于常模(129.96±38.76、1.44±0.43、24.92±18.41、1.37±0.48、1.62±0.58、1.39±0.43、1.48±0.56、1.23±0.41、1.43±0.57、1.29±0.42),差异有统计学意义(P<0.05);人际关系敏感因子分(1.67±0.54)也高于常模(1.65±0.51),但差异无统计学意义(P>0.05).结论脑震荡可导致患者心理障碍的产生,应早期就对患者进行心理治疗.
목적 탐토뇌진탕환자적심리상황특정.방법 대186례뇌진탕환자진행90항증상자평량표(SCL-90)평정,병여상모(정상인양건증상균분)비교.결과 남진탕환자SCL-90총분(137.71±39.48),총균분(1.53±0.44),양성항목수(32.90±19.41),구체화증상인자분(1.57±0.52)、강박증상인자분(1.79±0.50)、초필증상인자분(1.50±0.49)、활대증상인자분(1.63±0.57)、공구증상인자분(1.57±0.51)、편집증상인자분(1.62±0.51)、정신병성인자분(1.49±0.43)명현고우상모(129.96±38.76、1.44±0.43、24.92±18.41、1.37±0.48、1.62±0.58、1.39±0.43、1.48±0.56、1.23±0.41、1.43±0.57、1.29±0.42),차이유통계학의의(P<0.05);인제관계민감인자분(1.67±0.54)야고우상모(1.65±0.51),단차이무통계학의의(P>0.05).결론 뇌진탕가도치환자심리장애적산생,응조기취대환자진행심리치료.
Objective To investigate the psychological status of patients with brain concussion. Methods A total of 186 patients with brain concussion were evaluated using Symptom Check-List 90 (SCL-90) and the scores were compared with the norms. Results The general scores (137.71±39.48), total mean scores (1.53±0.44) and positive object number (32.90±19.41) of SCL-90, as well as the factor scores ofsomatization(1.57±0.52), compulsion(1.79±0.50), anxiety disorder(1.50±0.49), hostility(1.63± 0.57), phobic anxiety(1.57±0.51), paranoid ideation(1.62±0.51) and psychoticism ( 1.49±0.43) in the patients with brain concussion were all higher than the normal ones (129.96±38.76, 1.44±0.43, 24.92± 18.41, 1.37±0.48, 1.62±0.58, 1.39±0.43, 1.48±0.56, 1.23±0.41, 1.43±0.57, 1.29±0.42, respectively)(P< 0.05). The scores of interpersonal sensitivity (1.67±0.54) were also significantly higher than that of normal (P>0.05). Conclusion Brain concussion may lead to psychological disturbance, for which early interventions should be administered.