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目的探讨脑外伤综合征患者性格特点,寻找相对客观的评估其病情的方法。方法以明尼苏达多相人格量表(MMPI)评定患者的人格特点。以自评焦虑量表(SAS),自评抑郁量表(SDS)测量情绪状态,以判定患者对量表的理解,间接了解其获益心理和补偿心理。用SPSS11.0对数据进行统计分析。结果MMPI各因子分70分以上者Q:1例(3.12%),F:22例(68.75%),K:2例(6.25%),Hs:2例(6.25%),D:10例(31.25%),Hy:21例(65.62%),Pd:12例(37.50%),Mf:5例(15.62%),Pa:15例(46.87%),Pt:16例(50.00%),Sc:5例(15.62%),Ma:2例(6.25%),Si:4例(12.50%);SAS:50分以下:0例,51～62分:15例(46.87%),63～74分:12例(37.50%),75分以上6例(18.75%);SDS:50分以下:0例,51～62分:11例(34.37%),63～74分:16例(50.00%),75分以上6例(18.75%);SAS最小值51,最大值88;SDS最小值56,最大值92。反映主观焦虑抑郁情绪的SAS、SDS分值的升高与MMPI因子F分升高相一致,同时表现在MMPI因子Pa、Pt、Sc、Si分值的升高。结论脑外伤综合征患者有夸大病情的倾向;有许多叙述不清的身体不适;主观焦虑抑郁情绪和精神病症状表现明显;常多疑、敌意和好争论。
Objective To investigate the personality traits of patients with traumatic brain injury syndrome (TBI) and to find a relatively objective way to evaluate their condition. Methods Minnesota Multiphasic Personality Scale (MMPI) was used to assess the personality characteristics of patients. The self-rated anxiety scale (SAS) and self-rated depression scale (SDS) were used to measure the emotional status to determine the patient’s understanding of the scale and gain an indirect understanding of their benefits and compensatory psychology. SPSS11.0 statistical analysis of the data. Results The MMPI scores were higher than 70 in all cases. Q: 1 case (3.12%), 22 cases (68.75%) of F, 2 cases (6.25%) of K, 2 cases 31.5%, Hy: 21 cases (65.62%), Pd: 12 cases (37.50%), Mf: 15 cases (15.62%), Pa: : 5 cases (15.62%), Ma 2 cases (6.25%), Si: 4 cases (12.50%) SAS: 50 points or less: 0 cases 51 to 62 cases 15 cases (46.87%) 63 to 74 Score: 50 points or less: 0 cases, 51 ~ 62 points: 11 cases (34.37%), 63 ~ 74 points: 16 cases (50.00% ), 6 cases (18.75%) over 75 points; SAS minimum 51, maximum 88; SDS minimum 56, maximum 92. The SAS and SDS scores that reflect the depression of subjective anxiety are consistent with the increase of Fraction of MMPI, and also show the increase of scores of Pa, Pt, Sc and Si of MMPI. Conclusions Patients with traumatic brain injury syndrome have the tendency to exaggerate the condition. There are many narrative illnesses, subjective anxiety, depression symptoms and psychotic symptoms, often doubts, hostility and controversy.