Social Function in Head Injury Patients with Craniocerebral Injury_Chinese Journal of Evidence-Based Medicine

Authors：

TAO Hua ¹ , HU Zeqing ¹² , HUANG Siqing ³ , LIU Xiehe ² , HUO Kejun ¹

1. Department of Forensic Psychiatry; West China Medical Center of Sichuan University; Chengdu 610041; China2. Department of Psychiatry; West China Hospital of Sichuan University3. Department of Cerebral Surgery; West China Hospital of Sichuan University;

Corresponding author：

Keywords：

Head injury; Social function; Mental injury; Forensic psychiatry

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Objective 　To compare the incidence of social function disorders in head injury patients with and without craniocerebral injury and to explore the value for mental identification.
Methods 　SDSS (Social Disability Screening Schedule), GAF (Global Assessment Function) and GAS (Global Assessment Scale) instruments were used to test the social function of 56 patients without craniocerebral injury and 55 patients with craniocerebral injury.
Results 　One hundred and eleven patients with head injury were included and identified as head injury with or without craniocerebral injury by CT or MRI. The incidence of social function deficit, tested by using SDSS instrument, was 33.9% (19/56) in patients without craniocerebral injury and 45.5% (25/55) in patients with craniocerebral injury respectively. There was no statistically significant difference between the two groups (χ2=1.544, P=0.214). This was also no statitical difference in both GAS group (t=0.021, P=0.983) and GAF group (t=0.391, P=0.697).
Conclusions 　The limited evidence showed that the incidence of social function deficit of the head injury patients combined with craniocerebral injury is higher than those who without craniocerebral injury, but the difference between the two groups has no statistically significant difference.We could not detect a difference in the incidence of social deficit between those head injury patients with or without craniocerebral injury ones.

Citation： TAO Hua,HU Zeqing,HUANG Siqing,LIU Xiehe,HUO Kejun. Social Function in Head Injury Patients with Craniocerebral Injury. Chinese Journal of Evidence-Based Medicine, 2004, 04(8): 537-540. doi: Copy

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10.	［9］Yuan SX. Forensic assessment of mental disorder after head trauma: analyses of 204 cases[J]. J Law Med,1999;6(3):105 - 109.
11.	袁尚贤.头部外伤后精神损伤的法医学鉴定(附204例分析)[J].法律与医学杂志,1999;6(3):105-109.
12.	［10］Pelczar M, Politynska B. Pathogenesis and psychosocial consequences of post-concussion syndrome [J]. Neurol Neurochir Pol,1997; 31 (5) :989 -998.
13.	［11］Thomhill S, Teasdale GM, Murray GD, Ewen JM, Roy CW,Penny IK. Disability in young people and adults one year after head injury: prospective cohort study[J ]. Brit Med J,2000;320(7250) :1631 - 1635.
14.	［12］Osetrov AS. The social adaptation of patients with the sequelae of craniocerebral trauma[J]. Zh Nevropatol Psikhiatr Im S S Korsakova,1994; 94(3) :77 -81.
15.	［13］Friedland JF, Dawson DR. Function after motor vehicle accidents: a prospective study of mild head injury and posttraumatic stress[J]. J Nerv Ment Dis,2001; 189(7) :426 -434.

1. ［1］Long CJ, Webb WL. Psychological sequelae of head trauma [M]. 3rd ed. New York: Oxford University Press; 1995.p. 35 -77.
2. ［2］Morton MV, Wehman P. Psychosocial and emotional sequelae of individuals with traumatic craniocerebral injury: A literature review and recommendations [J]. Craniocerebral Inj,1995; 9(1) :81 -92.
3. ［3］Hu ZQ, Huang SQ, Zhang QT, Li Y, Kong B, Huang SX. Study on the Intelligence and Memory of Patients with Road Traffic Trauma[J]. J Law Meal,2001 ;8(3) :165 -167.
4. 胡泽卿,黄思庆,张钦廷,李焱,孔斌,黄思兴.道路交通伤患者的智力和记忆研究[J].法律与医学杂志,2001;8(3):165-167.
5. ［4］Deb S, Lyons I, Koutzoukis C. Rate of psychiatric illness 1 year after traumatic craniocerebral injury[J]. Am J Psychiatry,1999 ;156(3) :374 - 379.
6. ［5］Meyer C, Markgraf E. Hidden wounds after accident injuries [J]. Zentralbl Chir, 2000;125(9) :710 -716.
7. ［6］Fabiano RJ, Daughtery J. Rehabilitation considerations following mild traumatic craniocerebral injury[J]. J Rehabil,1998;64(4) :9 -14.
8. ［7］Casey P. The importance of social function in psychiatry [M]. Petersfield: Wrightson Biomedical Publishing Ltd;1993.
9. ［8］Temkin NR, NachamerJE, Dikmen SS. Correlates of Functional Status 3-5 Years after Traumatic craniocerebral Injury with CT Abnormalities [J]. J Neurotrauma, 2003; 20 ( 3 ):229 - 241.
10. ［9］Yuan SX. Forensic assessment of mental disorder after head trauma: analyses of 204 cases[J]. J Law Med,1999;6(3):105 - 109.
11. 袁尚贤.头部外伤后精神损伤的法医学鉴定(附204例分析)[J].法律与医学杂志,1999;6(3):105-109.
12. ［10］Pelczar M, Politynska B. Pathogenesis and psychosocial consequences of post-concussion syndrome [J]. Neurol Neurochir Pol,1997; 31 (5) :989 -998.
13. ［11］Thomhill S, Teasdale GM, Murray GD, Ewen JM, Roy CW,Penny IK. Disability in young people and adults one year after head injury: prospective cohort study[J ]. Brit Med J,2000;320(7250) :1631 - 1635.
14. ［12］Osetrov AS. The social adaptation of patients with the sequelae of craniocerebral trauma[J]. Zh Nevropatol Psikhiatr Im S S Korsakova,1994; 94(3) :77 -81.
15. ［13］Friedland JF, Dawson DR. Function after motor vehicle accidents: a prospective study of mild head injury and posttraumatic stress[J]. J Nerv Ment Dis,2001; 189(7) :426 -434.

Chinese Journal of Evidence-Based Medicine

Social Function in Head Injury Patients with Craniocerebral Injury

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