The prevalence of long-term mental disorders following traumatic brain injury

Beiling Gao; Xuewu LI; Ying Zhang; Zhibiao Huang; Dongling WU; Yi LI; Yi Wang

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The prevalence of long-term mental disorders following traumatic brain injury

VernacularTitle:颅脑外伤后精神障碍发生情况的远期追踪调查
Author: Beiling GAO ; Xuewu LI ; Ying ZHANG ; Zhibiao HUANG ; Dongling WU ; Yi LI ; Yi WANG
Publication Type:Journal Article
Keywords: TBI; Mental disorders; Occurrence rate; Long-term following investigation
From: Chinese Journal of Behavioral Medicine and Brain Science 2010;19(7):595-597
CountryChina
Language:Chinese
Abstract: Objective To investigate prevalence of long-term mental disorders following traumatic brain injury (TBI) in 4 ～ 13 years. Methods Of the 4287 patients with traumatic brain injury by systematic sampling.675 subjects were screened by the manual of the psychiatric consequences following traumatic brain injury. The final diagnoses of mental disorders were determined by two advanced psychiatrists based on CCMD-3 on the criteria of organic mental disorders. Results ① Of the 675 subjects with traumatic brain injury,206 had satisfied diagnosed criteria of one or more organic mental disorder syndromes by CCMD-3, and with dementia 17.48% , amnestic syndrome 1. 04% , personality or behaviour change 13. 84% , psychotic syndrome 1. 19% , depressive syndrome 7.41% ,manic syndrome 0.30% ,hysteric syndrome 0.98% , neurotic syndrome 10. 22%. ②The incidence of the mental disorders in the subjects with severe TBI was significantly higher than that of moderate and mild TBI,separately 66.01% (134/203) ,18.04% (46/255) and 11.98% (26/217 ),λ2 =109.03 and 129.82 separately(P< 0.01). ③The incidence of the personality or behaviour change in male was significantly higher than that of female, separately 15.31% and 6.98% (λ2 =5.65, P<0.05). The incidence of the neurotic syndrome in female was significantly higher than that of male, separately 15. 12% and 8. 55% (λ2 = 6. 02, P < 0.05). Conclusion The high incidence of the mental disorders in the patients with TBI should not neglect. There are more high occurrence rate with more severe degree of brain injuries.