Forensic Psychiatric Assessment for Organic Personality Disorders after Craniocerebral Trauma.
10.3969/j.issn.1004-5619.2017.02.010
- Author:
Chen Hu LI
1
;
Li Na HUANG
2
;
Ming Chang ZHANG
3
;
Meng HE
3
Author Information
1. Shanghai Xuhui Mental Health Center, Shanghai 200232, China.
2. Shanghai Key Laboratory of Crime Scene Evidence, Institute of Forensic Science, Shanghai Public Security Bureau, Shanghai 200083, China.
3. Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China.
- Publication Type:Journal Article
- Keywords:
personality disorders;
Neuroticism Extraversion Openness Five-Factor Inventory;
clinical features;
craniocerebral trauma;
forensic psychiatry
- MeSH:
Craniocerebral Trauma/pathology*;
Humans;
Personality;
Personality Disorders/psychology*;
Personality Inventory;
Psychotic Disorders/psychology*
- From:
Journal of Forensic Medicine
2017;33(2):158-161
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To explore the occurrence and the differences of clinical manifestations of organic personality disorder with varying degrees of craniocerebral trauma.
METHODS:According to the International Classification of Diseases-10, 396 subjects with craniocerebral trauma caused by traffic accidents were diagnosed, and the degrees of craniocerebral trauma were graded. The personality characteristics of all patients were evaluated using the simplified Neuroticism Extraversion Openness Five-Factor Inventory （NEO-FFI）.
RESULTS:The occurrence rate of organic personality disorder was 34.6% while it was 34.9% and 49.5% in the patients with moderate and severe craniocerebral trauma, respectively, which significantly higher than that in the patients （18.7%） of mild craniocerebral trauma （P<0.05）. Compared with the patients without personality disorder, the neuroticism, extraversion and agreeableness scores all showed significantly differences （P<0.05） in the patients of mild craniocerebral trauma with personality disorder; the neuroticism, extraversion, agreeableness and conscientiousness scores showed significantly differences （ P>0.05） in the patients of moderate and severe craniocerebral trauma with personality disorder. The agreeableness and conscientiousness scores in the patients of moderate and severe craniocerebral trauma with personality disorder were significantly lower than that of mild craniocerebral trauma, and the patients of severe craniocerebral trauma had a lower score in extraversion than in the patients of mild craniocerebral trauma.
CONCLUSIONS:The severity of craniocerebral trauma is closely related to the incidence of organic personality disorder, and it also affects the clinical features of the latter, which provides a certain significance and help for forensic psychiatric assessment.
