摘要
目的探讨精神损伤评定中的影响因素以及损伤程度评定需要参考的各项指标。方法采用自编调查表对145例被鉴定人进行资料收集，分为脑震荡组和应激组，对两组资料进行比较分析。结果（1）两组被鉴定人在伤害原因方面的差异有统计学意义（χ2=21．789，P=0．016）。脑震荡组意外受伤被惊吓、工伤者的比例高于应激组，被老师体罚的比例低于应激组。（2）两组被鉴定人在神经症症状群出现频度（χ2=7．847，P=0．005）、鉴定诊断（χ2=62．325，P〈0．01）方面的差异有统计学意义。脑震荡组神经症症状群出现的频度高于应激组；脑震荡组中，诊断为脑震荡综合征的比例高于应激组，应激相关障碍的比例低于应激组。（3）伤害原因与法律关系评定有关联性（χ2=45．975，P=0．031）。鉴定诊断与法律关系评定有关联性（χ2=155．067，P〈0．01）。（4）韦氏智力量表检查，脑震荡组中数字广度得分低于应激纽。简明精神病量表评定，脑震荡组中思维障碍因子评分高于应激组。结论被鉴定人的个体因素、家属反应程度、治疗效果等都对疾病的发生和恢复有不同程度的影响。由于以上各因素的量化较为困难，因此在鉴定时可以结合被鉴定人的智力受损情况、精神状况、社会功能受损程度对损伤程度作出判定。
Objective To probe the influencing factors in assessment of mental injury and indica- tors that need to be considered. Methods Totals of 145 cases were investigated using the registration form to gather information, divided into cerebral concussion group and stress group. Comparative analy- sis was made between the two groups. Results （1）On the cause of the injury, two groups had a signifi- cant difference （χ2 = 21. 789,P = 0. 016）. In cerebral concussion group, the shock and occupational in- juries in accidents were more than the stress group, but punished by teacher was less. （2）There were significant difference on the frequency of neurosis symptoms （χ2 = 7. 847,P = 0. 005） and identification of diagnosis （χ2 = 62. 325 ,P = 0.01） between the two groups. The frequency of neurosis symptoms and identification of diagnosis were more in the cerebral concussion group than the stress group. （3）The reasons of damage and the legal relationship were relevant （2 = 45. 975, P = 0. 031）. Identification of diag- nosis and legal relationship were relevant （χ2 = 155. 067,P 〈0.01）. （4）On the Wechsler intelligence tests, cerebral concussion group was lower in the digit span; in the assessment of BPRS, cerebral con- cussion group was higher in thought disorder score. Conclusions The individual factor, family reaction and treatment effect may influence the incidence and rehabilitation of disease. In the identification, the intellectual impairment, mental health and social function should be considered to make comprehensive judgment.
出处
《神经疾病与精神卫生》
2016年第1期16-20,共5页
Journal of Neuroscience and Mental Health
关键词
脑震荡
司法鉴定
精神损伤
应激相关障碍
Brain concussion
Expert testimony, Mental injury, Stress-related disorders
