摘要
目的探讨司法鉴定中颅脑外伤所致精神障碍患者人格特征及相关影响因素。方法收集2014年12月-2015年12月新疆维吾尔自治区两所精神病司法鉴定所在法医精神病司法鉴定中鉴定为颅脑外伤所致精神障碍的400例患者为研究对象,采用艾森克人格问卷(EPQ)评定人格特征,采用简明精神病量表(BPRS)评定精神症状。结果研究组EPQ的内外向(E)分量表评分高于全国常模(P<0.05),精神质(P)与神经质(N)分量表评分均低于全国常模(P均<0.01),掩饰程度(L)评分两组差异无统计学意义(P>0.05)。研究组BPRS的焦虑抑郁、缺乏活力因子评分与全国常模比较差异均有统计学意义(P均<0.05)。多重线性回归分析显示,受教育程度、受伤原因和EPQ的神经质、内外向、精神质进入回归方程(P>0.05)。结论颅脑外伤所致精神障碍患者缺乏活力、易焦虑抑郁。精神质、神经质、内外向可能是其影响因素。
Objective To explore the EPQ personality characteristics of the judicial identification of mental disorders caused by traumatic brain injury,and analyze the related factors that affect the personality characteristics of EPQ. Methods 400 cases who were identificated as mental disorder caused by brain injury were collected in the forensic judicial quthentication from December 2014 to December 2015. Eysenck Personality Questionnaire( EPQ) and Brief Psychiatric Rating Scale( BPRS) were used to evaluate the Personality characteristics and the mental health status. Results In the EPQ scores,the Extraversion( E) score of the research group was higher than that of the national norm( P < 0. 05),Neuroticism( N) and Psychoticism( P) scores were lower than those of the national norm( P < 0. 01),Lie( L) score between the two groups was not statistically significant( P > 0. 05). The differences of the two groups in scores of anxiety and depression,lack of vitality factor in BPRS were statistically significant( P < 0. 05). Multiple linear regression analysis showed that the education level,the cause of injury and the EPQ of the nervous,internal and external,the spirit of the positive symptoms into the BPRS regression equation( P > 0. 05). Conclusion Mental disorder patients caused by traumatic brain injury lack of energy and easy to be anxiety and depression. Psychoticism,neuroticism,introversion and extraversion may be the related factors.
出处
《四川精神卫生》
2016年第4期338-341,共4页
Sichuan Mental Health
基金
乌鲁木齐市科技局科学基金项目(Y141310057)
关键词
颅脑外伤
精神障碍
EPQ
人格特征
Traumatic brain injury
Mental disorder
EPQ
Personality characteristics