法医学杂志 ›› 2014, Vol. 30 ›› Issue (1): 36-40.DOI: 10.3969/j.issn.1004-5619.2014.01.008

• 案例分析 • 上一篇    下一篇

Correlative Factors for Organic Psychotic Symptoms in Patients Following Traumatic Brain Injury

HANG Rong-hua1, XU Ya-jun1, ZHU Xu-yan2   

  1. (1. Department of Psychology, Wannan Medical College, Wuhu 241002, China; 2. Department of Forensic Medicine, Wannan Medical College, Wuhu 241002, China)
  • 发布日期:2014-02-25 出版日期:2014-02-28
  • 作者简介:HANG Rong-hua (1971—), female, master of medicine, associated professor in clinical psychiatric disorders and its basic research; E-mail: rhhang311@126.com

  • Online:2014-02-25 Published:2014-02-28

摘要: Objective To investigate the correlative factors for organic psychotic symptoms following traumatic brain injury (TBI). Methods In the current study, 391 subjects who had undergone forensic identification of the organic mental disorders due to TBI were included, both the demographic and post-traumatic information collected. The relevant data were statistically analyzed in those confirmed as organic psychotic syndrome according to Chinese Classification of Mental Disorders 3rd version (CCMD-3). Results Fifty-two subjects (13.3%) were identified as organic psychotic symptoms. The chi-square test showed that the detectable organic psychotic symptoms were associated with the marriage status, damage nature, injury severity and treatment, and the multivariate logistic regression analysis revealed good fitness of treatment and injury severity with the regression model (OR=0.044, 95% CI: 0.017-0.114; OR=2.145, 95% CI: 1.201-3.832, respectively). Conclusion The risks of organic psychotic symptoms following TBI can be involved in the alternative of craniotomy for the cases with trauma and moderate brain injury.

关键词: forensic psychiatry, brain injuries, mental disorder, organic psychotic symptoms

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