• 作者：Beatriz Castañ ; o Monsalve^a ; ^{bcastano@guttmann.com} ; Montserrat Bernabeu Guitart^a ; Raquel Ló ; pez^a ; Antoni Bulbena Vilasar^a ; Jose Ignacio Quemada^b
• 关键词：Traumatismo craneoencefá ; lico ; Inventario Neuropsiquiá ; trico ; Alteraciones conductuales ; Abuso de tó ; xicos ; Discapacidad
• 刊名：Revista de Psiquiatr篓陋a y Salud Mental
• 出版年：2012
• 期刊代码：pca395_18889891
• 类别：psy
• 出版时间：July-September, 2012
• 卷：5
• 期：3
• 页码：160-166
• 文件大小：226 K

Introduction

The Neuropsychiatric Inventory (NPI) is a scale that assesses psychiatric symptoms in patients with neurological disorders, principally dementia. Despite its advantages, there are few published studies in traumatic brain injury (TBI) patients. With the NPI information we are going to describe the psychopatologic disorders in a group of TBI chronic patients and look the possible association with psychiatric history and outcome measures.

Method

The NPI was applied to caregivers of 53 patients with severe TBI in chronic phase. We also collected functional and community integration scales.

Results

92.5%of patients had some neuropsychiatric symptom, according to NPI. The most frequents were irritability/lability, apathy and depression/dysphoria. Those patients with drugs abuse history had more psychiatric symptoms. Presence of agitation/aggression, apathy and disinhibition were correlated with more disability.

Conclusions

Psychiatric disorders are common between patients with TBI. The NPI is a scale that systematically assesses the behavioral and emotional disorders more common in these patients. Some of the symptoms negatively influence the degree of disability.