Brain Injured Patients versus Multiple Trauma Patients: Some Neurobehavioral and Psychopathological Aspects

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RESEARCH PRODUCT

Brain Injured Patients versus Multiple Trauma Patients: Some Neurobehavioral and Psychopathological Aspects

Khadija Chahraoui Delphine Minot Philippe D'athis Jean-michel Pinoit Marc Freysz Marie-claude Frenisy Hervé Bénony

subject

Adult Male medicine.medical_specialty Adolescent Critical Care Personality Inventory medicine.medical_treatment Mood swing Poison control Neuropsychological Tests Critical Care and Intensive Care Medicine Irritability Injury Severity Score Interview Psychological medicine Humans Glasgow Coma Scale Psychiatry Neurologic Examination Depressive Disorder Rehabilitation Psychopathology Multiple Trauma business.industry Mental Disorders Accidents Traffic Neuropsychology Middle Aged Anxiety Disorders Mood Brain Injuries Anxiety Brain Damage Chronic Female Surgery medicine.symptom Cognition Disorders business Psychopathology

description

BACKGROUND: The study aims to describe the neurobehavioral and psychopathological disorders in road crash victims with cerebral lesions compared with multiple trauma sufferers with no brain damage. METHODS: This study compares the neuropsychological and psychopathological developments of two groups of road crash victims (25 severe brain injuries (SBI) and 25 multiple traumas (MULT)) on the basis of the Neurobehavioral Scale, the SCL 90-R and the State/Trait Anxiety Scale. RESULTS: On the basis of the Neurobehavioral Scale, it was clear that the SBI patients suffered from significantly more disorders of type factor 1 (self-appraisal and flexible thinking), factor II (withdrawal), factor III (mood swings, irritability, disinhibition, excitement), factor IV (attention, slower motor responses, and mental fatigue), factor V (articulatory problems, problems of oral expression, and oral comprehension) and nonfactored disorders (exaggerated somatic concerns). On the SCL 90-R scale, we observed a higher level of obsessive symptoms in the SBI patients, whereas there was no significant difference between the two groups on the State/Trait Anxiety Scale. Unexpected results indicated that the multiple trauma patients suffered from memory troubles (60%), concept disorganization (32%), loss of initiative (36%), irritability (52%), unusual thought content (40%), mood swings (40%), attention difficulties (24%), suspiciousness (48%), and feelings of guilt (36%). CONCLUSION: Even though multiple trauma sufferers do not receive a psychologic assessment of their cerebral functioning, and do not benefit from any rehabilitation, they exhibit neurobehavioral and psychopathological disorders which need to be taken into account when designing rehabilitation programs. This study points toward new therapeutic methods for the treatment of multiple trauma sufferers. Language: en

year	journal	country	edition	language
2006-05-12	The Journal of Trauma: Injury, Infection, and Critical Care

https://doi.org/10.1097/01.ta.0000215977.00034.c2