KMID : 0605620080150040310
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Journal of Korean Society of Biological Psychiatry 2008 Volume.15 No. 4 p.310 ~ p.315
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Opinion of Experts about Psychiatric Evaluation after Trauma in Korea
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Lee Byung-Chul
Ryu Seong-Gon Jung Han-Yong
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Abstract
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Objectives£ºThe evaluation of disability after trauma in psychiatry is relatively subjective compared with other
departments. A consensus among evaluators could improve reliability of evaluations. We compared disability rate of common psychiatric disorders without definite brain injury depending on their diagnosis from experienced evaluators in Korea.
Methods£ºA written questionnaire was mailed to each evaluator and the reply was analyzed. The questions
included disability rate ranges of postconcussional syndrome, PTSD and depression. Other questions related with admission for evaluation, expected duration of treatment, life expectancy and need of supporting person were also asked.
Results£ºRange of disability rate were from 8.6¡¾4.5% to 26.6¡¾12.8% in postconcussional syndrome, from 10.4¡¾6.8% to 36.4¡¾13.8% in PTSD and from 10.0¡¾4.6% to 30.6¡¾10.3% in depressive disorder. There were lots of diversity in expected duration of treatment with psychiatric disability. Decline of life expectancy and need of supporting person were considered at least 50% of disability.
Conclusion£ºThere is much diversity in evaluation of psychiatric disabilities with disability rate and expected
duration of treatments even among experienced evaluators. A common consensus among experts may increase reliability of psychiatric evaluations after trauma.
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KEYWORD
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Psychiatric disability, Postconcussional syndrome, Post traumatic disorder, Depression.
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