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KMID : 0605720100160010063
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Journal of the Korean Society of Biological Therapies in Psychiatry
2010 Volume.16 No. 1 p.63 ~ p.71
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The Subjective Psycholopathology in Patients with Traumatic Brain Injury According to their Severity with and without Frontal Lobe Injury
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Kim Kyung-Keun
Kim Oh-Lyong
Seo Wan-Seok
Kim Jin-Sung
Koo Bon-Hoon
Lee Jong-Bum
Bai Dai-Seg
Joo Yeol
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Abstract
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Objectives: The objective of this study was to investigate the subjective psychopathology in patients with traumatic brain injury according to their severity and existent of frontal lobe injury.
Methods: S110 patients with traumatic brain injury were selected for study. After classifying patients into mild traumatic brain injury(MTBI) group and moderate traumatic brain injury(MOTBI) group with Glasgow Coma Scale score, each group was subdivided into frontal lobe injury(FLI) group and non frontal lobe injury(NFLI) group. Psychological tests were administered using Korean Wechsler adult intelligence scale(K-WAIS), Symptom checklist 90 revised (SCL-90-R) and Minnesota multiphasic personality inventory(MMPI).
Results: Psychoticism score and positive symptom distress level in SCL-90-R was higher in MOTBI group than MTBI group. There was significant interaction between injury severity and existent of frontal lobe injury in hypomanic scale score of MMPI.
Conclusion: Careful evaluation of psychotic and affective symptoms are warranted for TBI patients with increasing severity and existent of frontal lobe injury.
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KEYWORD
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Traumatic brain injury, Frontal lobe, Severity, Psychopathology
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