摘要
目的探讨心理干预在脑外伤患者伪装智能缺损中的效果。方法将120例脑外伤患者分成干预组与对照组,各60例,干预组在智力鉴定前给予心理干预,对照组按常规程序给予鉴定。于心理干预后比较两组患者二项必选数字记忆测验(BFDMT)及韦氏智力测验(WAIS-RC)的分值。结果干预组其伪装者比例明显低于对照组(8.33%vs.28.3%,P=0.005),干预组WAIS-RC及BFDMT总分均高于对照组(t=2.90,P=0.009;t=2.36,P=0.017)。结论在脑外伤后智力鉴定中,心理干预能有效提高被鉴定患者合作程度,减少伪装,智力测验结果更具真实性。
Objective To explore the effect of psychological intervention on patients with malingering intellectual impairments after brain injury. Methods One hundred and twenty patients with brain injury were randomly divided into the intervention group （60 cases） and control group （60 cases）. The patients in the intervention group were given psychological intervention before conventional evaluation. The patients in the control group only received conventional evaluation. The binomial forced-choice digit memory test （BFDMT） and Weehsler intelligence scale （WAIS-RC） were assessed and compared. Results The proportion of disguiser in the intervention group was significantly lower than that in the control group （8.33% vs. 28.3%, P = 0.005）. The scores of WAIS-RC and BFDMT in the intervention group were remarkably higher than those in the control group （t = 2.90, P = 0.009; t = 2.36, P = 0.017）. Conclusion Psychological intervention can improve the cooperation in patients with malingering intellectual impairments after brain injury during the intellectual identification, by reducing the disguise and providing authentic intellectual test result.
出处
《中华危重症医学杂志（电子版）》
CAS
2012年第4期15-18,共4页
Chinese Journal of Critical Care Medicine:Electronic Edition
基金
温州市科技局社会发展科学研究资助课题(Y20080013)
关键词
脑外伤
智力
心理疗法
干预性研究
Brain injury
Intelligence
Psychotherapy
Intervention studies
