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008 Correlative+Factors+for+Organic+Psychotic+Symptoms+in+Patients+Following+Traumatic+Brain+Injury.pdf

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008CorrelativeFactorsforOrganicPsychoticSymptomsinPatientsFollowingTraumaticBrainInjury

·36· 案例分析． Joumal of Forensic Medicine，Febmary 2014，V01．30，No．1 CorrelatiVe Factors for Organic tients FoUowing Traumatic Brain Psychotic Symptoms in Pa- Injury HANG Rong—hual，XU Ya-junl，ZHU Xu—yan2 (J．上)ep硎mem 0厂B弘危。驰吼肜帆n帆讹以c以coffe舻，形M矗“24JDD2，吼疏掣2．Dep矾凇凡f Q厂而陀琊地舰d如i甩e，彤(mn(Bn J7l死dic以CbZfege，形u矗u 24J，D02，C矗inn) Abstract：Objective To investigate the correlative factors for organic psychotic symptoms following tmu． matjc bfajn inju拶(TBI)．Methods In the current study，39 1 subiects who had undergone forensic iden． tification of the o唱anic mental disorders due to TBl were included，both tlle demographic and post．臼．au． matic infomation c01lected．The relevam data were statisticallV analvzed in mose confimed as organic psychotic syIldrome according to Chinese Classification of Mental Disorders 3rd Version(CCMD．3)．Re． sIIlts Fi{谤一呶，o subjects(13．3％)were identified as organic psvchotic svmptoms．The chi—square test showed thatⅡ1e detectable organic psychotic symptoms were associated with the marriage statLls，damage natIlre， iniury severity and treaⅡ11ent，and me multivariate logistic regression analysis revealed good fitlless of 仃eatment and iniury severi够wim the re2阳ssion model(OR=0．044，95％CI：0．017．0．114：OR=2．145， 95％CI： 1．201—3．832，respectively)．Conclusion The risks of organic psychotic svmptoms following TBI can be inv01ved in t11e altemative of craniotomv for the cases wim仃auma and moderate brain in{unr． Key words：forensic psychia臼y；brain injuries；mental disorder；o唱anic psychotic symptoms CLC number：DF795．3 Doc岫ent code：A doi：10．3969／j．issn．1004．5619．2014．01．008 Article IC：1004．5619(2014)01．0036．05 Introduction A1thougll in the latest years there are a盯ow— ing number of applications for 1urisdictional assess． ment of mental disabilitV due to cralliocerebral仃au． ma，current criteria for rating of the impainIlent are a王lected bv manv f．actors[11． How to evahIate the classiflcation， the def≯ee of n’auma and innuencing factors of the mental disordcr is an ufgent problem demand