Introduction. The data in literature agree on the fact that psychiatric disorders are frequent sequelae of cranial traumas. The aim of this study is to evaluate the type of psychiatric disorders that are associated with cranial traumas, underlining psychopatological and cognitive characteristics in relationship to the evidence of cerebral lesions. Methods. 76 subjects that have received a psychiatric diagnosis one year after a cranial trauma, were subjected to neuropsychiatric examination and to a structured psychiatric interview based on the criteria of the DSM IV (SCID IV), and to evaluation with Brief Psychiatric Rating Scale (BPRS), Wechsler Adult Intelligence Scale (WAIS), and Disability Scale (DISS). The group was subdivided into two groups based on evidence of a demonstrable brain lesion to evaluate any potential differences between them. Results. Post-Traumatic Stress Disorder (31%) was the most recurrent diagnosis, followed by the Modification of Personality Due to a Medical General Condition (26%); the Anxiety Disorders (5%) and Psychotic Disorders (1%) were found less frequently. Furthermore, the group of subjects without brain injury showed lower BPRS scores than the group of patient with brain injury. Discussion. The results of this study confirm that cranial traumas may be associated with psychiatric disorders, especially with PTSD (Post-Traumatic Stress Disorder); furthermore, there is a clear difficulty to formulate a diagnosis for those clinical phenotypes (like the Post-Concussion disorder) not inclused in a nosographical system. Moreover, since psychiatric disorders associated with traumatic brain injury seem to have peculiar clinical and cognitive characteristics, it seems necessary to perform differential diagnosed with other psychiatric disorders with similar clinical phenotypes.
|Translated title of the contribution||Post cranial traumas following psychiatric disorders and cognitive deficits: One year later evaluation|
|Number of pages||10|
|Journal||Rivista di Psichiatria|
|Publication status||Published - Jan 2004|
ASJC Scopus subject areas
- Psychiatry and Mental health