Disturbi psichiatrici e deficit cognitivi secondari a traumi cranio-encefalici: Valutazione ad un anno di distanza

Translated title of the contribution: Post cranial traumas following psychiatric disorders and cognitive deficits: One year later evaluation

Antonello Bellomo, Angelo De Giorgi, Annamaria Petito, Guido Di Sciascio, Alessandro Bertolino, Marcello Nardini

Research output: Contribution to journalArticle

Abstract

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 contributionPost cranial traumas following psychiatric disorders and cognitive deficits: One year later evaluation
Original languageItalian
Pages (from-to)30-39
Number of pages10
JournalRivista di Psichiatria
Volume39
Issue number1
Publication statusPublished - Jan 2004

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Bellomo, A., De Giorgi, A., Petito, A., Di Sciascio, G., Bertolino, A., & Nardini, M. (2004). Disturbi psichiatrici e deficit cognitivi secondari a traumi cranio-encefalici: Valutazione ad un anno di distanza. Rivista di Psichiatria, 39(1), 30-39.