1 گروه روانشناسی دانشگاه گیلان
2 جراحی اعصاب مرکز تحقیقات تروما، دانشگاه علوم پزشکی گیلان
3 دانشگاه علوم پزشکی گیلان
4 آمار زیستی مرکز تحقیقات تروما، دانشگاه علوم پزشکی گیلان
عنوان مقاله [English]
Background and Objective: The victims of Traumatic Brain Injury (TBI) might become prone to mental disorder. The aim of this study was to compare CT scan findings and clinical characteristics in patients with and without mental disorders following traumatic brain injury.Materials and Methods: Overall, 238 patients (43 females and 195 males) with TBI in the form of a descriptive-longitudinal study were chosen by nonprobability and consecutive sampling procedure and each of them were under neurosurgical examinations and psychological evaluations. After 4 months of follow-up < span lang="AR-SA">, 65.1% (155 cases) of patients referred to a psychiatrist to determine the nature of mental disorder due to TBI, using a structured clinical interview, based on DSM-IV diagnostic criteria.Results: CT- findings showed significant differences between two groups of patients with and without mental disorders four months after TBI, regarding variables for skull fracture (p < 0.03) and the occurrence of any subcranial damage(p < 0.003). Moreover, in the area of clinical characteristics between these two, variables of TBI severity (p < 0.01), level of consciousness (p < 0.001), duration of loss of consciousness (p < 0.003), duration and severity of post traumatic amnesia (p < 0.01), general disability resulting from trauma (p < 0.02) a significant difference was found out. However, the demographic variables did not appear significant.Conclusion: Based on these results, it is suggested, when patients with brain or subcranial damage are accepting in the section of neurosurgery, they should be cared enough for at least a four-month period after TBI for presentation , psychological assessments and management of mental disorder.