외상성 두부 손상 환자의 주관적 증상 호소 정도에 따른 다면적 인성검사와 신경심리 검사의 비교

• 영문명: The Comparison of MMPI and Neuropsychological Tests according to Degree of Subjective Symptom Complaints in Patients with Traumatic Head Injury
• 발행기관: 대한신경정신의학회
• 저자명: 구본훈 정은정 서완석 송창진 장혜경 배대석
• 간행물 정보: 『신경정신의학』제44권 제6호, 743~753쪽, 전체 11쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2005.11.30

영문 초록

Objectives：The purpose of this study was to investigate the clinical characteristics of “fake bad” and “fake good” patients with traumatic head injury in neuropsychological tests. Methods：We measured subjective symptoms by SCL-90-R and objective symptoms by McBride obstacle-valuation measure. The patient was divided into three groups according to differences between subjective and objective symptoms. We also examined their intelligence, memory, clinical characteristics, using K-WAIS, K-MAS, MMPI. Results：The group who overly expressed their subjective symptoms has its psychotic symptom exaggeratingly measured, so it will be helpful to be careful to such over-expressed symptoms in those who present a psychotic symptom in a clinical viewpoint. An K-WAIS measurement among those who exaggerated their subjective symptoms showed less value than the actual one, which weakens the reliability of this intelligent test. Rather, for that group, the result of K-MAS can be used with a confidence in the estimation of their severity of symptoms. Conclusion：MMPI and neuropsychological tests are helpful to understand characteristics between subjective symptoms and objective disabilities of patients with traumatic head injury

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키워드

Traumatic head injury MMPI Neuropsychological test Subjective symptom complaints