Volume 18, Issue 1 (Spring 2012)                   IJPCP 2012, 18(1): 13-28 | Back to browse issues page

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Rezaei S, Salehi I, Moosavi H, Yousefzaeh S. Axis I Psychopathology during the First Four Mounts After Traumatic Brain Injury. IJPCP. 2012; 18 (1) :13-28
URL: http://ijpcp.iums.ac.ir/article-1-1508-en.html
1- Guilan University , rezaei_psy@hotmail.com
2- Guilan University
3- Guilan University of Medical Sciences
Abstract:   (12535 Views)

Objectives: The aim of this research was to examine the dimensions of axis I disorders during the first four months after Traumatic Brain Injury (TBI) and mental states after TBI. Method: Overall, 238 patients (43 females and 195 males) with TBI, in a descriptive-longitudinal study, were selected by consecutive sampling procedure and each of them undergone medical examinations. After 4 months of follow-up, 65.1% (155 cases) of the patients referred to a psychiatrist to determine the nature of their mental disorder due to TBI, using a structured clinical interview, based on the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV) . Results: The results showed that 75.5% (117 cases) of the patients had post-injury mental disorders secondary to TBI. Of these, 88 patients (75.2%) showed the comorbidity of mental disorders. However, the most common mental disorders due to TBI included personality change (58.6%), mood disorders (32.3%), anxiety disorders (20%), sleep disorders (19.3%), chronic amnesia (12.9%) and somatoform disorders (1.3%). Delirium, eating and psychotic disorders due to TBI, each up to 0.64%, were also diagnosed. Conclusion: The high frequency of mental disorders is evident in the acute phase after TBI, along with many novel cases of personality changes, mood and anxiety disorders. Therefore ‎‎TBI patients must be monitored and evaluated at least in a 4-month period after the trauma to reduce the risk of mental disorders incident.

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Type of Study: Original Research | Subject: Psychiatry and Psychology
Received: 2012/07/9 | Published: 2012/07/15

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