외상성 두부 손상 환자의 주관적 증상 호소 정도에 따른 다면적 인성검사와 신경심리 검사의 비교 = The Comparison of MMPI and Neuropsychological Tests according to Degree of Subjective Syptom Complanits in Patients with Traumatic Head Injury

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

1 "한국판 기억평가검사 (K-MAS) 전문가용 실시/채점요강" 한국 가이던스 2000

2 "전산화 신경인지기능 검사를 이용한 외상성 두부 손상환자의 신경인지기능 평가" 37 : 306-316, 1997

3 "의 실시 요강" 1992

4 "외상환자의 MMPI" 18 : 435-443, 1979

5 "외상성 신경증의 임상적 고찰" 18 : 141-149, 1979

6 "외상성 두부 손상환자의 MMPI" 7 : 147-154, 1998

7 "외상성 두부 손상 환자의 정신장애 평가 기준 설정을 위한 연구" 26 : 275-285, 1987

8 "외상성 두부 손상 환자에 기억장애의 임상적 특성" 42 : 742-748, 2003

9 "외상성 뇌 손상 환자의 MMPIprofile에 따른 정신과적 증상" 13 : 23-35, 1997

10 "신경정신과에 의뢰된 두부 손상환자에 대한 임상적고찰" 9 : 87-94, 1985

11 "소위 외상성 신경증환자에 대한 임상적 고찰" 15 : 111-118, 1976

12 "사병 (Malingering)집단의 벤튼신경심리검사 수행패턴" 16 : 405-422, 1997

13 "두부외상 후장애 평가 환자의 임상적 특징" 9 : 28-36, 2001

14 "기질적 뇌증후군의 MMPI" 9 : 743-749, 1986

15 "기억의 신경심리학적 평가" 7 : 16-26, 1998

16 "교통사고 후 정신과로 장애감정 의뢰된 환자의 임상적 특징" 37 : 318-329, 1998

17 "간이정신진단검사 실시요강" 중앙적성출판사 1984

18 "Social problems after severe head injury" 96 : 972-974, J1983

19 "Residual complicationof patients 2 years after severe head injury" 48 : 21-28, Psychiatry1985

20 "Postconcussional symptoms,finanacial compensation and outcome of severe blunted head injury" 46 : 1084-1091, 1983

21 "Neuropsychological assessment." 171-193, 1995

22 "Neuropsychiatry of traumatic brain injury" American Psychiatric Press 81-82, 1994

23 "Neuropsychiatric aspects of traumaticbrain injury" American Psychiatric Press 179-190, 1987

24 "MMPI profiles of closed head trauma patients:impacts of neurologic complains" 4 : 253-260, 1991

25 "K-BNT 검사요강" 학지사 1997

26 "Factitious post traumatic stress disorder" 140 : 1016-1019, 1982

27 "Disability evaluation and principles of treatment ofcompensable injury" IB Lippincott Co 1963