司法鉴定中不同类型精神损伤的临床特征对照研究

发布时间：2018-09-14 16:41

【摘要】：目的探讨精神疾病司法鉴定中不同类型精神损伤的临床特征。方法根据精神损伤发生的原因,将235例被鉴定人分为中度以上脑损伤组(A组)117例、轻度脑损伤组(B组)35例和社会心理应激因素组(C组)83例,比较组间精神障碍的诊断、临床特征等。结果A组中精神障碍的诊断以器质性智能损害(29.9%)、器质性神经症样综合征(25.6%)、器质性人格改变(22.2%)最多见。B组中以脑震荡后综合征最常见(71.4%),C组最常见的是适应障碍(28.9%)、癔症(26.5%)和精神分裂症(20.5%),上述各组同另两组的差异均有统计学意义(P0.001)。A、B、C3组中出现最多的症状为躯体不适症状群,分别达89.7%、100%、86.7%。结论不同类型精神损伤既有共同的也有各自特异的临床特征。在鉴定中应重视社会心理因素对不同类型精神损伤的影响。
[Abstract]:Objective to investigate the clinical characteristics of different types of mental injury in forensic identification of mental diseases. Methods according to the causes of mental injury, 235 patients were divided into moderate brain injury group (group A, n = 117), mild brain injury group (group B, n = 35) and psychosocial stress factor group (group C, n = 83). Clinical features, etc. Results in group A, organic intelligence impairment (29.9%), organic neurosis syndrome (25.6%), organic personality change (22.2%) were the most common diagnosis of mental disorder in group A (71.4%), adaptation disorder (28.9%) was the most common in group C, and sensation was the most common in group B (22.2%). There were significant differences between the above groups and the other two groups (P 0.001). The most common symptoms in the group C _ 3 were somatic discomfort, and there was no significant difference between the above groups and the other two groups (P _ 0.001). Up to 89.7 and 86.7, respectively. Conclusion different types of mental injury have both common and specific clinical features. Attention should be paid to the influence of psychosocial factors on different types of mental injury in appraisal.
【作者单位】：新疆精神卫生中心司法鉴定科新疆精神卫生中心护理部新疆精神卫生中心司法鉴定科新疆精神卫生中心司法鉴定科
【分类号】：D919.3

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