Journal
ASSESSMENT
Volume 10, Issue 4, Pages 420-427Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1073191103259539
Keywords
mild traumatic brain injury (MTBI); postconcussional disorder (PCD); emotional factors; forensic evaluation
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Emotional risk factors were examined in 129 litigant and nonlitigant patients diagnosed with Postconcussional Disorder (PCD) following Mild Traumatic Brain Injury (MTBI). According to Millon Clinical Multiaxial Inventorv (MCMI) criteria, four subgroups emerged: (a) 14.7% met criteria for an Axis I disorder, (b) 24.8% for an Axis II disorder (c) threshold for 24.0% for bout Axis I and II disorders, and (d) 36.4% fell below psychopathology. Thus, 63.5% endorsed emotional pathology. Of the four groups, those with both Axis I and II psychopathology presented the greatest number of emotional complaints in a clinical interview and manifested the lowest neurocognitive test scores. Motor skills. verbal abilities, memory functioning, and IQ were primarily affected. With the exception of post-morbid emotional complaints, no significant differences were identified between litigants and nonlitigants. Our analysis suggests that the combination of both Axis I and II psychopathology is associated with greater impairment following MTBI.
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