腦幹與大腦半球梗塞對情緒狀態之影響:長期性追蹤研究

Abstract

第一年研究主要目的是檢驗腦幹中風病人的情緒狀態。總共五組中風病人分別為左側大腦與右側大腦皮質中風病人、左側與右側皮質下腦部中風病人以及腦幹中風病人，以及一組正常受試者參與本研究。每位受試者皆接受一組情緒功能的測驗，這六組受試者在年齡教育程度與性別相互配對。資料分析結果顯示：腦幹病 人有輕微程度情緒功能的改變；憂鬱是主要的症狀。除此以外情緒功能的問題上包括極輕微到輕微體化型、強迫性意念與行為以及焦慮等症狀，由於目前這些結果來自有限病人之樣本，因此進一步繼續探討這些問題是否真正存在是有其必要性的。至於原計畫在第一年欲探討部分有關這些腦幹中風病人情緒功能改變的現 象是否為短暫性質或持久性質的問題，同樣的，在相當有限的追蹤資料情況下，僅能留待第二年的研究計畫來探討。

The aim of the first-year study was to examine the emotional status of the patients with brainstem stroke. An emotional function test battery was administered to five groups of the adult patients with cerebral hemispheric, subcortical, and brainstem strokes, and one group of normal control adults. Members of these six groups were matched in terms of age, educational level, and sex. Comparing the test results revealed that the patients with brainstem had a mild impairment of emotional function, mainly depression. In addition, otherwise psychopathological manifestations including slight to mild somatization, obsessive-compulsive symptom, and anxiety were also noticed. Since our findings were based on the limited data, further investigation is necessary. Likewise, only a few patients have received the 6-month follow-up evaluation of their emotional function in this first-year study. The issue regarding whether or not emotional changes evident in the patients with brainstem stroke are transient or persistent, thus, awaits the second-year investigation.