외상 후 정신장애의 장해평가에 대한 정신과 전문가의 일반 의견
Opinion of experts about Psychiatric evaluation after trauma in Korea
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Objective The evaluation of the psychiatric disability after trauma is relatively subjective compared with other departments. Consensus among evaluators could improve reliability of evaluations. We compared disability rate of common psychiatric disorders without definite brain injury depending on their diagnosis from experienced evaluators in korea. Methods Written questionnaire was mailed to each evaluators and reply were analyzed. The questions were disability rate ranges of post concessional disorder, PTSD and Depression. Other questions related with admission for evaluation, expected duration of treatment, life expectancy and need of supporting person were also asked. Results Range of disability rate were from 8.6 ± 4.5% to 26.6 ± 12.8 % in Postconcussional disorder, from 10.4 ±6.8% to 36.4 ±13.8 % in PTSD and from 10.0 ±4.6% to 30.6 ±10.3 % in Depressive disorder. There was lots of diversity in expected duration of treatment with psychiatric disability. Decline of life expectancy and Need of supporting person were considered at least 50% of disability. Conclusion There is much diversity in evaluation of psychiatric disabilities with disability rate and expected duration of treatments even among experienced evaluators. Common consensus among experts may increase reliability of psychiatric evaluations after trauma.
Abstract
Objective The evaluation of the psychiatric disability after trauma is relatively subjective compared with other departments. Consensus among evaluators could improve reliability of evaluations. We compared disability rate of common psychiatric disorders without definite brain injury depending on their diagnosis from experienced evaluators in korea. Methods Written questionnaire was mailed to each evaluators and reply were analyzed. The questions were disability rate ranges of post concessional disorder, PTSD and Depression. Other questions related with admission for evaluation, expected duration of treatment, life expectancy and need of supporting person were also asked. Results Range of disability rate were from 8.6 ± 4.5% to 26.6 ± 12.8 % in Postconcussional disorder, from 10.4 ±6.8% to 36.4 ±13.8 % in PTSD and from 10.0 ±4.6% to 30.6 ±10.3 % in Depressive disorder. There was lots of diversity in expected duration of treatment with psychiatric disability. Decline of life expectancy and Need of supporting person were considered at least 50% of disability. Conclusion There is much diversity in evaluation of psychiatric disabilities with disability rate and expected duration of treatments even among experienced evaluators. Common consensus among experts may increase reliability of psychiatric evaluations after trauma.
참고문헌 (19)
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