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Psychological problems following minor head injury: a prospective study
1Department of Clinical Psychology, Northern General Hospital, Sheffield, UK.
The British Journal of Clinical Psychology
|September 1, 1996
Summary
Minor head injuries can lead to chronic psychological distress, including post-traumatic stress disorder and changes in self-concept. These symptoms significantly impact social and occupational functioning long-term.
Area of Science:
- Neuroscience
- Psychology
- Trauma Studies
Background:
- Minor head injuries are common, but their long-term psychological consequences are not fully understood.
- Previous research indicates potential for persistent symptoms after head trauma.
Purpose of the Study:
- To investigate the long-term psychological effects of minor head injuries.
- To assess the prevalence of post-traumatic stress disorder (PTSD) and psychological distress.
- To examine changes in self-concept and their relationship with psychological symptoms.
Main Methods:
- Longitudinal study interviewing 50 participants with minor head injuries at 6 months and 3 years post-injury.
- Utilized DSM-III-R criteria for PTSD diagnosis.
- Employed the Impact of Event scale and General Health Questionnaire for psychological distress assessment.
- Measured changes in self-concept and reported on occupational and social functioning.
Main Results:
- Participants exhibited symptoms consistent with PTSD and significant psychological distress.
- A prominent theme of disrupted self-concept emerged, correlating with psychological symptoms.
- Long-term impacts on occupational and social functioning were observed.
Conclusions:
- Psychological disturbance and altered self-concept are common and potentially chronic sequelae of minor head injury.
- Early identification and management of psychological symptoms are crucial for improving long-term outcomes.
- Further research is needed to understand the mechanisms underlying these chronic changes.