Abstract
An affective, somatic, and memory check-list of symptoms was administered to subjects who had no personal experience or knowledge of head injury. Subjects indicated their current experiences of symptoms, then imagined having sustained a mild head injury in a motor vehicle accident, and endorsed symptoms they expected to experience six months after the injury. The checklist of symptoms was also administered to a group of patients with head injuries for comparison. Imaginary concussion reliably showed expectations in controls of a coherent cluster of symptoms virtually identical to the postconcussion syndrome reported by patients with head trauma. Patients consistently underestimated the premorbid prevalence of these symptoms compared with the base rate in controls. Symptom expectations appear to share as much variance with postconcussion syndrome as head injury itself. An aetiological role is suggested.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barsky A. J., Klerman G. L. Overview: hypochondriasis, bodily complaints, and somatic styles. Am J Psychiatry. 1983 Mar;140(3):273–283. doi: 10.1176/ajp.140.3.273. [DOI] [PubMed] [Google Scholar]
- Binder L. M. Persisting symptoms after mild head injury: a review of the postconcussive syndrome. J Clin Exp Neuropsychol. 1986 Aug;8(4):323–346. doi: 10.1080/01688638608401325. [DOI] [PubMed] [Google Scholar]
- Casey R., Ludwig S., McCormick M. C. Morbidity following minor head trauma in children. Pediatrics. 1986 Sep;78(3):497–502. [PubMed] [Google Scholar]
- Gouvier W. D., Uddo-Crane M., Brown L. M. Base rates of post-concussional symptoms. Arch Clin Neuropsychol. 1988;3(3):273–278. [PubMed] [Google Scholar]
- Kellner R. Functional somatic symptoms and hypochondriasis. A survey of empirical studies. Arch Gen Psychiatry. 1985 Aug;42(8):821–833. doi: 10.1001/archpsyc.1985.01790310089012. [DOI] [PubMed] [Google Scholar]
- Kelly R. The post-traumatic syndrome: an iatrogenic disease. Forensic Sci. 1975 Aug-Oct;6(1-2):17–24. doi: 10.1016/0300-9432(75)90219-8. [DOI] [PubMed] [Google Scholar]
- Levin H. S., Mattis S., Ruff R. M., Eisenberg H. M., Marshall L. F., Tabaddor K., High W. M., Jr, Frankowski R. F. Neurobehavioral outcome following minor head injury: a three-center study. J Neurosurg. 1987 Feb;66(2):234–243. doi: 10.3171/jns.1987.66.2.0234. [DOI] [PubMed] [Google Scholar]
- Long C. J., Novack T. A. Postconcussion symptoms after head trauma: interpretation and treatment. South Med J. 1986 Jun;79(6):728–732. doi: 10.1097/00007611-198606000-00020. [DOI] [PubMed] [Google Scholar]
- MILLER H. Accident neurosis. Br Med J. 1961 Apr 1;1(5230):919–925. doi: 10.1136/bmj.1.5230.919. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLean A., Jr, Dikmen S., Temkin N., Wyler A. R., Gale J. L. Psychosocial functioning at 1 month after head injury. Neurosurgery. 1984 Apr;14(4):393–399. doi: 10.1227/00006123-198404000-00001. [DOI] [PubMed] [Google Scholar]
- McLean A., Jr, Temkin N. R., Dikmen S., Wyler A. R. The behavioral sequelae of head injury. J Clin Neuropsychol. 1983 Dec;5(4):361–376. doi: 10.1080/01688638308401185. [DOI] [PubMed] [Google Scholar]
- Mechanic D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J Med. 1972 May 25;286(21):1132–1139. doi: 10.1056/NEJM197205252862105. [DOI] [PubMed] [Google Scholar]
- Merskey H., Woodforde J. M. Psychiatric sequelae of minor head injury. Brain. 1972;95(3):521–528. doi: 10.1093/brain/95.3.521. [DOI] [PubMed] [Google Scholar]
- Reisenzein R. The Schachter theory of emotion: two decades later. Psychol Bull. 1983 Sep;94(2):239–264. [PubMed] [Google Scholar]
- Rutherford W. H., Merrett J. D., McDonald J. R. Symptoms at one year following concussion from minor head injuries. Injury. 1979 Feb;10(3):225–230. doi: 10.1016/0020-1383(79)90015-9. [DOI] [PubMed] [Google Scholar]
- Rutherford W. H. Sequelae of concussion caused by minor head injuries. Lancet. 1977 Jan 1;1(8001):1–4. doi: 10.1016/s0140-6736(77)91649-x. [DOI] [PubMed] [Google Scholar]
- SCHACHTER S., SINGER J. E. Cognitive, social, and physiological determinants of emotional state. Psychol Rev. 1962 Sep;69:379–399. doi: 10.1037/h0046234. [DOI] [PubMed] [Google Scholar]