Abstract
The emotional characteristics of head injury patients referred for neuropsychological testing were examined as a function of the time since injury. Patients referred more than 6 months from injury were more emotionally distressed on the MMPI and Katz Adjustment Scale (relatives form) compared to those tested 6 months or earlier. The more chronic head trauma patients were more anxious and depressed, more confused in their thinking, and more socially withdrawn compared to the acute patient group. These differences in emotional functioning appeared to be independent of level of neuropsychological impairment and the initial length of coma. Premorbid personality and increased awareness of impaired functioning with the passage of time are discussed as possible mediators of enhanced emotional distress in some chronic head injury patients.
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Selected References
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- Butcher J. N., Tellegen A. Common methodological problems in MMPI research. J Consult Clin Psychol. 1978 Aug;46(4):620–628. doi: 10.1037//0022-006x.46.4.620. [DOI] [PubMed] [Google Scholar]
- Dikmen S., Reitan R. M. Emotional sequelae of head injury. Ann Neurol. 1977 Dec;2(6):492–494. doi: 10.1002/ana.410020608. [DOI] [PubMed] [Google Scholar]
- Dikmen S., Reitan R. M. MMPI correlates of adaptive ability deficits in patients with brain lesions. J Nerv Ment Dis. 1977 Oct;165(4):247–254. doi: 10.1097/00005053-197710000-00004. [DOI] [PubMed] [Google Scholar]
- FORDYCE W. E. PERSONALITY CHARACTERISTICS IN MEN WITH SPINAL CORD INJURY AS RELATED TO MANNER OF ONSET OF DISABILITY. Arch Phys Med Rehabil. 1964 Jul;45:321–325. [PubMed] [Google Scholar]
- Fahy T. J., Irving M. H., Millac P. Severe head injuries. A six-year follow-up. Lancet. 1967 Sep 2;2(7514):475–479. doi: 10.1016/s0140-6736(67)91650-9. [DOI] [PubMed] [Google Scholar]
- GRUVSTAD M., KEBBON L., GRUVSTAD S. Social and psychiatric aspects of pretraumatic personality and posttraumatic insufficiency reactions in traumatic head injuries. Acta Soc Med Ups. 1958;63(1-2):101–113. [PubMed] [Google Scholar]
- Hogarty G. E., Katz M. M. Norms of adjustment and social behavior. Arch Gen Psychiatry. 1971 Nov;25(5):470–480. doi: 10.1001/archpsyc.1971.01750170086013. [DOI] [PubMed] [Google Scholar]
- Levin H. S., Grossman R. G. Behavioral sequelae of closed head injury. A quantitative study. Arch Neurol. 1978 Nov;35(11):720–727. doi: 10.1001/archneur.1978.00500350024005. [DOI] [PubMed] [Google Scholar]
- Mandleberg I. A., Brooks D. N. Cognitive recovery after severe head injury. 1. Serial testing on the Wechsler Adult Intelligence Scale. J Neurol Neurosurg Psychiatry. 1975 Nov;38(11):1121–1126. doi: 10.1136/jnnp.38.11.1121. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McSweeny A. J., Grant I., Heaton R. K., Adams K. M., Timms R. M. Life quality of patients with chronic obstructive pulmonary disease. Arch Intern Med. 1982 Mar;142(3):473–478. [PubMed] [Google Scholar]
- Moos R. H., Solomon G. F. Personality correlates of the degree of functional incapacity of patients with physical disease. J Chronic Dis. 1965 Oct;18(10):1019–1038. doi: 10.1016/0021-9681(65)90092-5. [DOI] [PubMed] [Google Scholar]
