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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1986 Jul;49(7):764–770. doi: 10.1136/jnnp.49.7.764

The five year outcome of severe blunt head injury: a relative's view.

N Brooks, L Campsie, C Symington, A Beattie, W McKinlay
PMCID: PMC1028899  PMID: 3746307

Abstract

A close relative of each of 42 severely head injured patients was interviewed at 5 years after injury, following initial study at 3, 6, and 12 months. Persisting severe deficits, in some cases worse than at 1 year, were primarily psychological and behavioural, although minor physical deficits, for example in vision, were also common. Relatives were under great strain; significantly more so than at 1 year. The best predictor of strain in the relative was the magnitude of behavioural and personality change in the patient.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brooks D. N., McKinlay W. Personality and behavioural change after severe blunt head injury--a relative's view. J Neurol Neurosurg Psychiatry. 1983 Apr;46(4):336–344. doi: 10.1136/jnnp.46.4.336. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brown J. C. Late recovery from head injury: case report and review. Psychol Med. 1975 Aug;5(3):239–248. doi: 10.1017/s0033291700056592. [DOI] [PubMed] [Google Scholar]
  3. GRAD J., SAINSBURY P. Mental illness and the family. Lancet. 1963 Mar 9;1(7280):544–547. doi: 10.1016/s0140-6736(63)91339-4. [DOI] [PubMed] [Google Scholar]
  4. Gilchrist E., Wilkinson M. Some factors determining prognosis in young people with severe head injuries. Arch Neurol. 1979 Jun;36(6):355–359. doi: 10.1001/archneur.1979.00500420065008. [DOI] [PubMed] [Google Scholar]
  5. Lewin W., Marshall T. F., Roberts A. H. Long-term outcome after severe head injury. Br Med J. 1979 Dec 15;2(6204):1533–1538. doi: 10.1136/bmj.2.6204.1533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Lezak M. D. Living with the characterologically altered brain injured patient. J Clin Psychiatry. 1978 Jul;39(7):592–598. [PubMed] [Google Scholar]
  7. Livingston M. G., Brooks D. N., Bond M. R. Patient outcome in the year following severe head injury and relatives' psychiatric and social functioning. J Neurol Neurosurg Psychiatry. 1985 Sep;48(9):876–881. doi: 10.1136/jnnp.48.9.876. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Livingston M. G., Brooks D. N., Bond M. R. Three months after severe head injury: psychiatric and social impact on relatives. J Neurol Neurosurg Psychiatry. 1985 Sep;48(9):870–875. doi: 10.1136/jnnp.48.9.870. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lundholm J., Jepsen B. N., Thornval G. The late neurological, psychological, and social aspects of severe traumatic coma. Scand J Rehabil Med. 1975;7(3):97–100. [PubMed] [Google Scholar]
  10. McKinlay W. W., Brooks D. N. Methodological problems in assessing psychosocial recovery following severe head injury. J Clin Neuropsychol. 1984 Feb;6(1):87–99. doi: 10.1080/01688638408401199. [DOI] [PubMed] [Google Scholar]
  11. Najenson T., Mendelson L., Schechter I., David C., Mintz N., Groswasser Z. Rehabilitation after severe head injury. Scand J Rehabil Med. 1974;6(1):5–14. [PubMed] [Google Scholar]
  12. Oddy M., Humphrey M. Social recovery during the year following severe head injury. J Neurol Neurosurg Psychiatry. 1980 Sep;43(9):798–802. doi: 10.1136/jnnp.43.9.798. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Oddy M., Humphrey M., Uttley D. Stresses upon the relatives of head-injured patients. Br J Psychiatry. 1978 Dec;133:507–513. doi: 10.1192/bjp.133.6.507. [DOI] [PubMed] [Google Scholar]
  14. Rosenbaum M., Najenson T. Changes in life patterns and symptoms of low mood as reported by wives of severly brain-injured soldiers. J Consult Clin Psychol. 1976 Dec;44(6):881–888. doi: 10.1037//0022-006x.44.6.881. [DOI] [PubMed] [Google Scholar]
  15. Thomsen I. V. Late outcome of very severe blunt head trauma: a 10-15 year second follow-up. J Neurol Neurosurg Psychiatry. 1984 Mar;47(3):260–268. doi: 10.1136/jnnp.47.3.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Weddell R., Oddy M., Jenkins D. Social adjustment after rehabilitation: a two year follow-up of patients with severe head injury. Psychol Med. 1980 May;10(2):257–263. doi: 10.1017/s0033291700044019. [DOI] [PubMed] [Google Scholar]
  17. van Zomeren A. H., van den Burg W. Residual complaints of patients two years after severe head injury. J Neurol Neurosurg Psychiatry. 1985 Jan;48(1):21–28. doi: 10.1136/jnnp.48.1.21. [DOI] [PMC free article] [PubMed] [Google Scholar]

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