The Postconcussional Syndrome: Social Antecedents and Psychological Sequelae
The study consisted of a prospective investigation of 45 consecutively admitted patients who had sustained a mild head injury. In all cases the duration of post-traumatic amnesia was less than 24 hours. Head injury patients had an average of three adverse life events in the year preceding injury com...
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| Veröffentlicht in: | British journal of psychiatry 1993-04, Vol.162 (4), p.493-497 |
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| container_title | British journal of psychiatry |
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| creator | Fenton, George McClelland, Roy Montgomery, Anne MacFlynn, Geraldine Rutherford, William |
| description | The study consisted of a prospective investigation of 45 consecutively admitted patients who had sustained a mild head injury. In all cases the duration of post-traumatic amnesia was less than 24 hours. Head injury patients had an average of three adverse life events in the year preceding injury compared with 1.5 for controls. Using the PSE, 39% of the group were diagnosed psychiatric cases at six weeks after the injury. For cases the mean level of chronic social difficulties (3.3) was four times that for non-cases (0.8). Six months after injury, 28% of the head injury group had three or more symptoms. These chronic cases were on average ten years older than those whose symptoms had remitted. Chronic cases had, on average, three social difficulties, twice as many as found among those whose symptoms had remitted. The emergence and persistence of the postconcussional syndrome are associated with social adversity before the accident. While young men are most at risk of minor head injury, older women are most at risk of chronic sequelae. |
| doi_str_mv | 10.1192/bjp.162.4.493 |
| format | Article |
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In all cases the duration of post-traumatic amnesia was less than 24 hours. Head injury patients had an average of three adverse life events in the year preceding injury compared with 1.5 for controls. Using the PSE, 39% of the group were diagnosed psychiatric cases at six weeks after the injury. For cases the mean level of chronic social difficulties (3.3) was four times that for non-cases (0.8). Six months after injury, 28% of the head injury group had three or more symptoms. These chronic cases were on average ten years older than those whose symptoms had remitted. Chronic cases had, on average, three social difficulties, twice as many as found among those whose symptoms had remitted. The emergence and persistence of the postconcussional syndrome are associated with social adversity before the accident. While young men are most at risk of minor head injury, older women are most at risk of chronic sequelae.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.162.4.493</identifier><identifier>PMID: 8481741</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Accidents ; Adolescent ; Adult ; Adversity ; Aged ; Amnesia ; Averages ; Brain Concussion - diagnosis ; Brain Concussion - psychology ; Brain Damage, Chronic - diagnosis ; Brain Damage, Chronic - psychology ; Complications ; Female ; Follow-Up Studies ; Head injuries ; Humans ; Injuries ; Life Change Events ; Life events ; Male ; Mental Status Schedule ; Middle Aged ; Neuropsychological Tests ; Older women ; Patient admissions ; Postconcussional syndrome ; Prospective Studies ; Social Adjustment ; Social Support ; Syndrome ; Young men</subject><ispartof>British journal of psychiatry, 1993-04, Vol.162 (4), p.493-497</ispartof><rights>Copyright © Royal College of Psychiatrists, 1993</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-c35e6eb7b4b96b88773cfb978053202e1ca755fdbbbdf22328d9782cd8eb87303</citedby><cites>FETCH-LOGICAL-c413t-c35e6eb7b4b96b88773cfb978053202e1ca755fdbbbdf22328d9782cd8eb87303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000037156/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,315,781,785,12851,27929,27930,31004,55633</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8481741$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fenton, George</creatorcontrib><creatorcontrib>McClelland, Roy</creatorcontrib><creatorcontrib>Montgomery, Anne</creatorcontrib><creatorcontrib>MacFlynn, Geraldine</creatorcontrib><creatorcontrib>Rutherford, William</creatorcontrib><title>The Postconcussional Syndrome: Social Antecedents and Psychological Sequelae</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>The study consisted of a prospective investigation of 45 consecutively admitted patients who had sustained a mild head injury. In all cases the duration of post-traumatic amnesia was less than 24 hours. Head injury patients had an average of three adverse life events in the year preceding injury compared with 1.5 for controls. Using the PSE, 39% of the group were diagnosed psychiatric cases at six weeks after the injury. For cases the mean level of chronic social difficulties (3.3) was four times that for non-cases (0.8). Six months after injury, 28% of the head injury group had three or more symptoms. These chronic cases were on average ten years older than those whose symptoms had remitted. Chronic cases had, on average, three social difficulties, twice as many as found among those whose symptoms had remitted. The emergence and persistence of the postconcussional syndrome are associated with social adversity before the accident. While young men are most at risk of minor head injury, older women are most at risk of chronic sequelae.</description><subject>Accidents</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adversity</subject><subject>Aged</subject><subject>Amnesia</subject><subject>Averages</subject><subject>Brain Concussion - diagnosis</subject><subject>Brain Concussion - psychology</subject><subject>Brain Damage, Chronic - diagnosis</subject><subject>Brain Damage, Chronic - psychology</subject><subject>Complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head injuries</subject><subject>Humans</subject><subject>Injuries</subject><subject>Life Change Events</subject><subject>Life events</subject><subject>Male</subject><subject>Mental Status Schedule</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Older women</subject><subject>Patient admissions</subject><subject>Postconcussional syndrome</subject><subject>Prospective Studies</subject><subject>Social Adjustment</subject><subject>Social Support</subject><subject>Syndrome</subject><subject>Young men</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkFtLwzAYhoMoOg-XXgoVwbvOnLqk3o3hCQYKm9ehSb5uHW0zkxbZvzdjQ1G8Csn78H5fHoQuCR4SktM7vVoPyYgO-ZDn7AANCBc0JXyUHaIBxlikhGb4BJ2GsIpXxqk4RseSSyI4GaDpfAnJmwudca3pQ6hcW9TJbNNa7xq4T2bOVPFh3HZgwELbhaRobfIWNmbpareozBaHjx7qAs7RUVnUAS725xl6f3yYT57T6evTy2Q8TQ0nrEsNy2AEWmiu85GWUghmSp0LiTNGMQViCpFlpdVa25JSRqWNITVWgpaCYXaGbne9a-_i5NCppgoG6rpowfVBiUxgzrI8gjd_wJXrffxhUJQxkUvKyJZKd5TxLgQPpVr7qin8RhGsto5VdKyiY8VVdBz5q31rrxuw3_Reasyvd_myWiw_Kw_Km_VW2K-Ou_3MotG-sgv4We3_qV9kSZH9</recordid><startdate>19930401</startdate><enddate>19930401</enddate><creator>Fenton, George</creator><creator>McClelland, Roy</creator><creator>Montgomery, Anne</creator><creator>MacFlynn, Geraldine</creator><creator>Rutherford, William</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>The Postconcussional Syndrome: Social Antecedents and Psychological Sequelae</title><author>Fenton, George ; McClelland, Roy ; Montgomery, Anne ; MacFlynn, Geraldine ; Rutherford, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-c35e6eb7b4b96b88773cfb978053202e1ca755fdbbbdf22328d9782cd8eb87303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Accidents</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adversity</topic><topic>Aged</topic><topic>Amnesia</topic><topic>Averages</topic><topic>Brain Concussion - diagnosis</topic><topic>Brain Concussion - psychology</topic><topic>Brain Damage, Chronic - diagnosis</topic><topic>Brain Damage, Chronic - psychology</topic><topic>Complications</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head injuries</topic><topic>Humans</topic><topic>Injuries</topic><topic>Life Change Events</topic><topic>Life events</topic><topic>Male</topic><topic>Mental Status Schedule</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Older women</topic><topic>Patient admissions</topic><topic>Postconcussional syndrome</topic><topic>Prospective Studies</topic><topic>Social Adjustment</topic><topic>Social Support</topic><topic>Syndrome</topic><topic>Young men</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fenton, George</creatorcontrib><creatorcontrib>McClelland, Roy</creatorcontrib><creatorcontrib>Montgomery, Anne</creatorcontrib><creatorcontrib>MacFlynn, Geraldine</creatorcontrib><creatorcontrib>Rutherford, William</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fenton, George</au><au>McClelland, Roy</au><au>Montgomery, Anne</au><au>MacFlynn, Geraldine</au><au>Rutherford, William</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Postconcussional Syndrome: Social Antecedents and Psychological Sequelae</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1993-04-01</date><risdate>1993</risdate><volume>162</volume><issue>4</issue><spage>493</spage><epage>497</epage><pages>493-497</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>The study consisted of a prospective investigation of 45 consecutively admitted patients who had sustained a mild head injury. In all cases the duration of post-traumatic amnesia was less than 24 hours. Head injury patients had an average of three adverse life events in the year preceding injury compared with 1.5 for controls. Using the PSE, 39% of the group were diagnosed psychiatric cases at six weeks after the injury. For cases the mean level of chronic social difficulties (3.3) was four times that for non-cases (0.8). Six months after injury, 28% of the head injury group had three or more symptoms. These chronic cases were on average ten years older than those whose symptoms had remitted. Chronic cases had, on average, three social difficulties, twice as many as found among those whose symptoms had remitted. The emergence and persistence of the postconcussional syndrome are associated with social adversity before the accident. While young men are most at risk of minor head injury, older women are most at risk of chronic sequelae.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>8481741</pmid><doi>10.1192/bjp.162.4.493</doi><tpages>5</tpages></addata></record> |
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| ispartof | British journal of psychiatry, 1993-04, Vol.162 (4), p.493-497 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete |
| subjects | Accidents Adolescent Adult Adversity Aged Amnesia Averages Brain Concussion - diagnosis Brain Concussion - psychology Brain Damage, Chronic - diagnosis Brain Damage, Chronic - psychology Complications Female Follow-Up Studies Head injuries Humans Injuries Life Change Events Life events Male Mental Status Schedule Middle Aged Neuropsychological Tests Older women Patient admissions Postconcussional syndrome Prospective Studies Social Adjustment Social Support Syndrome Young men |
| title | The Postconcussional Syndrome: Social Antecedents and Psychological Sequelae |
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