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Psychiatric sequelae of minor head injury. A prospective follow-up study

Published online by Cambridge University Press:  16 April 2020

T Middelboe ,
HS Andersen ,
M Birket-Smith  and
ML Friis
T Middelboe
Affiliation:
Departments of Neurology, Bispebjerg Hospital, Distriktspsykiatrisk Center, Møntmestervej 17, DK-2400, Copenhagen, NV Psychiatry, Bispebjerg Hospital, Distriktspsykiatrisk Center, Møntmestervej 17, DK-2400, Copenhagen, NV Institute of Personality Theory and Psychopathology, University of Copenhagen, Nordvang Hospital, DK-2600, Glostrup, Denmark
HS Andersen
Affiliation:
Departments of Neurology, Bispebjerg Hospital, Distriktspsykiatrisk Center, Møntmestervej 17, DK-2400, Copenhagen, NV Psychiatry, Bispebjerg Hospital, Distriktspsykiatrisk Center, Møntmestervej 17, DK-2400, Copenhagen, NV Institute of Personality Theory and Psychopathology, University of Copenhagen, Nordvang Hospital, DK-2600, Glostrup, Denmark
M Birket-Smith
Affiliation:
Institute of Personality Theory and Psychopathology, University of Copenhagen, Nordvang Hospital, DK-2600, Glostrup, Denmark
ML Friis
Affiliation:
Departments of Neurology, Bispebjerg Hospital, Distriktspsykiatrisk Center, Møntmestervej 17, DK-2400, Copenhagen, NV
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Summary

Psychiatric morbidity was measured in a prospective follow-up study of 51 patients admitted to hospital after minor head injury. By means of self report questionnaires (eg General Health Questionnaire (SHQ) and Impact of Event Scale), semistructured interviews and symptom-checklists, it was found that nearly half of the patients suffered considerable discomfort after 1 week. Improvement during the 3 months follow-up was generally poor. Both concussional symptoms and stress response contributed to the compromised well-being as measured by the GHQ, but outcome did not correlate to severity of injury. The GHQ-60 score of 1 week showed a strong positive correlation with outcome after 3 months. The incidence of post-traumatic stress disorder was low.

Keywords

minor head injurygeneral healthpsychosocial sequelae
Type
Original article
Information
European Psychiatry , Volume 7 , Issue 4 , 1992 , pp. 183 - 189
Copyright
Copyright © Elsevier, Paris 1992

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