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Emotional disorder and its assessment within the severe head injured population

Published online by Cambridge University Press:  09 July 2009

Glynda Kinsella ,
Carmel Moran ,
Bruce Ford  and
Jennie Ponsford
Glynda Kinsella*
Affiliation:
Department of Psychology, La Trobe University; Caulfield Rehabilitation Hospital, Bethesda Hospital, Melbourne, Australia
Carmel Moran
Affiliation:
Department of Psychology, La Trobe University; Caulfield Rehabilitation Hospital, Bethesda Hospital, Melbourne, Australia
Bruce Ford
Affiliation:
Department of Psychology, La Trobe University; Caulfield Rehabilitation Hospital, Bethesda Hospital, Melbourne, Australia
Jennie Ponsford
Affiliation:
Department of Psychology, La Trobe University; Caulfield Rehabilitation Hospital, Bethesda Hospital, Melbourne, Australia
*
1Address for correspondence: Dr. G. Kinsella, Department of Psychology, La Trobe University, Bundoora, 3083, Australia.
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Synopsis

This study examined the usefulness of self-report measures of emotional disorder in a relatively acute, severely head injured population (i.e. individuals who had sustained their injuries cwithin the previous two years). The General Health Questionnaire, the Leeds Scales of Depression and Anxiety, and Visual Analogue Scales of Depression and Anxiety were administered to 39 severely head injured subjects and 35 ‘close others’ who were required to give their opinions on how they thought the head injured subjects were feeling. Twenty head injured subjects were re-tested within a week. Results indicated that the head injured are able to reliably complete self-report scales as indicated by the ‘close’ others similar reports. The head injured seem to be relatively aware of their overt behaviours and emotions, at least when utilizing the General Health Questionnaire and the Leeds Scale of Depression. According to the measures of emotional disposition used in the present study, emotional disorder was found to be common. From the results it was further suggested that lack of a close confiding relationship predicts emotional disorder and may be used to identify those subjects at risk. Overall, the results provide confidence for the use of self-report scales as a preliminary approach to the identification of emotional disorder in the severely head injured.

Type
Research Article
Information
Psychological Medicine , Volume 18 , Issue 1 , February 1988 , pp. 57 - 63
Copyright
Copyright © Cambridge University Press 1988

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References

Aitken, R. C. B (1969). Measurement of feelings using the visual analogue scale. Proceedings of the Royal Society of Medicine 62, 989–996.CrossRefGoogle Scholar
Bond, M. (1984). The psychiatry of closed head injury. In Closed Head Injury. Psychological, Social & Family Consequences (ed. Brooks, N.), pp. 148–178. Oxford University Press: LondonGoogle Scholar
Brooks, D. N. & McKinlay, W. (1983). Personality and behavioural change severe blunt head injury-a relative's view Journal of Neurology, Neurosurgery and Psychiatry 46, 336–344.CrossRefGoogle ScholarPubMed
Brown, D. G. & Harris, T. (1978). Social Origins of Depression: A study of Psychiatric Disorder in Women. Tavistock: London.Google Scholar
Byrne, D. G. (1980). The prevalence of symptoms of depression in an Australian population. Australian and New Zealand Journal of Psychiatry 14, 65–71.CrossRefGoogle Scholar
Davies, B., Burrows, G. & Poynton, C (1975). A comparative study of four depression scales. Australian and New Zealand Journal of Psychiatry 9, 21–24.CrossRefGoogle Scholar
Elsass, L., & Kinsella, G. (1987). Social interaction following severe closed head injury. Psychological Medicine 17, 67–78.CrossRefGoogle ScholarPubMed
Fordyce, D. J., Roueche, J. R. & Pngatano, G. P. (1983) Enhanced emotional reactions in chronic head trauma patients. Journal of Neurology, Neurosurgery & Psychiatry 46, 620–624.CrossRefGoogle ScholarPubMed
Goldberg, D P. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: LondonGoogle Scholar
Henderson, A. S.Byrne, D. G. & Duncan Jones, P. (1981). Neurosis and the Social Environment. Academic Press: Sydney.Google Scholar
Hobbs, P., Ballinger, C. B. & Smith, A. H. W. (1983). Factor analysis and validation of the General Health Questionnaire in women: a general practice survey. British Journal of Psychiatry 142, 257–264.CrossRefGoogle ScholarPubMed
Hobbs, P., Ballinger, C. B., Greenwood, C., Martin, B. & McClure, A. (1984). Factor analysis and validation of the General Health Questionnaire in men: a general ractice study. British Journal of Psychiatry 144, 270–275.CrossRefGoogle Scholar
Platt, S. (1980) On establishing the validity of objective data: can we rely on cross-interview agreement? Psychological Medicine 10, 573–581.CrossRefGoogle ScholarPubMed
Selecki, B. R., Ring, I. T., Simpson, D. A., Vanderfield, G. K. & Sewell, M. F. (1977). Trauma to the central and peripheral nervous systems. Part 1: an overview of mortality, morbidity and costs; NSW 1977. Australian and New Zealand Journal of Surgery 52, 1: 93–102.CrossRefGoogle Scholar
Snaith, R. P., Bridge, G. W. K. & Hamilton, M. (1976). The Leeds Scales for the Self Assessment of Anxiety and Depression. Psychological Test Publications. London.CrossRefGoogle ScholarPubMed
Tyerman, A. & Humphrey, M. (1984). Changes in self concept following severe head injury. International Journal Rehabilitation Research 7, 11–23.CrossRefGoogle ScholarPubMed
Weddell, R., Oddy, M. & Jenkins, D. (1980) Social adjustment after rehabilitation: a two year follow-up of patients with severe head injury. Psychological Medicine 10, 257–263.CrossRefGoogle ScholarPubMed
World Health Organization, (1980). International Classification of Impairments, Disabilities and Handicaps. A Manual of Classification Relating to the Consequences of Disease. World Health Organization. Geneva.Google Scholar