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Stresses upon the Relatives of Head-Injured Patients

Published online by Cambridge University Press:  29 January 2018

Michael Oddy ,
Michael Humphrey  and
David Uttley
Michael Oddy
Affiliation:
St Francis Hospital, Haywards Heath, Sussex
Michael Humphrey
Affiliation:
St George's Hospital Medical School, Cranmer Terrace, Tooting, London SW17
David Uttley
Affiliation:
Atkinson Morley's Hospital, Copse Hill, Wimbledon, London SW20
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Summary

As part of a prospective study of closed head injury, 54 relatives were interviewed within a month of the patient's accident and again six and twelve months later.

The degree of stress on the relatives was measured by means of the Wakefield Depression Scale and by interview questions.

The worst period of stress for the majority of relatives appeared to be during the first month after the accident. However, the degree of stress appeared to level off by the sixth month and no further diminution was found at twelve months.

Stress was apparently mediated by the relatives' perception of personality changes and subjective defects. It was not affected by the severity of the head injury or associated disabilities, nor by whether the patient had resumed work and leisure activities.

The nature of the stress is analysed and methods of alleviating it discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 133 , Issue 6 , December 1978 , pp. 507 - 513
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Adler, A. (1945) Mental symptoms following head injury: a statistical analysis of 200 cases. Archives of Neurology, and Psychiatry, 53, 34–43.CrossRefGoogle Scholar
Bond, M. R. (1975) Assessment of the psychosocial outcome after severe head injury. In Outcome of Severe Damage to the C.N.S. Ciba Foundation Symposium (34), pp. 141–53.CrossRefGoogle Scholar
Bond, M. R. & Brooks, D. N. (1976) Understanding the process of recovery as a basis for the investigation of rehabilitation for the brain-injured. Scandinavian Journal of Rehabilitation Medicine, 8, 127–33.Google Scholar
Jennett, W. B. (1975) Who cares for head injuries? British Medical Journal, iii, 267–70.Google Scholar
Katz, M. M. & Lyerly, S. B. (1963) Methods of measuring adjustment and social behaviour in the community: I. Rationale, description, discriminative validity and scale development. Psychological Reports, 13, 503–35.CrossRefGoogle Scholar
Kozol, H. L. (1945) Pretraumatic personality and psychiatric sequelae of head injury. Archives of Neurology and Psychiatry, 56, 245–75.Google Scholar
London, P. S. (1967) Some observations on the course of events after severe injury of the head. Annals of the Royal College of Surgeons of England, 41, 460–79.Google ScholarPubMed
Oddy, M., Humphrey, M. & Uttley, D. (1978) Subjective impairment and social recovery after closed head injury. Journal of Neurology, Neurosurgery and Psychiatry (in press).CrossRefGoogle Scholar
Panting, A. & Merry, P. H. (1972) The long-term rehabilitation of severe head injuries with particular reference to the need for social and medical support for the patient's family. Rehabilitation, 38, 33–7.Google Scholar
Romano, M. D. (1974) Family response to traumatic head injury. Scandinavian Journal of Rehabilitation Medicine, 6, 1–4.Google ScholarPubMed
Rosenbaum, M. & Najenson, T. (1976) Changes in life patterns and symptoms of low mood as reported by wives of severely brain-injured soldiers. Journal of Consulting and Clinical Psychology, 44, 881–8.CrossRefGoogle Scholar
Russell, W. R. (1971) The Traumatic Amnesias, p. 32, Oxford University Press.Google Scholar
Snaith, R. P., Ahmed, S. N., Mehta, S. & Hamilton, M. (1971) Assessment of the severity of primary depressive illness. Psychological Medicine, 1, 143–9.CrossRefGoogle ScholarPubMed
Thomsen, I. V. (1974) The patient with severe head injury and his family—a follow-up study of 50 patients. Scandinavian Journal of Rehabilitation Medicine, 6, 180–3.Google ScholarPubMed
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