Understanding the 'miserable minority': a diasthesis-stress paradigm for post-concussional syndrome.

Abstract:

:Opinions about persisting post-concussional symptoms after minor traumatic brain injury still reflect a polarization of views around the sterile debate concerning the psychological vs organic origins of symptoms. Reviews of the experimental literature do not always integrate the often diverse perspectives that explain persisting symptoms of concussion. As a result, the disorder is still poorly understood. In this review, a diasthesis-stress paradigm examines the interaction between physiological and psychological factors that generate and maintain post-concussional symptoms. Motivational factors and different coping strategies are considered to explain why some people are at risk of developing a post-concussional syndrome. The early iatrogenic potential of GPs and hospital doctors who may create insecurity or reinforce illness perceptions is considered. Finally, the rationale and effectiveness of interventions that ameliorate the impact of early post-concussional symptoms is reviewed to see if prevention of the post-concussional syndrome is more effective than cure.

journal_name

Brain Inj

journal_title

Brain injury

authors

Wood RL

doi

10.1080/02699050410001675906

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

1135-53

issue

11

eissn

0269-9052

issn

1362-301X

pii

3D7G1WTHJY003YMQ

journal_volume

18

pub_type

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