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J Neurol Neurosurg Psychiatry. 1992 March; 55(3): 200–204.
PMCID: PMC1014726

Symptoms following mild head injury: expectation as aetiology.


An affective, somatic, and memory check-list of symptoms was administered to subjects who had no personal experience or knowledge of head injury. Subjects indicated their current experiences of symptoms, then imagined having sustained a mild head injury in a motor vehicle accident, and endorsed symptoms they expected to experience six months after the injury. The checklist of symptoms was also administered to a group of patients with head injuries for comparison. Imaginary concussion reliably showed expectations in controls of a coherent cluster of symptoms virtually identical to the postconcussion syndrome reported by patients with head trauma. Patients consistently underestimated the premorbid prevalence of these symptoms compared with the base rate in controls. Symptom expectations appear to share as much variance with postconcussion syndrome as head injury itself. An aetiological role is suggested.

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Selected References

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  • Merskey H, Woodforde JM. Psychiatric sequelae of minor head injury. Brain. 1972;95(3):521–528. [PubMed]
  • Binder LM. Persisting symptoms after mild head injury: a review of the postconcussive syndrome. J Clin Exp Neuropsychol. 1986 Aug;8(4):323–346. [PubMed]
  • MILLER H. Accident neurosis. Br Med J. 1961 Apr 1;1(5230):919–925. [PMC free article] [PubMed]
  • Rutherford WH, Merrett JD, McDonald JR. Symptoms at one year following concussion from minor head injuries. Injury. 1979 Feb;10(3):225–230. [PubMed]
  • Levin HS, Mattis S, Ruff RM, Eisenberg HM, Marshall LF, Tabaddor K, High WM, Jr, Frankowski RF. Neurobehavioral outcome following minor head injury: a three-center study. J Neurosurg. 1987 Feb;66(2):234–243. [PubMed]
  • McLean A, Jr, Temkin NR, Dikmen S, Wyler AR. The behavioral sequelae of head injury. J Clin Neuropsychol. 1983 Dec;5(4):361–376. [PubMed]
  • McLean A, Jr, Dikmen S, Temkin N, Wyler AR, Gale JL. Psychosocial functioning at 1 month after head injury. Neurosurgery. 1984 Apr;14(4):393–399. [PubMed]
  • Rutherford WH. Sequelae of concussion caused by minor head injuries. Lancet. 1977 Jan 1;1(8001):1–4. [PubMed]
  • Gouvier WD, Uddo-Crane M, Brown LM. Base rates of post-concussional symptoms. Arch Clin Neuropsychol. 1988;3(3):273–278. [PubMed]
  • Barsky AJ, Klerman GL. Overview: hypochondriasis, bodily complaints, and somatic styles. Am J Psychiatry. 1983 Mar;140(3):273–283. [PubMed]
  • Reisenzein R. The Schachter theory of emotion: two decades later. Psychol Bull. 1983 Sep;94(2):239–264. [PubMed]
  • SCHACHTER S, SINGER JE. Cognitive, social, and physiological determinants of emotional state. Psychol Rev. 1962 Sep;69:379–399. [PubMed]
  • Casey R, Ludwig S, McCormick MC. Morbidity following minor head trauma in children. Pediatrics. 1986 Sep;78(3):497–502. [PubMed]
  • Kellner R. Functional somatic symptoms and hypochondriasis. A survey of empirical studies. Arch Gen Psychiatry. 1985 Aug;42(8):821–833. [PubMed]
  • Mechanic D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J Med. 1972 May 25;286(21):1132–1139. [PubMed]
  • Long CJ, Novack TA. Postconcussion symptoms after head trauma: interpretation and treatment. South Med J. 1986 Jun;79(6):728–732. [PubMed]
  • Kelly R. The post-traumatic syndrome: an iatrogenic disease. Forensic Sci. 1975 Aug-Oct;6(1-2):17–24. [PubMed]

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