WAGNER, MARK TODD; PHD
MEMPHIS STATE UNIVERSITY, 1985
PSYCHOLOGY, CLINICAL (0622)
Head trauma has been conceptualized traditionally as primarily a neurosurgical
problem and the recovery
process has been thought to involve neural reorganization. The current emphasis
in the literature seems
to have turned to a multidimensional perspective for determining the consequences
of head injury.
Recent evidence has suggested that social support may play a role in ameliorating
psychosocial and
physical problems. The current study was conducted to determine the extent to
which social factors may
serve as one set of mediating variables which influence eventual outcome following
head injury. Forty
individuals with closed head injury and 26 controls from the community were
recruited as subjects for this
study. The experimental subjects were separated into three levels of severity
based on duration of
post-traumatic amnesia. They were interviewed with questionnaires one to eight
years after their injury in
order to determine perceived level of functioning. Wide variability in levels
of perceived overall level of
recovery was found. Head-injured subjects complained of more physical, cognitive,
emotional, and
vocational problems than control subjects. Further, significant structural changes
had occurred in the
head-injured subjects' social networks. Satisfaction with the social network
and number of friends in the
social network accounted for a significant amount of the variance in the overall
level of perceived
recovery. These results suggest a strong relationship between psychosocial factors
and perceived level
of recovery from head injury and offer a theoretical framework for quantifying
change. Implications were
discussed in terms of diagnostic and intervention issues.
Social
Systems Simulation Group
P.O. Box 6904 San Diego, CA 92166-0904 Roland Werner, Principal Phone/FAX (619) 660-1603 |