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Neurorehabilitation and Neural Repair
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The Constellation of Late Post-Traumatic Symptoms of Mild Head Injury Patients

Nicholaas J. Bohnen

Department of Neurology, Mayo Clinic, Rochester, Minnesota

Germa Wijnen

Department of Neuropsychology and Psychobiology, University of Limburg, Maastricht, The Netherlands

Albert Twijnstra

Department of Neurology, University Hospital, Maastricht, The Netherlands

Wim van Zutphen

Department of General Practice Medicine, University of Limburg, Maastricht, The Netherlands

Jellemer Jolles

A questionnaire-based investigation was carried out in patients with mild head injury (MH1) one to five years after the injury. A heterogeneous item pool was used in order to study the interrelationships between traditional postconcussive complaints and more emo tional and vegetative complaints. A three-factor model of residual subjective and psycho logical complaints was identified in the patient population (N = 231). This model con tained a dysthymic factor, a vegetative/bodily complaints factor, and a cognitive performance factor. A factor analysis in a matched non-concussed population (N = 231) revealed a rather different pattern. Although symptoms in both the patient and control group were non-specific in nature, patients reported significantly more severe symptoms compared with control persons. Key Words: Mild head injury—Postconcussive complaints.

Neurorehabilitation and Neural Repair, Vol. 9, No. 1, 33-39 (1995)
DOI: 10.1177/154596839500900105
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