Abstract
Postconcussion Syndrome (PCS) is a disorder that occurs following about 75% to 80% of all mild head injuries (Alves, Colohan, O’Leary, Rimel, & Jane, 1986; Rimel, Girodani, Barth, Boll, & Jane, 1981). Whereas severe head injury generally produces neuropsychological deficits in memory and intellectual function, mild concussion can result in more subtle disruptions in daily functioning in the months following head trauma. This consistent cluster of postconcussive symptoms includes difficulty with attention and concentration, disturbances in memory, headache, vertigo, anxiety, depression, fatigue, irritability, blurred vision, and sensitivity to light (Mittenberg, DiGiulio, Perrin, & Bass, 1992; World Health Organization, 1978). Given that nearly 325,000 head injuries that annually occur in the United States are classified as mild (Levin, Eisenberg, & Benton, 1989), design of effective treatment for PCS appears warranted.
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References
Alves, W. M., Colohan, A. R., O’Leary, T. J., Rimel, R. W., Jane, J. A. (1986). Understanding post-traumatic symptoms after minor head injury. Journal of Head Trauma Rehabilitation, 1, 1–12.
Ascher, L. M. (1981). Employing paradoxical intention in the treatment of agoraphobia. Behavior Research and Therapy, 19, 533–547.
Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Cautela, J., & Kastenbaum, R. (1967). A reinforcement survey schedule for use in therapy, training, and research. Psychological Reports, 20, 1115–1130.
Cook, J. B. (1969). Effects of minor head injuries sustained in sports and the postconcussional syndrome. In A. E. Walker, W. F. Caveness, & M. Critchley (Eds.), The late effects of head injury (pp. 408–413). Springfield, IL: Thomas.
Cook, J. B. (1972). The postconcussional syndrome and factors influencing recovery after minor head injury admitted to hospital. Scandinavian Journal of Rehabilitation Medicine, 4, 27–30.
Cormier, W. H., & Cormier, L. S. (1985). Interviewing strategies for helpers: Fundamental skills and cognitive behavioral interventions (2nd ed.). Monterey, CA: Brooks/Cole.
Deffenbacher, J., Demm, P., & Brandon, A. (1986). High general anger: Correlates and treatment. Behaviour Research and Therapy, 24, 481–489.
Eifert, G. H., & Craill, L. (1989). The relationship between affect, behavior, and cognition in behavioral and cognitive treatments of depression and phobic anxiety. Behavior Change, 6, 96–103.
Elder, J. P., Edelstein, B. A., & Fremouw, W. J. (1981). Client by treatment interactions in response acquisition and cognitive restructuring approaches. Cognitive Therapy and Research, 5, 203–210.
Freeman, A., Pretzer, J., Fleming, B., & Simon, K. M. (1990). Clinical applications of cognitive therapy. New York: Plenum Press.
Garfield, S. L., & Bergin, A. E. (1986). Handbook of psychotherapy and behavior change. New York: Wiley.
Gormally, J., Varvilweld, D., Raphael R. & Sipps, G. (1981). Treatment of socially anxious college men using cognitive counseling and skills training. Journal of Counseling Psychology, 28, 147–157.
Gouvier, W. D., Cubic, B., Jones, G., Brantley, P., & Cutlip, Q. (1992). Postconcussion symptoms and daily stress in normal and head-injured college populations. Archives of Clinical Neuropsychology, 7, 193–211.
Hart, K. (1984). Stress management training for Type A individuals. Journal of Behavior Therapy and Experimental Psychiatry, 15, 133–140.
Huey, S. R., & West, S. G. (1983). Hyperventilation: Its relation to symptom experience and to anxiety. Journal of Abnormal Psychology, 92, 422–432.
Levin, H. S., Benton, A. L., & Grossman, R. G. (1982). Neurobehavioral consequences of closed head injury. New York: Oxford Press.
Levin, H. S., Eisenberg, H. M., & Benton, A. L. (1989). Mild head injury. New York: Oxford University Press.
Levin, H. S., Mattis, S., Ruff, R. M., Eisenber, H. M., Marshall, L. F., & Tabaddor, K. (1987). Neurobehavioral outcome following minor head injury: A three-center study. Journal of Neurosurgery, 66, 234–243.
Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. M. Friedman & M. M. Katz (Eds.), The psychology of depression: Contemporary theory and research. Washington D.C.: Winston-Wiley.
Ley, R. (1985). Blood, breath, and fears: A hyperventilation theory of panic attacks and agoraphobia. Clinical Psychology Review, 5, 271–285.
Mandler, G. (1982). Stress and thought processes. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects (pp. 88–104). New York: Free Press.
McLean, A., Dikman, S., Temkin, N., Wyler, A. R., & Gale, J. L. (1984). Psychological functioning at one month after head injury. Neurosurgery, 14, 393–399.
McLean, A., Temkin N. R., Dikmen, S., & Wyler, A. R. (1983). The behavioral sequelae of head injury. Journal of Clinical Neuropsychology, 5, 361–376.
Meichenbaum, D. H. (1977). Cognitive behavior modification: An integrative approach. New York: Plenum Press.
Miller, H. (1961). Accident neurosis. British Medical Journal, 1, 919–925.
Mittenberg, W., & Burton, D. B. (1994). A survey of treatments for postconcussion syndrome. Brain Injury, 8, 429–437.
Mittenberg, W., DiGiulio, D. V., Perrin, S., & Bass, A. E. (1992). Symptoms following mild head injury: Expectation as aetilogy. Journal of Neurology, Neurosurgery and Psychiatry, 55, 157–161.
Mittenberg, W., Zielinski, R., & Fichera, S. (1993). Recovery from mild head injury: A treatment manual for patients. Psychotherapy in Private Practice, 12, 37–52.
Rimel, R. W., Girodani, B., Barth, J. T., Boll, T. J., & Jane, J. A. (1981). Disability caused by minor head injury. Neurosurgery, 9, 221–228.
Rutherford, W. H., Merrett, J. D., & McDonald, J. R. (1979). Symptoms at one year following concussion from minor head injuries. Injury, 10, 225–230.
Salkovskis, P. M., Warwick, H. M. C., Clark, D. M., & Wessels, D. L. (1986). A demonstration of acute hyperventilation during naturally occurring panic attacks. Behaviour Research and Therapy, 24, 91–94.
Schwartz, M. (1987). Biofeedback: A practitioner’s guide. New York: Guilford Press.
Suinn, R. M. (1990). Anxiety management training: A behavior therapy. New York: Plenum Press.
Suinn, R., & Vattano, F. (1979). Stress management for tension headache. Unpublished manuscript, Colorado State University, Fort Collins, CO.
Sweeney, G. A., & Horan, J. J. (1982). Separate and combined effects of cue-controlled relaxation and cognitive restructuring in the treatment of medical performance anxiety. Journal of Counseling Psychology, 29, 486–497.
Thompson, J., Griebstein, M., & Kuhlenschmidt, S. (1980). Effects of EMG biofeedback and relaxation training in the prevention of academic underachievement. Journal of Counseling Psychology, 27, 97–106.
World Health Organization (1978). Mental disorders: Glossary and guide to their classification in accordance with the 9th revision of the international classification of diseases. Geneva: World Health Organization.
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Ferguson, R.J., Mittenberg, W. (1996). Cognitive—Behavioral Treatment of Postconcussion Syndrome. In: Van Hasselt, V.B., Hersen, M. (eds) Sourcebook of Psychological Treatment Manuals for Adult Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1528-3_16
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DOI: https://doi.org/10.1007/978-1-4899-1528-3_16
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