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Revista chilena de neuro-psiquiatría

versão On-line ISSN 0717-9227

Resumo

REBOLLEDO, Policarpo; HORTA, Elizabeth; CARBONELL, Carmen Gloria  e  TRUCCO, Marcelo. Psychological adjustment after traumatic brain injury . Rev. chil. neuro-psiquiatr. [online]. 2000, vol.38, n.2, pp.104-111. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272000000200005.

To explore occupational and psychosocial outcome in injured workers following head injury. Sample was selected from a serie of 273 patients evaluated by Medical Committee of Work Accidents between 1989-1993. Sample was pided in 4 groups according the degree of work disability (Mild, Moderate, Severe and Total disability). During 1997 patients were interviewed and responded to a questionnaire designed to evaluate occupational and social adjustment. 154 patients were interviewed. Average time of follow-up was 5.9 years. 85% were males; age average was 40.3 years; educational level was 8.4 years; 75% were blue collar workers and 70% were married. 85 patients (55.1%) returned to work after hospital discharge. The return to work rate for the four groups was: mild 93%, moderate 84%, severe 50% (chi2 p<0.001). At follow-up 69 patients (44.8%) maintained a job and the rate was: Mild 71%, Moderate 87%, Severe 32%. 78% of the employed patients returned to same job and level of responsibility and 22% of patients were relocated with a reduced level of responsibility. Finaly: 1) A high proportion of patients with mild and moderate sequelae after work-related head injury were able to return to work and maintain the same level of responsability. 2) Only 1/3 of patients with severe sequelae were working at follow-up. 3) Social adjustment is better in patients who were working

Palavras-chave : psychological adjustment; psychosocial outcome; head injury; disability .

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