Remschmidt H
Monatsschr Kinderheilkd (1902). 1979 Jul;127(7):436-40.
Psychosocial consequences of head injuries in children can be understood in terms of an interaction between pretraumatic conditions, conditions and sequelae of the trauma (injury) and posttraumatic factors. The results of these interactions in the area of psychosocial functioning can be defined as effects on development in general as well as effects on school behaviour, occupational and family situation. Taking into account these factors, and the reaction of the famility, two major reactions can be identified: (1) Insisting on the until now practised attitude to the child, (2) Abrupt changing of the attitude to the child after head injury. Both reactions lead to an inadequate handling of the child and in consequence to overtax or overprotection. Finally, also the reaction of the child has to be taken into account. It should be integrated into the rehabilitation program. There seem to be differences between children with slight and severe head injuries.
儿童头部损伤的心理社会后果可以从创伤前状况、创伤（损伤）的状况和后遗症以及创伤后因素之间的相互作用来理解。这些相互作用在心理社会功能领域的结果可以定义为对总体发育的影响以及对学校行为、职业和家庭状况的影响。考虑到这些因素以及家庭的反应，可以确定两种主要反应：（1）坚持对孩子迄今为止的态度，（2）头部受伤后对孩子态度的突然改变。这两种反应都会导致对孩子的处理不当，进而导致过度劳累或过度保护。最后，孩子的反应也必须考虑在内。应该将其纳入康复计划。轻度和重度头部损伤的儿童之间似乎存在差异。
