BRAIN — Broad Research in Artificial Intelligence and Neuroscience

The Impact of Psychosomatic Disorders and Forensic Consequences in Patients with Hip Fractures

Aurelian Anghele · BRAIN, 2024, 15(3), 301–313

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01 · Study overview

From physical trauma to psychological and medico-legal interpretation

The study examined 198 patients with pelvic fractures, using the White Bear Suppression Inventory (WBSI) to explore thought-suppression tendencies alongside forensic complications.

198participants
15WBSI items
1–5Likert scale
44.90mean WBSI score
Trauma
→
Pain / fear
→
Suppression
→
Thought rebound
→
Stress
→
Recovery perception

02 · White Bear Effect

Try not to think about the white bear.

The article discusses the paradox of thought suppression: trying to push a distressing thought away may be followed by its recurrence.

Distressing thought present

Observe what happens when suppression is activated.

Thought recurrence
28%

03 · Interactive Brain Network

Explore the neural systems discussed in the paper

Prefrontal Cortex(PFC) Default ModeNetwork (DMN) Amygdala
Conceptual visualisation of relative neural response.
LowHigh
PFC activity
Moderate
DMN activity
Moderate
Amygdala activity
High
Thought recurrence
High
1Distressing thought
→
2PFC attempts inhibition
→
3Temporary suppression
→
4DMN reactivation
→
5Thought rebound
→
6Emotional response

04 · Clinical Scenario Simulator

Follow a patient journey

This conceptual case explores how psychological responses, clinical experience and patient perception can interact during recovery.

Case 01 · Post-operative recovery

  • Age44 years
  • ConditionPelvic / hip fracture
  • StageRehabilitation
  • Main concernFear of disability
“What if I never recover completely?”

Current psychological state

Pain perception
58%
Anxiety
72%
Intrusive thoughts
76%
Suppression
66%
Stage 1 of 4 · Immediate reaction
The unwanted thought repeatedly returns. How does the patient respond?
Choose a response to see a conceptual consequence.
1Trauma
→
2Pain
→
3Distressing thought
→
4Suppression / coping
→
5Recovery perception
→
6Medico-legal interpretation