TY - JOUR
T1 - Perceived Recovery and Self-Reported Functioning in Adolescents with Mild Traumatic Brain Injury
T2 - The Role of Sleep, Mood, and Physical Symptoms
AU - Wright, Brittany
AU - Wilmoth, K.
AU - Juengst, S. B.
AU - Didehbani, N.
AU - Maize, R.
AU - Cullum, C. M.
N1 - Funding Information:
This work was supported by the Texas Institute for Brain Injury and Repair (TIBIR), a state-funded initiative as part of the Peter J. O'Donnell Jr. Brain Institute at the University of Texas Southwestern Medical Center.
Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Purpose: To determine the contributions of anxiety, depressive, and concussion symptoms and sleep quality to self-perceived recovery in adolescents with concussion. Method: Adolescents aged 12–20 (n = 298) completed anxiety, depression, concussion symptoms, and sleep measures at an initial concussion clinic visit and three-month follow-up. At follow-up, they reported self-perceived recovery as percent back to normal. Results: Injury-related factors alone did not predict self-perceived recovery (R2Adj =.017, p =.074). More concurrent physical, mental health, and sleep symptoms explained 18.8% additional variance in poorer self-perceived recovery (R2Adj Change =.188, p <.05). Physical symptoms (Bstand = −.292) and anxiety (Bstand = −.260) accounted for the most variance in self-perceived recovery. Conclusion: Post-concussive symptoms, in particular anxiety and self-reported physical symptoms, seem to characterize protracted recovery. Self-perceived recovery as an outcome measure may provide a more holistic understanding of adolescents’ experiences after concussion.
AB - Purpose: To determine the contributions of anxiety, depressive, and concussion symptoms and sleep quality to self-perceived recovery in adolescents with concussion. Method: Adolescents aged 12–20 (n = 298) completed anxiety, depression, concussion symptoms, and sleep measures at an initial concussion clinic visit and three-month follow-up. At follow-up, they reported self-perceived recovery as percent back to normal. Results: Injury-related factors alone did not predict self-perceived recovery (R2Adj =.017, p =.074). More concurrent physical, mental health, and sleep symptoms explained 18.8% additional variance in poorer self-perceived recovery (R2Adj Change =.188, p <.05). Physical symptoms (Bstand = −.292) and anxiety (Bstand = −.260) accounted for the most variance in self-perceived recovery. Conclusion: Post-concussive symptoms, in particular anxiety and self-reported physical symptoms, seem to characterize protracted recovery. Self-perceived recovery as an outcome measure may provide a more holistic understanding of adolescents’ experiences after concussion.
KW - adolescent
KW - concussion
KW - mTBI
KW - mood
KW - sleep
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U2 - 10.1080/17518423.2020.1858456
DO - 10.1080/17518423.2020.1858456
M3 - Article
C2 - 33356738
AN - SCOPUS:85097989156
SN - 1751-8423
VL - 24
SP - 237
EP - 243
JO - Developmental Neurorehabilitation
JF - Developmental Neurorehabilitation
IS - 4
ER -