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Does the fear avoidance model explain persistent symptoms after traumatic brain injury?
- Source :
- Brain Injury; 2017, Vol. 31 Issue 12, p1597-1604, 8p
- Publication Year :
- 2017
-
Abstract
- Background:A minority of patients with mild traumatic brain injury (mTBI) experience a persistent symptom complex also known as post-concussion syndrome. Explanations for this syndrome are still lacking. Objective:To investigate if the fear avoidance model, including catastrophizing thoughts and fear avoidance behaviour, poses a possible biopsychosocial explanation for lingering symptoms and delay in recovery after traumatic brain injury (TBI) with special focus on mTBI. Design:Cross-sectional study. Participants:48 patients with TBI, of which 31 patients with mTBI, had persistent symptoms (mean time since injury 48.2 months); 92% of the entire sample fulfilled the criteria for post-concussion syndrome. Outcome variables:catastrophizing, fear-avoidance, depression and post-concussion symptoms. Results:High levels of catastrophizing were found in 10% and high levels of fear avoidance behaviour were found in 35%. Catastrophizing, fear avoidance behaviour, depressive symptoms and post-concussion symptoms correlated significantly with each other (p < 0.05). Conclusion:The fear-avoidance model proposes a possible explanation for persistent symptoms. Validation and normative data are needed for suitable measures of catastrophizing and fear avoidance of post-concussion symptoms after TBI. Longitudinal prospective cohort studies are needed to establish its causal and explanatory nature. [ABSTRACT FROM PUBLISHER]
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 31
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 126002604
- Full Text :
- https://doi.org/10.1080/02699052.2017.1366551