Does the fear avoidance model explain persistent symptoms after traumatic brain injury?
Brain Inj
; 31(12): 1597-1604, 2017.
Article
in En
| MEDLINE
| ID: mdl-28980825
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Avoidance Learning
/
Post-Concussion Syndrome
/
Depression
/
Fear
/
Brain Injuries, Traumatic
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Brain Inj
Journal subject:
CEREBRO
Year:
2017
Document type:
Article
Affiliation country:
Países Bajos
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM