Assessment method influences the severity and type of symptoms reported after self-reported mild traumatic brain injury.
J Clin Exp Neuropsychol
; 37(6): 641-52, 2015.
Article
en En
| MEDLINE
| ID: mdl-26011761
ABSTRACT
OBJECTIVE:
To investigate the influence of assessment method (spontaneous report versus checklist) on the report of postconcussive syndrome (PCS) symptoms after mild traumatic brain injury (mTBI).SETTING:
Community.PARTICIPANTS:
Thirty-six participants (58% female) with postacute self-reported mTBI (i.e., sustained 1-6 months prior to participation) and 36 age-, gender-, and ethnicity-matched controls with no history of mTBI.DESIGN:
Cross-sectional. MAINMEASURES:
Spontaneous symptom report from open-ended questions and checklist endorsed symptoms from the Neurobehavioral Symptom Inventory (both measures administered online).RESULTS:
Assessment method significantly affected individual symptom item frequencies (small to large effects), the number of symptoms reported, the total severity score, domain severity scores (i.e., somatic/sensory, cognitive, and affective symptom domains), and the number of participants who met a PCS caseness criterion (large effects; checklist > spontaneous report). The types of symptoms that were different between the groups differed for the assessmentmethods:
Compared to controls, the nonclinical mTBI group spontaneously reported significantly greater somatic/sensory and cognitive domain severity scores, whilst no domain severity scores differed between groups when endorsed on a checklist.CONCLUSIONS:
Assessment method can alter the number, severity, and types of symptoms reported by individuals who have sustained an mTBI and could potentially influence clinical decisions.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Índice de Severidad de la Enfermedad
/
Síndrome Posconmocional
/
Lista de Verificación
/
Autoinforme
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Clin Exp Neuropsychol
Asunto de la revista:
NEUROLOGIA
/
PSICOLOGIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Australia