Child- compared with parent-report ratings on psychosocial measures following a mild traumatic brain injury among youth with persistent post-concussion symptoms
| Autor: | Frederick P. Rivara, Douglas F. Zatzick, Sara P D Chrisman, Ashleigh M Johnson, Lyscha A Marcynyszyn, Carolyn A. McCarty |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Parents 030506 rehabilitation Adolescent Traumatic brain injury Neuroscience (miscellaneous) Article 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Concussion Developmental and Educational Psychology medicine Humans Depression (differential diagnoses) Brain Concussion business.industry Post-Concussion Syndrome Reproducibility of Results medicine.disease Cross-Sectional Studies Post concussion symptoms Quality of Life Anxiety Female Neurology (clinical) Health behavior medicine.symptom 0305 other medical science business Psychosocial 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Brain Inj |
| Popis: | PRIMARY OBJECTIVE: To compare child- and parent-report ratings on the Health Behavior Inventory, Revised Child Anxiety and Depression Scale-Short Version (anxiety subscale), Patient Health Questionnaire-9, and Pediatric Quality of Life Inventory™ among children with persistent post-concussive symptoms following a sports- or recreation-related concussion, overall and by child age and gender. RESEARCH DESIGN: Cross-sectional study examining baseline data from a randomized, comparative effectiveness trial. METHODS AND PROCEDURES: Inter-rater reliability was assessed using two-way random effects model (absolute agreement) intraclass correlations, correlations were examined using Spearman’s rho, mean differences were determined using paired t-tests, and agreement was examined using Bland-Altman plots. MAIN OUTCOMES AND RESULTS: The final analytic sample was 200 parent-child dyads [child M(age)=14.7 (95% CI: 14.5, 15.0)]. Reliability and correlations were modest overall. When considering child age and gender, reliability ranged from poor to excellent (−1.01–0.95) and correlations ranged from weak to strong (−0.64–0.94). Overall, children reported more symptoms but better functioning than parents, and mean differences in scores were greater among females (versus males) and ages 16–18 (versus younger groups). CONCLUSIONS: Findings should inform the use and interpretation of psychosocial measures when developing appropriate youth concussion treatment plans. |
| Databáze: | OpenAIRE |
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