Normative Data for the Fear Avoidance Behavior After Traumatic Brain Injury Questionnaire in a Clinical Sample of Adults With Mild TBI
| Autor: | Cindy Hunt, Chantel T. Debert, Mark Bayley, Noah D. Silverberg, Paul Comper, Tharshini Chandra, Molly Cairncross |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Traumatic brain injury Physical Therapy Sports Therapy and Rehabilitation Emotional distress Surveys and Questionnaires Brain Injuries Traumatic Concussion Avoidance Learning medicine Humans Raw score Brain Concussion Rasch model Post-Concussion Syndrome business.industry Rehabilitation Fear Rivermead post-concussion symptoms questionnaire medicine.disease Cross-Sectional Studies Time since injury Normative Female Neurology (clinical) business Clinical psychology |
| Zdroj: | Journal of Head Trauma Rehabilitation. 36:E355-E362 |
| ISSN: | 0885-9701 |
| Popis: | OBJECTIVE Fear avoidance behavior after a concussion or mild traumatic brain injury (mTBI) is associated with a number of adverse outcomes, such as higher symptom burden, emotional distress, and disability. The Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire (FAB-TBI) is a recently developed and validated self-report measure of fear avoidance after mTBI. The objective of this study was to derive clinical normative data for the FAB-TBI. To determine whether demographic stratification was necessary and to further support clinical interpretation, we also explored associations between fear avoidance behavior and demographic and injury variables. SETTING Five concussion clinics in Canada. PARTICIPANTS Adults who sustained an mTBI (N = 563). DESIGN Cross-sectional. MAIN MEASURES Participants completed the Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire (FAB-TBI) and measures of postconcussion symptom burden (Rivermead Postconcussion Symptoms Questionnaire, Sport Concussion Assessment Tool-5) at clinic intake. RESULTS Generalized linear modeling revealed that females reported more fear avoidance than males (95% CI = 0.66 to 2.75), indicating that FAB-TBI normative data should be stratified by sex. Differences between recruitment sites on FAB-TBI scores were reduced but not eliminated by controlling for potential confounds. Loss of consciousness (95% CI =0.61 to 2.76) and higher postconcussion symptom burden (95% CI = 0.79 to 1.03) were also associated with higher FAB-TBI scores, but time since injury was not (95% = CI -0.4 to 0.03). Tables to convert FAB-TBI raw scores to Rasch scores to percentiles are presented. CONCLUSION These findings support clinical interpretation of the FAB-TBI and further study of fear avoidance after mTBI. |
| Databáze: | OpenAIRE |
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