TY - JOUR
PY - 2020//
TI - Perceived recovery and self-reported functioning in adolescents with mild traumatic brain injury: the role of sleep, mood, and physical symptoms
JO - Developmental neurorehabilitation
A1 - Wright, Brittany
A1 - Wilmoth, K.
A1 - Juengst, S. B.
A1 - Didehbani, N.
A1 - Maize, R.
A1 - Cullum, C. M.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - PURPOSE: To determine the contributions of anxiety, depressive, and concussion symptoms and sleep quality to self-perceived recovery in adolescents with concussion.
METHOD: Adolescents aged 12-20 (n = 298) completed anxiety, depression, concussion symptoms, and sleep measures at an initial concussion clinic visit and three-month follow-up. At follow-up, they reported self-perceived recovery as percent back to normal.
RESULTS: Injury-related factors alone did not predict self-perceived recovery (R(2) (Adj) =.017, p =.074). More concurrent physical, mental health, and sleep symptoms explained 18.8% additional variance in poorer self-perceived recovery (R(2) (Adj) Change =.188, p <.05). Physical symptoms (B(stand) = -.292) and anxiety (B(stand) = -.260) accounted for the most variance in self-perceived recovery.
CONCLUSION: Post-concussive symptoms, in particular anxiety and self-reported physical symptoms, seem to characterize protracted recovery. Self-perceived recovery as an outcome measure may provide a more holistic understanding of adolescents' experiences after concussion.
Language: en
LA - en SN - 1751-8423 UR - http://dx.doi.org/10.1080/17518423.2020.1858456 ID - ref1 ER -