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 -