TY - JOUR PY - 2021// TI - Impact of self-efficacy and affective functioning on pediatric concussion symptom severity JO - Journal of the International Neuropsychological Society A1 - Gioia, Gerard A. A1 - Ramsey, Kesley A. A1 - McGuire, Joseph F. A1 - Wagner, Barry M. A1 - Vaughan, Christopher SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: The purpose of this study was to examine whether self-efficacy predicted pediatric concussion symptom severity and explore whether affective mood states (e.g., depression) influenced this relationship.

METHOD: Children (8-17 years) who were diagnosed with a concussion within 30 days of injury participated in the study (n = 105). Following a clinical assessment, participants and caregivers completed questionnaires that assessed overall concussion symptom severity and current depression symptoms. Participants also completed ratings capturing self-efficacy for managing concussion recovery.

RESULTS: Linear regression models revealed that greater levels of self-efficacy predicted lower parent- (R2 = 0.10, p =.001) and youth-rated (R2 = 0.23, p <.001) concussion symptom severity. Interestingly, depression symptoms moderated the relationship between self-efficacy and concussion symptom severity.

CONCLUSIONS: Findings provide initial support for a relationship between self-efficacy and concussion outcomes and highlight the influence of depressive symptoms. Interventions that optimize youth's self-efficacy have the potential to increase treatment adherence, reduce concussion symptom severity, and improve recovery prognosis.

Language: en

LA - en SN - 1355-6177 UR - http://dx.doi.org/10.1017/S1355617720001320 ID - ref1 ER -