Structural validity of a self-report concussion-related symptom scale.

Abstract:

PURPOSE:This study evaluated the factorial validity of a self-report measure of concussion-related symptom severity among a large sample of male, high-school athletes. METHODS:Participants (N = 1089) were nonconcussed, male, high-school football players. All participants completed a single baseline self-report measure of concussion-related symptom severity, namely the graded symptom checklist (GSC). We tested the factorial validity of the measure with confirmatory factor analysis using LISREL 8.50. RESULTS:The analysis indicated that a theoretically derived, three-factor model provided a good, but not excellent, fit for the 16-item GSC. Excellent model-data fit was demonstrated for the three-factor model for a 9-item version of the GSC. In both instances, the three factors were best described by a single second-order factor, namely concussion symptomatology. CONCLUSIONS:This study provides additional evidence for the factorial validity of a summative self-reported measure of concussion-related symptoms. The factor structure represents a cohesive group of nine symptoms that can be explained by three underlying latent variables, namely somatic symptoms, neurobehavioral symptoms, and "cognitive" symptoms, subsumed under a single higher-order factor, namely concussion symptoms.

journal_name

Med Sci Sports Exerc

authors

Piland SG,Motl RW,Guskiewicz KM,McCrea M,Ferrara MS

doi

10.1249/01.mss.0000183186.98212.d5

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

27-32

issue

1

eissn

0195-9131

issn

1530-0315

pii

00005768-200601000-00006

journal_volume

38

pub_type

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