Method of symptom assessment influences cognitive, affective and somatic post-concussion-like symptom base rates.

Abstract:

PRIMARY OBJECTIVE:To investigate whether assessment method influences the type of post-concussion-like symptoms. METHODS AND PROCEDURES:Participants were 73 Australian undergraduate students (Mage = 24.14, SD = 8.84; 75.3% female) with no history of mild traumatic brain injury (mTBI). Participants reported symptoms experienced over the previous 2 weeks in response to an open-ended question (free report), mock interview and standardized checklist (British Columbia Post-concussion Symptom Inventory; BC-PSI). MAIN OUTCOMES AND RESULTS:In the free report and checklist conditions, cognitive symptoms were reported significantly less frequently than affective (free report: p < 0.001; checklist: p < 0.001) or somatic symptoms (free report: p < 0.001; checklist: p = 0.004). However, in the mock structured interview condition, cognitive and somatic symptoms were reported significantly less frequently than affective symptoms (both p < 0.001). No participants reported at least one symptom from all three domains when assessed by free report, whereas most participants did so when symptoms were assessed by a mock structured interview (75%) or checklist (90%). CONCLUSIONS:Previous studies have shown that the method used to assess symptoms affects the number reported. This study shows that the assessment method also affects the type of reported symptoms.

journal_name

Brain Inj

journal_title

Brain injury

authors

Edmed SL,Sullivan KA

doi

10.3109/02699052.2014.915988

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

1277-82

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

28

pub_type

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