Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1252
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dc.contributor.authorPonsford, Jennie-
dc.contributor.otherWijenberg, Melloney-
dc.contributor.otherStapert, Sven-
dc.contributor.otherVerbunt, Jeanine-
dc.contributor.otherVan Heugten, Caroline-
dc.date.accessioned2017-11-10T01:46:25Z-
dc.date.available2017-11-10T01:46:25Z-
dc.date.issued2017-10-
dc.identifier.citationBrain Inj. 2017;31(12):1597-1604en_US
dc.identifier.issn0269-9052en_US
dc.identifier.issn1362-301Xen_US
dc.identifier.urihttp://hdl.handle.net/11434/1252-
dc.description.abstractBACKGROUND: A minority of patients with mild traumatic brain injury (mTBI) experience a persistent symptom complex also known as post-concussion syndrome. Explanations for this syndrome are still lacking. OBJECTIVE: To investigate if the fear avoidance model, including catastrophizing thoughts and fear avoidance behaviour, poses a possible biopsychosocial explanation for lingering symptoms and delay in recovery after traumatic brain injury (TBI) with special focus on mTBI. DESIGN: Cross-sectional study. PARTICIPANTS: 48 patients with TBI, of which 31 patients with mTBI, had persistent symptoms (mean time since injury 48.2 months); 92% of the entire sample fulfilled the criteria for post-concussion syndrome. OUTCOME VARIABLES: catastrophizing, fear-avoidance, depression and post-concussion symptoms. RESULTS: High levels of catastrophizing were found in 10% and high levels of fear avoidance behaviour were found in 35%. Catastrophizing, fear avoidance behaviour, depressive symptoms and post-concussion symptoms correlated significantly with each other (p < 0.05). CONCLUSION: The fear-avoidance model proposes a possible explanation for persistent symptoms. Validation and normative data are needed for suitable measures of catastrophizing and fear avoidance of post-concussion symptoms after TBI. Longitudinal prospective cohort studies are needed to establish its causal and explanatory nature.en_US
dc.publisherTaylor & Francisen_US
dc.subjectCatastrophizing Thoughtsen_US
dc.subjectMild Traumatic Brain Injuryen_US
dc.subjectmTBIen_US
dc.subjectChronic Phaseen_US
dc.subjectFear Avoidance Behaviouren_US
dc.subjectFear Avoidance Modelen_US
dc.subjectPost Concussion Syndromeen_US
dc.subjectDepressive Symptomsen_US
dc.subjectTramatic Brain Injuryen_US
dc.subjectTBIen_US
dc.subjectCatastrophizingen_US
dc.subjectBiopsychosocialen_US
dc.subjectRecovery Delayen_US
dc.subjectDepressionen_US
dc.subjectPost Concussional Syndromeen_US
dc.subjectPersistent Symptomsen_US
dc.subjectMonash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australiaen_US
dc.titleDoes the fear avoidance model explain persistent symptoms after traumatic brain injury?en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1080/02699052.2017.1366551en_US
dc.identifier.journaltitleBrain Injuryen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/28980825en_US
dc.description.affiliatesDepartment of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University , Maastricht , the Netherlands.en_US
dc.description.affiliatesLimburg Brain Injury Centre, Limburg, The Netherlandsen_US
dc.description.affiliatesDepartment of Medical Psychology, Zuyderland Medical Centre, Sittard-Geleen, The Netherlandsen_US
dc.description.affiliatesAdelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlandsen_US
dc.description.affiliatesDepartment of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, Maastricht, The Netherlandsen_US
dc.description.affiliatesDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlandsen_US
dc.type.studyortrialCross-Sectional Studyen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences
Rehabilitation

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