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Diagnosis Threat and Injury Beliefs After Mild Traumatic Brain Injury.
Carter-Allison, Samantha N; Potter, Sebastian; Rimes, Katharine.
Afiliación
  • Carter-Allison SN; Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Potter S; Lishman Brain Injury Unit, Maudsley Hospital, South London & Maudsley NHS Foundation Trust, London, UK.
  • Rimes K; Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Arch Clin Neuropsychol ; 31(7): 727-737, 2016 Nov 22.
Article en En | MEDLINE | ID: mdl-27551023
BACKGROUND: Diagnosis threat is a psychosocial factor proposed to contribute to poor cognitive outcomes following mild traumatic brain injury (mTBI). The current research explored diagnosis threat impact on objective and subjective cognitive performance in a "high risk" population of athletes. Two possible moderators of diagnosis threat - injury beliefs and suggestibility - were also investigated. METHOD: Seventy-six participants with a history of mTBI were recruited through sports clubs and randomized to a months threat group (instructions drew attention to mTBI history) or a control group (no mention of mTBI). They completed a battery of neuropsychological tests and questionnaires regarding day-to-day cognitive abilities. Measures of depression, anxiety, illness beliefs and suggestibility were also collected. RESULTS: No significant group differences were found on any neuropsychological tasks, nor on self-report of cognitive difficulties. Illness beliefs were not found to play a moderating role in general, although the majority of the study sample did not report negative mTBI beliefs and expectations: concern about the consequences of injury was associated with weaker performance on one test, WAIS-III Digit Span performance. Suggestibility was also found to have a significant affect on this test. CONCLUSIONS: Diagnosis threat did not appear to have a marked affect on objective or subjective cognitive performance after mTBI in athletes. Differing injury beliefs between the study's athlete population and the general population is a possible explanation for different findings in the area. This and other sources of potential variation in the affect of diagnosis threat are discussed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Arch Clin Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Arch Clin Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos