The role of psychological resilience and mTBI as predictors of postconcussional syndrome symptomatology

Sullivan, Karen A., Edmed, Shannon L., Allan, Alicia C., Smith, Simon S. and Karlsson, Lina J. E. (2015) The role of psychological resilience and mTBI as predictors of postconcussional syndrome symptomatology. Rehabilitation Psychology, 60 2: 147-154. doi:10.1037/rep0000037

Author Sullivan, Karen A.
Edmed, Shannon L.
Allan, Alicia C.
Smith, Simon S.
Karlsson, Lina J. E.
Title The role of psychological resilience and mTBI as predictors of postconcussional syndrome symptomatology
Journal name Rehabilitation Psychology   Check publisher's open access policy
ISSN 1939-1544
Publication date 2015-05-01
Sub-type Article (original research)
DOI 10.1037/rep0000037
Open Access Status Not yet assessed
Volume 60
Issue 2
Start page 147
End page 154
Total pages 8
Place of publication Washington, DC United States
Publisher American Psychological Association
Language eng
Formatted abstract
Objective: Resilience is 1 of several factors that are thought to contribute to outcome following mild traumatic brain injury (mTBI). This study explored the predictors of the postconcussional syndrome (PCS) symptoms that can occur following mTBI. We hypothesized that a reported recent mTBI and lower psychological resilience would predict worse reported PCS symptomatology. Method: 233 participants completed the Neurobehavioral Symptom Inventory (NSI) and the Brief Resilience Scale (BRS). Three NSI scores were used to define PCS symptomatology. A total of 35 participants reported an mTBI (as operationally defined by the World Health Organization) that was sustained between 1 and 6 months prior to their participation (positive mTBI history); the remainder reported having never had an mTBI. Results: Regression analyses revealed that a positive reported recent mTBI history and lower psychological resilience were significant independent predictors of reported PCS symptomatology. These results were found for the 3 PCS scores from the NSI, including using a stringent caseness criterion, p < .05. Demographic variables (age and gender) were not related to outcome, with the exception of education in some analyses. Conclusion: The results demonstrate that: (a) both perceived psychological resilience and mTBI history play a role in whether or not PCS symptoms are experienced, even when demographic variables are considered, and (b) of these 2 variables, lower perceived psychological resilience was the strongest predictor of PCS-like symptomatology.
Keyword Head injury
Neurocognitive disorder
Postconcussional syndrome
Mild traumatic brain injury
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Institute for Social Science Research - Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sat, 16 Sep 2017, 01:00:44 EST by Web Cron on behalf of Institute for Social Science Research