期刊
BRAIN INJURY
卷 35, 期 5, 页码 574-586出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02699052.2021.1889663
关键词
Concussion; parent– child agreement; quality of life; anxiety; depression
资金
- National Institute of Child Health and Human Development [R01 HD090230]
The study aimed to compare child- and parent-report ratings on various assessment tools among children with persistent post-concussive symptoms. Results showed that children tended to report more symptoms but better functioning compared to parents, with greater differences observed in females and the 16-18 age group.
Primary Objective: To compare child- and parent-report ratings on the Health Behavior Inventory, Revised Child Anxiety and Depression Scale-Short Version (anxiety subscale), Patient Health Questionnaire-9, and Pediatric Quality of Life Inventory(TM) among children with persistent post-concussive symptoms following a sports- or recreation-related concussion, overall and by child age and gender. Research Design: Cross-sectional study examining baseline data from a randomized, comparative effectiveness trial. Methods and Procedures: Inter-rater reliability was assessed using two-way random effects model (absolute agreement) intraclass correlations, correlations were examined using Spearman's rho, mean differences were determined using paired t-tests, and agreement was examined using Bland-Altman plots. Main Outcomes and Results: The final analytic sample was 200 parent-child dyads [child M-age = 14.7 (95% CI: 14.5, 15.0)]. Reliability and correlations were modest overall. When considering child age and gender, reliability ranged from poor to excellent (-1.01-0.95) and correlations ranged from weak to strong (-0.64-0.94). Overall, children reported more symptoms but better functioning than parents, and mean differences in scores were greater among females (versus males) and ages 16-18 (versus younger groups). Conclusions: Findings should inform the use and interpretation of psychosocial measures when developing appropriate youth concussion treatment plans.
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