Objective:The purpose of this study was to examine whether self-efficacy predicted pediatric concussion symptom severity and explore whether affective mood states (e.g., depression) influenced this relationship.Method:Children (8–17 years) who were diagnosed with a concussion within 30 days of injury participated in the study (n = 105). Following a clinical assessment, participants and caregivers completed questionnaires that assessed overall concussion symptom severity and current depression symptoms. Participants also completed ratings capturing self-efficacy for managing concussion recovery.Results:Linear regression models revealed that greater levels of self-efficacy predicted lower parent- (R2 = 0.10, p = .001) and youth-rated (R2 = 0.23, p < .001) concussion symptom severity. Interestingly, depression symptoms moderated the relationship between self-efficacy and concussion symptom severity.Conclusions:Findings provide initial support for a relationship between self-efficacy and concussion outcomes and highlight the influence of depressive symptoms. Interventions that optimize youth’s self-efficacy have the potential to increase treatment adherence, reduce concussion symptom severity, and improve recovery prognosis.

中文翻译：

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自我效能感和情感功能对小儿脑震荡症状严重程度的影响

目的：本研究的目的是检验自我效能感是否能预测小儿脑震荡症状的严重程度，并探讨情感情绪状态（如抑郁）是否影响这种关系。方法：被诊断患有脑震荡的儿童（8-17 岁）受伤30天参加研究（n= 105)。在临床评估之后，参与者和护理人员完成了评估整体脑震荡症状严重程度和当前抑郁症状的问卷调查。参与者还完成了捕捉自我效能以管理脑震荡恢复的评分。结果：线性回归模型显示，较高水平的自我效能预测较低的父母- (R2= 0.10,p= .001) 和青少年评分 (R2= 0.23,p< .001) 脑震荡症状严重程度。有趣的是，抑郁症状调节了自我效能感和脑震荡症状严重程度之间的关系。结论：研究结果为自我效能感和脑震荡结果之间的关系提供了初步支持，并强调了抑郁症状的影响。优化青少年自我效能的干预措施有可能提高治疗依从性、降低脑震荡症状严重程度并改善康复预后。