ABSTRACT

The objective of the current study was to develop a measure of fear avoidance behavior after concussion for youth and parent respondents and examine its basic psychometric properties and correlates. Children (N = 51) who were seen in a hospital concussion clinic after sustaining a concussion (M = 7.6 months, SD = 7.01) and their primary caregiver (N = 51)completed self- and informant-report measures of fear avoidance (Pediatric Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire; PFAB-TBI), post-concussion symptoms (Health Behavior Inventory), emotional distress (Strengths and Difficulties Questionnaire), and quality of life (Pediatric Quality of Life Inventory Version 4.0). The self- and informant-report PFAB-TBI scores were moderately correlated (r = 0.51, p < 0.001). Neither measure demonstrated floor or ceiling effects. Both had strong internal consistency (Cronbach’s α = 0.87 and 0.89, respectively). The PFAB-TBI self-report was positively correlated with somatic symptoms (r = 0.37), emotional distress (r = 0.39), and negatively associated with quality of life (r = −0.57). The PFAB-TBI informant-report was positively associated with informant reported somatic symptoms (r = 0.52) and emotional distress (r = .50) Overall, the PFAB-TBI has desirable basic measurement properties and expected correlations with clinical outcomes. This measure can potentially help clinicians and researchers better understand the impacts of fear avoidance behavior after pediatric concussion.

摘要

当前研究的目的是为青少年和家长受访者制定脑震荡后恐惧回避行为的衡量标准，并检查其基本的心理测量特性和相关性。持续脑震荡（M = 7.6 个月，SD = 7.01）后在医院脑震荡诊所就诊的儿童（N = 51）及其主要照顾者（N = 51）完成了自我和知情人报告的恐惧避免措施（儿科创伤性脑损伤后的恐惧回避行为问卷；PFAB-TBI）、脑震荡后症状（健康行为量表）、情绪困扰（优势和困难问卷）和生活质量（儿科生活质量量表 4.0 版）。自我报告和举报人报告的 PFAB-TBI 分数呈中度相关（r = 0.51，p< 0.001)。这两项措施都没有证明地板或天花板效应。两者都具有很强的内部一致性（Cronbach's α = 0.87 和 0.89，分别）。PFAB-TBI 自我报告与躯体症状 ( r = 0.37)、情绪困扰 ( r = 0.39) 呈正相关，与生活质量呈负相关 ( r = -0.57)。PFAB-TBI 线人报告与线人报告的躯体症状 ( r = 0.52) 和情绪困扰 ( r= .50) 总体而言，PFAB-TBI 具有理想的基本测量特性以及与临床结果的预期相关性。这项措施可能有助于临床医生和研究人员更好地了解小儿脑震荡后恐惧回避行为的影响。