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Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury

Rodger Wood, Geraldine OʼHagan, Claire Williams Orcid Logo, Michael McCabe, Nicole Chadwick

Journal of Head Trauma Rehabilitation, Volume: 29, Issue: 1, Pages: E9 - E17

Swansea University Authors: Rodger Wood, Claire Williams Orcid Logo

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DOI (Published version): 10.1097/HTR.0b013e31827eabba

Abstract

Objective: To examine the influence of anxiety sensitivity (AS) and alexithymia as potential mediators for the development psychological distress and post concussion syndrome (PCS) after mild traumatic brain injury (mTBI). Participants: Sixty-one patients with mTBI and demographically matched health...

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Published in: Journal of Head Trauma Rehabilitation
ISSN: 0885-9701
Published: 2014
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URI: https://cronfa.swan.ac.uk/Record/cronfa13214
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spelling 2020-09-09T08:59:59.6369120 v2 13214 2012-11-05 Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury 7d67e475699a3b3ab820b4a5d2602dc9 Rodger Wood Rodger Wood true false 21dc2ebf100cf324becc27e8db6fde8d 0000-0002-0791-744X Claire Williams Claire Williams true false 2012-11-05 SGMED Objective: To examine the influence of anxiety sensitivity (AS) and alexithymia as potential mediators for the development psychological distress and post concussion syndrome (PCS) after mild traumatic brain injury (mTBI). Participants: Sixty-one patients with mTBI and demographically matched healthy controls (N=61). Measures: 20-item Toronto Alexithymia Scale, Anxiety Sensitivity Index, State-Trait Anxiety Inventory, and Rivermead Post Concussion Questionnaire. Results: The mTBI group reported significantly higher levels of AS, alexithymia, psychological distress, and post concussion (PC) symptom scores compared to controls. High AS and alexithymia in the mTBI group was associated with a greater number of PC symptoms and higher levels of psychological distress compared to patients scoring low on these measures, and healthy controls. In the mTBI group a combination of AS and low mood explained 52.6% of the variance in PC symptom reporting. A combination of trait-anxiety, alexithymia and PC symptoms was able to explain 77.2% of the variance in levels of mood. Conclusion: A combination of low mood and high AS may act as a psychological diathesis for the development of persisting post concussional symptoms. Early identification could provide a focus for early intervention to prevent the development of post concussion syndrome after mTBI. Journal Article Journal of Head Trauma Rehabilitation 29 1 E9 E17 0885-9701 Mild Traumatic Brain Injury; Psychological Distress; Alexithymia; Anxiety Sensitivity; Post-Concussion Symptoms, Post Concussion Syndrome. 1 1 2014 2014-01-01 10.1097/HTR.0b013e31827eabba COLLEGE NANME Medical School - School COLLEGE CODE SGMED Swansea University 2020-09-09T08:59:59.6369120 2012-11-05T17:32:40.6355746 Faculty of Medicine, Health and Life Sciences School of Psychology Rodger Wood 1 Geraldine OʼHagan 2 Claire Williams 0000-0002-0791-744X 3 Michael McCabe 4 Nicole Chadwick 5
title Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
spellingShingle Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
Rodger Wood
Claire Williams
title_short Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
title_full Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
title_fullStr Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
title_full_unstemmed Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
title_sort Anxiety Sensitivity and Alexithymia as Mediators of Postconcussion Syndrome Following Mild Traumatic Brain Injury
author_id_str_mv 7d67e475699a3b3ab820b4a5d2602dc9
21dc2ebf100cf324becc27e8db6fde8d
author_id_fullname_str_mv 7d67e475699a3b3ab820b4a5d2602dc9_***_Rodger Wood
21dc2ebf100cf324becc27e8db6fde8d_***_Claire Williams
author Rodger Wood
Claire Williams
author2 Rodger Wood
Geraldine OʼHagan
Claire Williams
Michael McCabe
Nicole Chadwick
format Journal article
container_title Journal of Head Trauma Rehabilitation
container_volume 29
container_issue 1
container_start_page E9
publishDate 2014
institution Swansea University
issn 0885-9701
doi_str_mv 10.1097/HTR.0b013e31827eabba
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 0
active_str 0
description Objective: To examine the influence of anxiety sensitivity (AS) and alexithymia as potential mediators for the development psychological distress and post concussion syndrome (PCS) after mild traumatic brain injury (mTBI). Participants: Sixty-one patients with mTBI and demographically matched healthy controls (N=61). Measures: 20-item Toronto Alexithymia Scale, Anxiety Sensitivity Index, State-Trait Anxiety Inventory, and Rivermead Post Concussion Questionnaire. Results: The mTBI group reported significantly higher levels of AS, alexithymia, psychological distress, and post concussion (PC) symptom scores compared to controls. High AS and alexithymia in the mTBI group was associated with a greater number of PC symptoms and higher levels of psychological distress compared to patients scoring low on these measures, and healthy controls. In the mTBI group a combination of AS and low mood explained 52.6% of the variance in PC symptom reporting. A combination of trait-anxiety, alexithymia and PC symptoms was able to explain 77.2% of the variance in levels of mood. Conclusion: A combination of low mood and high AS may act as a psychological diathesis for the development of persisting post concussional symptoms. Early identification could provide a focus for early intervention to prevent the development of post concussion syndrome after mTBI.
published_date 2014-01-01T03:15:09Z
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score 11.016235

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