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Self-Rated Executive Function and Health-Related Quality of Life in Young Adults With Persistent Post-Concussion Symptoms: A Cross-Sectional Study

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Self-Rated Executive Function and Health-Related Quality of Life in Young Adults With Persistent Post-Concussion Symptoms : A Cross-Sectional Study. / Thastum, Mille Moeller; Schroeder, Andreas; Evald, Lars et al.

I: Archives of Clinical Neuropsychology, Bind 37, Nr. 4, 06.2022, s. 762–774.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{2fc467a070294ee59bd1b817973f28c0,
title = "Self-Rated Executive Function and Health-Related Quality of Life in Young Adults With Persistent Post-Concussion Symptoms: A Cross-Sectional Study",
abstract = "OBJECTIVE: To assess self-reported executive dysfunction in young adult patients with persistent post-concussion symptoms (PCS) 2-6 months post-injury, and the association with self-reported Health-Related Quality of Life (HRQoL).METHOD: This cross-sectional study carried out in a hospital setting was a secondary analysis of data from a separate randomized trial testing the effect of a novel intervention, {"}Get going After concussIoN {"} (GAIN), for persistent PCS. Patients (18-30 years) were recruited from a clinical cohort of patients with a hospital diagnosis of concussion or referred by primary care physicians. Main measures were The Behaviour Rating Inventory of Executive Function-Adult Version providing two index scores, that is, the Metacognitive Index (MI) and the Behavioural Regulation Index (BRI), and the Quality of Life after Brain Injury-Overall Scale.RESULTS: Compared with normative data, patients had elevated scores (i.e., worse functioning) on both the MI and the BRI. In linear regression analysis, the MI score, but not the BRI score, was negatively associated with self-reported HRQoL (MI: slope = -.27, 95% confidence interval, CI [-.53, -.02], p = .03; BRI: slope = -.19, 95% CI [-.49, .13], p = .24), suggesting a positive association of subjective executive dysfunction and lower HRQoL. However, the association was attenuated after adjustment for self-reported psychological distress (MI: slope = -.09, 95% CI [-.34, .17], p = .51).CONCLUSION: Self-reported executive dysfunction is common in young adult patients with persistent PCS, but not strongly associated with decreased HRQoL after adjusting for concurrent psychological distress.",
keywords = "BEHAVIOR RATING INVENTORY, BRIEF-A, Brain concussion, DEPRESSION, DIAGNOSIS, DYSFUNCTION, Executive function, HEAD-INJURY, Mild traumatic brain injury, OUTCOMES, PREDICTORS, Post-concussion symptoms, QUESTIONNAIRE, Quality of life, RISK-FACTORS, TRAUMATIC BRAIN-INJURY",
author = "Thastum, {Mille Moeller} and Andreas Schroeder and Lars Evald and Erhard Naess-Schmidt and Astrid Tuborgh and Jensen, {Jens Sondergaard} and Svendsen, {Susanne Wulff} and Nielsen, {J{\o}rgen Feldbaek} and Rask, {Charlotte Ulrikka}",
note = "{\textcopyright} The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",
year = "2022",
month = jun,
doi = "10.1093/arclin/acab091",
language = "English",
volume = "37",
pages = "762–774",
journal = "Archives of Clinical Neuropsychology",
issn = "0887-6177",
publisher = "Oxford University Press",
number = "4",

}

RIS

TY - JOUR

T1 - Self-Rated Executive Function and Health-Related Quality of Life in Young Adults With Persistent Post-Concussion Symptoms

T2 - A Cross-Sectional Study

AU - Thastum, Mille Moeller

AU - Schroeder, Andreas

AU - Evald, Lars

AU - Naess-Schmidt, Erhard

AU - Tuborgh, Astrid

AU - Jensen, Jens Sondergaard

AU - Svendsen, Susanne Wulff

AU - Nielsen, Jørgen Feldbaek

AU - Rask, Charlotte Ulrikka

N1 - © The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

PY - 2022/6

Y1 - 2022/6

N2 - OBJECTIVE: To assess self-reported executive dysfunction in young adult patients with persistent post-concussion symptoms (PCS) 2-6 months post-injury, and the association with self-reported Health-Related Quality of Life (HRQoL).METHOD: This cross-sectional study carried out in a hospital setting was a secondary analysis of data from a separate randomized trial testing the effect of a novel intervention, "Get going After concussIoN " (GAIN), for persistent PCS. Patients (18-30 years) were recruited from a clinical cohort of patients with a hospital diagnosis of concussion or referred by primary care physicians. Main measures were The Behaviour Rating Inventory of Executive Function-Adult Version providing two index scores, that is, the Metacognitive Index (MI) and the Behavioural Regulation Index (BRI), and the Quality of Life after Brain Injury-Overall Scale.RESULTS: Compared with normative data, patients had elevated scores (i.e., worse functioning) on both the MI and the BRI. In linear regression analysis, the MI score, but not the BRI score, was negatively associated with self-reported HRQoL (MI: slope = -.27, 95% confidence interval, CI [-.53, -.02], p = .03; BRI: slope = -.19, 95% CI [-.49, .13], p = .24), suggesting a positive association of subjective executive dysfunction and lower HRQoL. However, the association was attenuated after adjustment for self-reported psychological distress (MI: slope = -.09, 95% CI [-.34, .17], p = .51).CONCLUSION: Self-reported executive dysfunction is common in young adult patients with persistent PCS, but not strongly associated with decreased HRQoL after adjusting for concurrent psychological distress.

AB - OBJECTIVE: To assess self-reported executive dysfunction in young adult patients with persistent post-concussion symptoms (PCS) 2-6 months post-injury, and the association with self-reported Health-Related Quality of Life (HRQoL).METHOD: This cross-sectional study carried out in a hospital setting was a secondary analysis of data from a separate randomized trial testing the effect of a novel intervention, "Get going After concussIoN " (GAIN), for persistent PCS. Patients (18-30 years) were recruited from a clinical cohort of patients with a hospital diagnosis of concussion or referred by primary care physicians. Main measures were The Behaviour Rating Inventory of Executive Function-Adult Version providing two index scores, that is, the Metacognitive Index (MI) and the Behavioural Regulation Index (BRI), and the Quality of Life after Brain Injury-Overall Scale.RESULTS: Compared with normative data, patients had elevated scores (i.e., worse functioning) on both the MI and the BRI. In linear regression analysis, the MI score, but not the BRI score, was negatively associated with self-reported HRQoL (MI: slope = -.27, 95% confidence interval, CI [-.53, -.02], p = .03; BRI: slope = -.19, 95% CI [-.49, .13], p = .24), suggesting a positive association of subjective executive dysfunction and lower HRQoL. However, the association was attenuated after adjustment for self-reported psychological distress (MI: slope = -.09, 95% CI [-.34, .17], p = .51).CONCLUSION: Self-reported executive dysfunction is common in young adult patients with persistent PCS, but not strongly associated with decreased HRQoL after adjusting for concurrent psychological distress.

KW - BEHAVIOR RATING INVENTORY

KW - BRIEF-A

KW - Brain concussion

KW - DEPRESSION

KW - DIAGNOSIS

KW - DYSFUNCTION

KW - Executive function

KW - HEAD-INJURY

KW - Mild traumatic brain injury

KW - OUTCOMES

KW - PREDICTORS

KW - Post-concussion symptoms

KW - QUESTIONNAIRE

KW - Quality of life

KW - RISK-FACTORS

KW - TRAUMATIC BRAIN-INJURY

U2 - 10.1093/arclin/acab091

DO - 10.1093/arclin/acab091

M3 - Journal article

C2 - 34849526

VL - 37

SP - 762

EP - 774

JO - Archives of Clinical Neuropsychology

JF - Archives of Clinical Neuropsychology

SN - 0887-6177

IS - 4

ER -