Psychological mediators of avoidance and endurance behavior after concussion.

ABSTRACT:

Objective

The avoidance-endurance model (AEM) proposes multiple pathways from acute to chronic pain, with distinct cognitive and behavioral components in each pathway. The AEM may also be applicable to persistent symptoms after concussion. In this study, we tested the AEM as an explanatory framework for concussion outcomes, by using mediation analyses through the proposed psychological mechanisms. Based on the AEM, we hypothesized that postconcussion symptoms would significantly predict avoidance behavior through catastrophizing, and endurance behavior through thought suppression and self-distraction.

Participants and methods

We recruited 84 adults seeking treatment at 2 outpatient concussion clinics (M = 41.8 years old, 63% female) who completed measures of postconcu

SUBMITTER: Terpstra AR 

PROVIDER: S-EPMC8648930 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature