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Psychological Resilience as a Predictor of Persistent Post-Concussive Symptoms in Children With Single and Multiple Concussion

Published online by Cambridge University Press:  07 September 2018

Christianne Laliberté Durish ,
Keith Owen Yeates  and
Brian L. Brooks
Christianne Laliberté Durish*
Affiliation:
Department of Psychology, University of Calgary, Calgary, Alberta, Canada
Keith Owen Yeates
Affiliation:
Department of Psychology, University of Calgary, Calgary, Alberta, Canada
Brian L. Brooks
Affiliation:
Department of Psychology, University of Calgary, Calgary, Alberta, Canada
*
Correspondence and reprint requests to: Christianne Laliberté Durish, Department of Psychology, University of Calgary, 2500 University Drive N.W., Calgary, AB, T2N 1N4. E-mail: christianne.lalibert@ucalgary.ca
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Abstract

Objectives: To evaluate the relationship of psychological resilience to persistent post-concussive symptoms (PCS) in children with a history of single or multiple concussions, as well as orthopedic injury (OI). Methods: Participants (N=75) were children, ages 8–18 years, who sustained a single concussion (n=24), multiple concussions (n=25), or an OI (n=26), recruited from a tertiary care children’s hospital. All participants sustained injuries at least 6 months before recruitment, with an average time since injury of 32.9 months. Self-reported psychological resilience was measured using the Connor-Davidson Resilience Scale, and both self- and parent-reported PCS were measured using the Post-Concussion Symptom Inventory. Hierarchical regression analyses examined psychological resilience as a predictor of PCS, both as a main effect and as a moderator of group differences. Results: Multiple concussions and low psychological resilience were both significant predictors of persistent PCS. Resilience was not a significant moderator of group differences in PCS. Conclusions: Sustaining multiple concussions may increase a child’s risk of persistent PCS; however, high psychological resilience may serve as a protective factor, regardless of the number or type of injuries sustained. These findings provide support for developing and testing interventions aimed at increasing psychological resilience as a potential means of improving outcomes for children suffering from persistent PCS after concussion. (JINS, 2018, 24, 759–768)

Keywords

Mild traumatic brain injuryPediatricAdolescentHardinessOutcomesConcussion
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 8 , September 2018 , pp. 759 - 768
Copyright
Copyright © The International Neuropsychological Society 2018 

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