- Email: [email protected]
Stability of the postconcussive symptom checklist with head-injured and non-head-injured extreme responders
Abstracts from the 18th Annual Meeting
43
11.80, p < .008. There was a greater proportion of females in the high PCS group (46 females/13 males) compared to the low PCS group (22 females/35 males). A M A N O V A performed on the cognitive and psychosocial measures indicated a significant group difference, Wilks' A = 0.189, F(9, 106) = 50.44, p < .0001. Follow-up univariate A N O V A s revealed that the high PCS subjects had significantly higher POMS total scores (M = -67.07 vs. 22.09), F(1,114) = 51.25, p < .0001, RIES-Powerful Others External scores (M = 25.41 vs. 22.09), F(1,114) = 7.37, p < .008, and RIES-Chance External scores (M = 24.81 vs. 20.39), F(1,114) = 14.82, p < .0001, than low PCS subjects. There was no significant group difference for the information processing measures. The results of these analyses support the hypothesis that high PCS subjects would demonstrate higher levels of psychological distress and greater external locus of control than low PCS subjects but, these results do not support the prediction that high PCS subjects would demonstrate poorer information processing.
Santa Maria, M. P., Pinkston, J. B., Gouvier, W. D., & Miller, S. R. Stability of the Postconcussive Symptom Checklist with Head-Injured and Non-HeadInjured Extreme Responders. A large sample of undergraduates (n = 2326) were screened for general health and postconcussive symptomatology. A subsample (n = 98) of Ss whose Postconcussive Symptom Checklist (PCSC) scores were >.5 SD above the mean of the entire sample (symptomatic; n = 53) or <.5 SD below the mean (asymptomatic; n = 45) were re-administered the PCSC between 3 and 90 days later. The sample included 50 participants who reported history of a mild head injury (MHI) and 48 controls. MHI was defined as loss of consciousness of 30 minutes or less within the past 10 years but no more recent than 3 months. Persons with history of more than one head injury or with other neurologic history were not included in the study. Pearson's r between administrations was calculated for each group. Test-retest reliabilities were .44 for MHI Ss, .67 for non-MHI Ss, .71 for males, .51 for females. Fisher's z transformation was used to compare the resultant correlations between groups. Test-retest reliability coefficients did not differ for MHI vs. non-MHI or for male vs. female groups. The stability and utility of the PCSC are discussed for extreme and mid-range, head-injured and non-head-injured responders. Thompson, A., Crewe, N., & Andary, M. Parental Marital Functioning Following Traumatic Brain Injury in an Adolescent~Young Adult Child. Marriages can be particularly challenged after an adolescent young adult child sustains a traumatic brain injury (TBI) for two reasons. First, marital dissatisfaction is common during this stage in the family life cycle in which the child is striving for emancipation and parents are typically reevaluating their marriage. Second, studies have shown that marital distress is associated with chronic disability in a child. However, no studies to date have examined how TBI in young people, between 15 and 24 years old, affects parental marital functioning. This study examines the relationship between multiple aspects of marital functioning and each parent's psychological status and coping style. Nineteen couples who are parents of adolescent/young adult children with brain injury, each completed the Marital Satisfaction Inventory (MSI), Brief Symptom Inventory (BSI), the Coping Responses Inventory (CRI) and a background questionnaire. A control group of couples, with children in the same age range, were utilized as a reference to identify if TB1 group parents' reactions were due to TBI related stressors or to characteristics common to other families in the same life cycle stage. Data analysis consisted of Repeated Measures M A N O V A and Multiple Regression. The results indicated that par-
43
11.80, p < .008. There was a greater proportion of females in the high PCS group (46 females/13 males) compared to the low PCS group (22 females/35 males). A M A N O V A performed on the cognitive and psychosocial measures indicated a significant group difference, Wilks' A = 0.189, F(9, 106) = 50.44, p < .0001. Follow-up univariate A N O V A s revealed that the high PCS subjects had significantly higher POMS total scores (M = -67.07 vs. 22.09), F(1,114) = 51.25, p < .0001, RIES-Powerful Others External scores (M = 25.41 vs. 22.09), F(1,114) = 7.37, p < .008, and RIES-Chance External scores (M = 24.81 vs. 20.39), F(1,114) = 14.82, p < .0001, than low PCS subjects. There was no significant group difference for the information processing measures. The results of these analyses support the hypothesis that high PCS subjects would demonstrate higher levels of psychological distress and greater external locus of control than low PCS subjects but, these results do not support the prediction that high PCS subjects would demonstrate poorer information processing.
Santa Maria, M. P., Pinkston, J. B., Gouvier, W. D., & Miller, S. R. Stability of the Postconcussive Symptom Checklist with Head-Injured and Non-HeadInjured Extreme Responders. A large sample of undergraduates (n = 2326) were screened for general health and postconcussive symptomatology. A subsample (n = 98) of Ss whose Postconcussive Symptom Checklist (PCSC) scores were >.5 SD above the mean of the entire sample (symptomatic; n = 53) or <.5 SD below the mean (asymptomatic; n = 45) were re-administered the PCSC between 3 and 90 days later. The sample included 50 participants who reported history of a mild head injury (MHI) and 48 controls. MHI was defined as loss of consciousness of 30 minutes or less within the past 10 years but no more recent than 3 months. Persons with history of more than one head injury or with other neurologic history were not included in the study. Pearson's r between administrations was calculated for each group. Test-retest reliabilities were .44 for MHI Ss, .67 for non-MHI Ss, .71 for males, .51 for females. Fisher's z transformation was used to compare the resultant correlations between groups. Test-retest reliability coefficients did not differ for MHI vs. non-MHI or for male vs. female groups. The stability and utility of the PCSC are discussed for extreme and mid-range, head-injured and non-head-injured responders. Thompson, A., Crewe, N., & Andary, M. Parental Marital Functioning Following Traumatic Brain Injury in an Adolescent~Young Adult Child. Marriages can be particularly challenged after an adolescent young adult child sustains a traumatic brain injury (TBI) for two reasons. First, marital dissatisfaction is common during this stage in the family life cycle in which the child is striving for emancipation and parents are typically reevaluating their marriage. Second, studies have shown that marital distress is associated with chronic disability in a child. However, no studies to date have examined how TBI in young people, between 15 and 24 years old, affects parental marital functioning. This study examines the relationship between multiple aspects of marital functioning and each parent's psychological status and coping style. Nineteen couples who are parents of adolescent/young adult children with brain injury, each completed the Marital Satisfaction Inventory (MSI), Brief Symptom Inventory (BSI), the Coping Responses Inventory (CRI) and a background questionnaire. A control group of couples, with children in the same age range, were utilized as a reference to identify if TB1 group parents' reactions were due to TBI related stressors or to characteristics common to other families in the same life cycle stage. Data analysis consisted of Repeated Measures M A N O V A and Multiple Regression. The results indicated that par-