Open AccessPsychological mediators of avoidance and endurance behavior after concussion.
Author(s) -
Alex R. Terpstra,
Molly Cairncross,
Keith Owen Yeates,
AnaMaria Vranceanu,
Jonathan Greenberg,
Cindy Hunt,
Noah D. Silverberg
Publication year - 2021
Publication title -
rehabilitation psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.673
H-Index - 66
eISSN - 1939-1544
pISSN - 0090-5550
DOI - 10.1037/rep0000390
Subject(s) - distraction , concussion , mediation , psychology , clinical psychology , cognition , pain catastrophizing , psychological intervention , physical therapy , poison control , physical medicine and rehabilitation , injury prevention , medicine , psychiatry , chronic pain , environmental health , neuroscience , political science , law
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.