Evidence map›Paper›PMID 38358710›Full record

ArticleRehabilitation psychology2024

"I completely shut down": A mixed methods evaluation of the fear-avoidance model for young adults with a recent concussion and anxiety.

Brenda C Lovette, Ellie A Briskin, Victoria A Grunberg, Ana-Maria Vranceanu, Jonathan Greenberg

Open access · hybridAbstract read
In one paragraph

Article in Rehabilitation psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brenda C LovetteCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital.
Ellie A BriskinCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital.
Victoria A GrunbergCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital.
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital.
Jonathan GreenbergCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital.ORCID 0000-0002-4875-2207
Health Outcomes Solutions (United States) · US

Funding

Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
Live video mind-body treatment to prevent persistent symptoms following mTBIK23AT010653 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI GREENBERG, JONATHAN · 2020 to 2024
$790k
Resilient Families (R-FAM): A dyadic resiliency intervention for parents of babies in neonatal intensive careK23HD110597 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI Victoria Ann Grunberg · 2023 to 2026
$676k
National Institute of Child Health and Human DevelopmentNCCIH NIH HHS K23 AT010653NCCIH NIH HHS K24 AT011760NICHD NIH HHS K23 HD110597
6 · The paper itself

Abstract

PURPOSE/

objectivesThe fear-avoidance model is a well-established framework for understanding the transition from acute to chronic pain. However, its applicability to concussions is not yet well understood. Here, we conduct the first mixed methods analysis of the fear-avoidance model in young adults with a recent concussion and co-occurring anxiety and assess the model's alignment with their lived experience. RESEARCH METHOD/

designWe conducted a mixed methods analysis using a cross-sectional parallel design. Seventeen participants completed questionnaires corresponding with the elements in the fear-avoidance model (e.g., pain catastrophizing, avoidance, disability, anxiety, depression, etc.) and participated in semistructured interviews probing their experiences following their concussion between March 2021 and February 2022. We calculated bivariate correlations for quantitative data and analyzed the qualitative data using hybrid inductive-deductive thematic analysis.

resultsQuantitative results demonstrated strong and medium-sized correlations among theorized relationships within the fear-avoidance model ( CONCLUSION/IMPLICATIONS: The fear-avoidance model is a useful lens for understanding the lived experience of young adults with a recent concussion and co-occurring anxiety. Psychosocial treatment for this population would benefit from focusing on the interplay of concussion symptoms, anxiety, depression, disability, and pain-related fear, offering adaptive confrontation strategies, and addressing the interpersonal impact of concussion. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

Avoidance LearningBrain ConcussionFearAdolescentAdultAnxietyCatastrophizationCross-Sectional StudiesFemaleHumansMaleModels, PsychologicalSurveys and QuestionnairesYoung Adult

Identifiers

PMID38358710
PMCPMC11272430
OpenAlexW4391839922

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.