Deborah L Snell, Ana Mikolić, Josh W Faulkner, Alice Theadom, Noah D Silverberg
{"title":"一种心理风险筛查工具在成人轻度创伤性脑损伤后的比较预测效度。","authors":"Deborah L Snell, Ana Mikolić, Josh W Faulkner, Alice Theadom, Noah D Silverberg","doi":"10.1080/02699052.2025.2565640","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine the comparative predictive validity of the Subgroups for Targeted Treatment modified for concussion (STarT-C) with full-length psychological measures (legacy questionnaires) in adults, six months after mild traumatic brain injury (mTBI).</p><p><strong>Materials and methods: </strong>Participants (<i>n</i> = 107) were recruited from outpatient concussion services in New Zealand and assessed on average 6 weeks (Time 1) and 6 months after mTBI (Time 2). The primary outcome was post-concussion symptoms at Time 2 measured with the Rivermead Post-concussion Symptoms Questionnaire (RPQ). Comparative predictive validity was determined by comparing the STarT-C at Time 1 with full-length legacy questionnaires that measured STarT-C constructs (distress, depression, fear avoidance, recovery expectations, catastrophizing) at Time 1.</p><p><strong>Results: </strong>The STarT-C total score and psychosocial sub-score showed significant correlations with all psychological legacy questionnaires at Time 1 (<i>r</i> = ~0.3 to ~ 0.7). The STarT-C showed similar additional predictive value on symptoms at Time 2, as all legacy psychological questionnaires together (delta R<sup>2</sup> = 8% vs. delta R<sup>2</sup> = 8%).</p><p><strong>Conclusions: </strong>The STarT-C showed comparable prognostic value for post-concussion symptom outcomes with a battery of psychological questionnaires. Further research should consider if stratified risk using STarT-C high, medium, and low sub-categories improves targeted treatment referral decision making by clinicians and mTBI outcomes.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-7"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparative predictive validity of a psychological risk screening tool in adults after mild traumatic brain injury.\",\"authors\":\"Deborah L Snell, Ana Mikolić, Josh W Faulkner, Alice Theadom, Noah D Silverberg\",\"doi\":\"10.1080/02699052.2025.2565640\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To determine the comparative predictive validity of the Subgroups for Targeted Treatment modified for concussion (STarT-C) with full-length psychological measures (legacy questionnaires) in adults, six months after mild traumatic brain injury (mTBI).</p><p><strong>Materials and methods: </strong>Participants (<i>n</i> = 107) were recruited from outpatient concussion services in New Zealand and assessed on average 6 weeks (Time 1) and 6 months after mTBI (Time 2). The primary outcome was post-concussion symptoms at Time 2 measured with the Rivermead Post-concussion Symptoms Questionnaire (RPQ). Comparative predictive validity was determined by comparing the STarT-C at Time 1 with full-length legacy questionnaires that measured STarT-C constructs (distress, depression, fear avoidance, recovery expectations, catastrophizing) at Time 1.</p><p><strong>Results: </strong>The STarT-C total score and psychosocial sub-score showed significant correlations with all psychological legacy questionnaires at Time 1 (<i>r</i> = ~0.3 to ~ 0.7). The STarT-C showed similar additional predictive value on symptoms at Time 2, as all legacy psychological questionnaires together (delta R<sup>2</sup> = 8% vs. delta R<sup>2</sup> = 8%).</p><p><strong>Conclusions: </strong>The STarT-C showed comparable prognostic value for post-concussion symptom outcomes with a battery of psychological questionnaires. Further research should consider if stratified risk using STarT-C high, medium, and low sub-categories improves targeted treatment referral decision making by clinicians and mTBI outcomes.</p>\",\"PeriodicalId\":9082,\"journal\":{\"name\":\"Brain injury\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain injury\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02699052.2025.2565640\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2025.2565640","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
Comparative predictive validity of a psychological risk screening tool in adults after mild traumatic brain injury.
Objective: To determine the comparative predictive validity of the Subgroups for Targeted Treatment modified for concussion (STarT-C) with full-length psychological measures (legacy questionnaires) in adults, six months after mild traumatic brain injury (mTBI).
Materials and methods: Participants (n = 107) were recruited from outpatient concussion services in New Zealand and assessed on average 6 weeks (Time 1) and 6 months after mTBI (Time 2). The primary outcome was post-concussion symptoms at Time 2 measured with the Rivermead Post-concussion Symptoms Questionnaire (RPQ). Comparative predictive validity was determined by comparing the STarT-C at Time 1 with full-length legacy questionnaires that measured STarT-C constructs (distress, depression, fear avoidance, recovery expectations, catastrophizing) at Time 1.
Results: The STarT-C total score and psychosocial sub-score showed significant correlations with all psychological legacy questionnaires at Time 1 (r = ~0.3 to ~ 0.7). The STarT-C showed similar additional predictive value on symptoms at Time 2, as all legacy psychological questionnaires together (delta R2 = 8% vs. delta R2 = 8%).
Conclusions: The STarT-C showed comparable prognostic value for post-concussion symptom outcomes with a battery of psychological questionnaires. Further research should consider if stratified risk using STarT-C high, medium, and low sub-categories improves targeted treatment referral decision making by clinicians and mTBI outcomes.
期刊介绍：
Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.
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