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Original Article

Understanding the ‘miserable minority’: a diasthesis-stress paradigm for post-concussional syndrome

Pages 1135-1153 | Received 16 May 2003, Accepted 13 Feb 2004, Published online: 03 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (51)

Patrick A. Summerell, Luke D. Smillie & Jacqueline F. I. Anderson. (2023) Personality traits beyond Neuroticism predict post-concussive symptomatology in the post-acute period after mild traumatic brain injury in premorbidly healthy adults. Applied Neuropsychology: Adult 30:6, pages 661-670.
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Tyler A. Rickards, Christopher C. Cranston & Jessica McWhorter. (2022) Persistent post-concussive symptoms: A model of predisposing, precipitating, and perpetuating factors. Applied Neuropsychology: Adult 29:2, pages 284-294.
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M. H. Beauchamp, M. Séguin, C. Gagner, G. Lalonde & A. Bernier. (2021) The PARENT model: a pathway approach for understanding parents’ role after early childhood mild traumatic brain injury. The Clinical Neuropsychologist 35:5, pages 846-867.
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Katherine L. Zane, Jeffrey D. Gfeller, P. Tyler Roskos, Jeff Stout, Tony W. Buchanan, Thomas M. Malone & Richard Bucholz. (2021) Diffusion tensor imaging findings and neuropsychological performance in adults with TBI across the spectrum of severity in the chronic-phase. Brain Injury 35:5, pages 536-546.
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Megan L. Callahan & Daniel Storzbach. (2019) Sensory sensitivity and posttraumatic stress disorder in blast exposed veterans with mild traumatic brain injury. Applied Neuropsychology: Adult 26:4, pages 365-373.
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Zachary C. Merz, Katherine Zane, Natalie A. Emmert, John Lace & Alexandra Grant. (2019) Examining the relationship between neuroticism and post-concussion syndrome in mild traumatic brain injury. Brain Injury 33:8, pages 1003-1011.
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M. J. Minney, R. M. Roberts, J. L. Mathias, J. Raftos & A. Kochar. (2019) Service and support needs following pediatric brain injury: perspectives of children with mild traumatic brain injury and their parents. Brain Injury 33:2, pages 168-182.
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Suzanne Barker-Collo, Alice Theadom, Kelly Jones, Nicola Starkey, Michael Kahan & Valery Feigin. (2018) Depression and anxiety across the first 4 years after mild traumatic brain injury: findings from a community-based study. Brain Injury 32:13-14, pages 1651-1658.
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Laura B. Ngwenya, Raquel C. Gardner, John K. Yue, John F. Burke, Adam R. Ferguson, Michael C. Huang, Ethan A. Winkler, Romain Pirracchio, Gabriela G. Satris, Esther L. Yuh, Pratik Mukherjee, Alex B. Valadka, David O. Okonkwo & Geoffrey T. Manley. (2018) Concordance of common data elements for assessment of subjective cognitive complaints after mild-traumatic brain injury: a TRACK-TBI Pilot Study. Brain Injury 32:9, pages 1071-1078.
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Nicola J. Starkey, Kelly Jones, Rosalind Case, Alice Theadom, Suzanne Barker-Collo & Valery Feigin. (2018) Post-concussive symptoms after a mild traumatic brain injury during childhood and adolescence. Brain Injury 32:5, pages 617-626.
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Deborah L. Snell, Rachelle Martin, A.D. Macleod, Lois J. Surgenor, Richard J. Siegert, E. Jean, C. Hay-Smith, Tracy Melzer, Gary J. Hooper & Tim Anderson. (2018) Untangling chronic pain and post-concussion symptoms: the significance of depression. Brain Injury 32:5, pages 583-592.
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Elizabeth Stein, Waylon Howard, Ali Rowhani-Rahbar, Frederick P. Rivara, Douglas Zatzick & Carolyn A. McCarty. (2017) Longitudinal trajectories of post-concussive and depressive symptoms in adolescents with prolonged recovery from concussion. Brain Injury 31:13-14, pages 1736-1744.
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A. Bethune, L. da Costa, C. H. B. van Niftrik & A. Feinstein. (2017) Suicidal Ideation After Mild Traumatic Brain Injury: A Consecutive Canadian Sample. Archives of Suicide Research 21:3, pages 392-402.
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Eirik Vikane, Torgeir Hellstrøm, Cecilie Røe, Erik Bautz-Holter, Jörg Aßmus & Jan Sture Skouen. (2017) Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study. Brain Injury 31:4, pages 475-484.
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Charles Dillard, Nicole Ditchman, Karine Nersessova, Nicola Foster, Paul Wehman, Michael West, Brendalin Riedlinger, Eugenio Monasterio, Bill Shaw & Julie Neblett. (2017) Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disability and Rehabilitation 39:6, pages 544-550.
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Kjersti Bergersen, Joar Øveraas Halvorsen, Einar Aagaard Tryti, Solveig Isabel Taylor & Alexander Olsen. (2017) A systematic literature review of psychotherapeutic treatment of prolonged symptoms after mild traumatic brain injury. Brain Injury 31:3, pages 279-289.
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Kit-Man Yuen, Yi-Hsin Tsai, Wei-Chi Lin, Chi-Cheng Yang & Sheng-Jean Huang. (2016) Retrospectively evaluated preinjury personality traits influence postconcussion symptoms. Applied Neuropsychology: Adult 23:5, pages 322-332.
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W. C. Walker, L. M. Franke, S. D. McDonald, A. P. Sima & L. Keyser-Marcus. (2015) Prevalence of mental health conditions after military blast exposure, their co-occurrence, and their relation to mild traumatic brain injury. Brain Injury 29:13-14, pages 1581-1588.
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S. Barker-Collo, A. Jones, K. Jones, A. Theadom, A. Dowell, N. Starkey & V. L. Feigin. (2015) Prevalence, natural course and predictors of depression 1 year following traumatic brain injury from a population-based study in New Zealand. Brain Injury 29:7-8, pages 859-865.
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Jeffrey M. Rogers, Allison M. Fox & James Donnelly. (2015) Impaired practice effects following mild traumatic brain injury: An event-related potential investigation. Brain Injury 29:3, pages 343-351.
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Chloe B. Kempe, Karen A. Sullivan & Shannon L. Edmed. (2014) A critical evaluation of written discharge advice for people with mild traumatic brain injury: What should we be looking for?. Brain Injury 28:12, pages 1551-1558.
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Chi-Cheng Yang, Kit-Man Yuen, Sheng-Jean Huang, Sheng-Huang Hsiao, Yi-Hsin Tsai & Wei-Chi Lin. (2014) “Good-old-days” bias: A prospective follow-up study to examine the preinjury supernormal status in patients with mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology 36:4, pages 399-409.
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Chloe B. Kempe, Karen A. Sullivan & Shannon L. Edmed. (2013) The Effect of Varying Diagnostic Terminology Within Patient Discharge Information on Expected Mild Traumatic Brain Injury Outcome. The Clinical Neuropsychologist 27:5, pages 762-778.
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Deborah L. Snell, E. Jean C. Hay-Smith, Lois J. Surgenor & Richard J. Siegert. (2013) Examination of outcome after mild traumatic brain injury: The contribution of injury beliefs and Leventhal's Common Sense Model. Neuropsychological Rehabilitation 23:3, pages 333-362.
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Katherine A. Olsson, Owen T. Lloyd, Robyne M. LeBrocque, Lynne McKinlay, Vicki A. Anderson & Justin A. Kenardy. (2013) Predictors of child post-concussion symptoms at 6 and 18 months following mild traumatic brain injury. Brain Injury 27:2, pages 145-157.
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Esther Bay, Claire Kalpakjian & Bruno Giordani. (2012) Determinants of subjective memory complaints in community-dwelling adults with mild-to-moderate traumatic brain injury. Brain Injury 26:7-8, pages 941-949.
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Lisa A. Clarke, Ross C. Genat & Jacqueline F. I. Anderson. (2012) Long-term cognitive complaint and post-concussive symptoms following mild traumatic brain injury: The role of cognitive and affective factors. Brain Injury 26:3, pages 298-307.
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Rodger Ll. Wood, Michael McCabe & Jayne Dawkins. (2011) The role of anxiety sensitivity in symptom perception after minor head injury: An exploratory study. Brain Injury 25:13-14, pages 1296-1299.
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Anita Panayiotou, Simon Crowe & Martin Jackson. (2011) An Analogue Study of the Psychological and Psychosocial Processes Associated With Post‐concussion Symptoms. Australian Psychologist 46:4, pages 210-218.
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Deborah L. Snell, Richard J. Siegert, E. Jean C. Hay-Smith & Lois J. Surgenor. (2011) Associations between illness perceptions, coping styles and outcome after mild traumatic brain injury: Preliminary results from a cohort study. Brain Injury 25:11, pages 1126-1138.
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Lindsay Berrigan, Shawn Marshall, Scott McCullagh, Diana Velikonja & Mark Bayley. (2011) Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury. Brain Injury 25:7-8, pages 742-751.
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Joan Norrie, Marcus Heitger, Janet Leathem, Tim Anderson, Richard Jones & Ross Flett. (2010) Mild traumatic brain injury and fatigue: A prospective longitudinal study. Brain Injury 24:13-14, pages 1528-1538.
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Natalie Garden & KarenA. Sullivan. (2010) An Examination of the Base Rates of Post-Concussion Symptoms: The Influence of Demographics and Depression. Applied Neuropsychology 17:1, pages 1-7.
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Grant L. Iverson, Rael T. Lange, Brian L. Brooks & V. Lynn Ashton Rennison. (2010) “Good Old Days” Bias Following Mild Traumatic Brain Injury. The Clinical Neuropsychologist 24:1, pages 17-37.
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DeborahL. Snell, LoisJ. Surgenor, E. JeanC. Hay-Smith & RichardJ. Siegert. (2009) A systematic review of psychological treatments for mild traumatic brain injury: An update on the evidence. Journal of Clinical and Experimental Neuropsychology 31:1, pages 20-38.
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StephenR. McCauley, Corwin Boake, Claudia Pedroza, SharonA. Brown, HarveyS. Levin, HeatherS. Goodman & ShirleyG. Merritt. (2008) Correlates of persistent postconcussional disorder: DSM-IV criteria versus ICD-10. Journal of Clinical and Experimental Neuropsychology 30:3, pages 360-379.
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Shauna Kashluba, Chris Paniak & JosephE. Casey. (2008) Persistent Symptoms Associated with Factors Identified by the WHO Task Force on Mild Traumatic Brain Injury. The Clinical Neuropsychologist 22:2, pages 195-208.
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Esther Bay & Jacobus Donders. (2008) Risk factors for depressive symptoms after mild-to-moderate traumatic brain injury. Brain Injury 22:3, pages 233-241.
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Ivan Kirov, Lazar Fleysher, James S. Babb, Jonathan M. Silver, Robert I. Grossman & Oded Gonen. (2007) Characterizing ‘mild’ in traumatic brain injury with proton MR spectroscopy in the thalamus: Initial findings. Brain Injury 21:11, pages 1147-1154.
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P. Nolin, R. Villemure & L. Heroux. (2006) Determining long-term symptoms following mild traumatic brain injury: Method of interview affects self-report. Brain Injury 20:11, pages 1147-1154.
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David B Arciniegas, C Alan Anderson, Jeannie Topkoff & Thomas W McAllister. (2005) Mild traumatic brain injury: a neuropsychiatric approach to diagnosis, evaluation, and treatment. Neuropsychiatric Disease and Treatment 1:4, pages 311-327.
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