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Original Articles

Diagnostic terminology, athlete status, and history of concussion affect return to play expectations and anticipated symptoms following mild traumatic brain injury

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Pages 587-595 | Received 09 Jun 2016, Accepted 13 Oct 2016, Published online: 13 Nov 2016
 

ABSTRACT

“Mild traumatic brain injury” (mTBI) and “concussion” are terms often used interchangeably. However, “mTBI” is frequently seen as representing a broader injury that encompasses the construct of “concussion,” which often conveys transience or decreased severity. The present study examined the influence of varying diagnostic terminology on acute injury expectations in an undergraduate population (= 105). Participants were presented with an mTBI vignette and were randomly assigned to one of two conditions in which the term “mTBI” or “concussion” was used to describe the injury. There were no significant differences between the two conditions on anxiety, symptomatology, timeline, or consequence scales. However, participants in the “mTBI” group allocated more days to return to play than participants in the “concussion” group, suggesting that terminology has an effect on perceptions of the severity of the injury. Varsity athletes allocated fewer days to return to play than nonathletes. Individuals with a history of concussion, both athletes and nonathletes, indicated fewer days to return to play, but greater symptomatology than individuals with no history of concussion. Clinicians should consider the influence of diagnostic terminology, athletic background, and history of concussion on perceptions of the severity of an injury because expectations can influence injury outcomes and compliance in a recovery process.

Acknowledgements

The authors would like to thank Mark Saviano for his technical and statistical assistance in this project.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This project was supported by the Cornelia Sabine Endowed Fund for Psychology at Colorado College.

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