@article{ref1,
title="The relationship between suboptimal effort and post-concussion symptoms in children and adolescents with mild traumatic brain injury",
journal="Clinical neuropsychologist, The",
year="2014",
author="Araujo, Gabriel C. and Antonini, Tanya N. and Monahan, Kerry and Gelfius, Carl and Klamar, Karl and Potts, Michelle and Yeates, Keith O. and Bodin, Doug",
volume="28",
number="5",
pages="786-801",
abstract="This retrospective chart review study explored the relationship between suboptimal effort and post-concussion symptoms in pediatric mild traumatic brain injury (mTBI). Participants were 382 clinically referred children and adolescents between 8 and 16 years of age who sustained an mTBI. Suboptimal effort was identified using reliable digit span and age-corrected scaled scores from the Numbers subtest of the Children's Memory Scale (CMS); 20% of the sample were classified as non-credible performers. Chi-square analyses and t-tests were used to examine differences in post-concussion symptoms and neuropsychological test performance between credible and non-credible performers. Linear regression was used to examine whether CMS Numbers performance predicted post-concussion symptoms after controlling for baseline symptoms and other relevant demographic- and injury-related factors. We found that non-credible performers presented with a greater number of post-concussion symptoms as compared with credible performers. Additionally, non-credible performers demonstrated comparatively poorer performance on neuropsychological tests of focused attention and processing speed. These results suggest that children and adolescents with mTBI who fail effort testing might have a greater tendency to exaggerate post-concussion symptoms and cognitive impairment. The clinical implications of these findings are discussed.<p /> <p>Language: en</p>",
language="en",
issn="1385-4046",
doi="10.1080/13854046.2014.896415",
url="http://dx.doi.org/10.1080/13854046.2014.896415"
}