Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire

Eyres, Sophie; Carey, Amy; Gilworth, Gill; Neumann, Vera; Tennant, Alan

doi:10.1191/0269215505cr905oa

Cited by 235 publications

(237 citation statements)

References 22 publications

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“…The RPSQ is a 16-item concussion symptom inventory checklist that has been used extensively in both adult and pediatric studies of mTBI, 7,13,14 has shown a high degree of inter-rater and test-retest reliability, 15,16 and is valid and unbiased in young children. 14,17 The questionnaire was available to study participants in both English and Spanish.…”

Section: Discussionmentioning

confidence: 99%

Duration and Course of Post-Concussive Symptoms

2014

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OBJECTIVES: To examine the incidence, duration, and clinical course of individual post-concussive symptoms in patients presenting to a pediatric emergency department (ED) with a concussion. METHODS: We conducted secondary analysis of a prospective cohort study of patients 11 to 22 years old presenting to the ED of a children’s hospital with an acute concussion. The main outcome measure was duration of symptoms, assessed by the Rivermead Post-Concussion Symptoms Questionnaire (RPSQ). Patients initially completed a questionnaire describing mechanism of injury, associated symptoms, past medical history, and the RPSQ, then were serially administered the RPSQ for 3 months after the concussion or until all symptoms resolved. RESULTS: Headache, fatigue, dizziness, and taking longer to think were the most common symptoms encountered at presentation, whereas sleep disturbance, frustration, forgetfulness, and fatigue were the symptoms most likely to develop during the follow-up period that had not initially been present. Median duration of symptoms was the longest for irritability (16 days), sleep disturbance (16 days), frustration (14 days), and poor concentration (14 days), whereas nausea, depression, dizziness, and double-vision abated most quickly. One month after injury, nearly a quarter of children still complained of headache, >20% suffered from fatigue, and nearly 20% reported taking longer to think. CONCLUSIONS: Among patients presenting to a pediatric ED after a concussion, physical symptoms such as headache predominate immediately after the injury, emotional symptoms tend to develop later in the recovery period, and cognitive symptoms may be present throughout.

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Section: Discussionmentioning

confidence: 99%

Duration and Course of Post-Concussive Symptoms

2014

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“…It consists of 16 items assessing severity of symptoms in the last 24 hours in comparison to premorbid levels. It is a valid and reliable measure in TBI (55). The total score ranges from 0 to 64.…”

Section: Post-concussion Symptomsmentioning

confidence: 99%

“…The RPQ is commonly used to assess the severity of symptoms after mild or moderate TBI (55). It consists of 16 items assessing severity of symptoms in the last 24 hours in comparison to premorbid levels.…”

Section: Post-concussion Symptomsmentioning

confidence: 99%

Does the fear avoidance model explain persistent symptoms after traumatic brain injury?

et al. 2017

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Background: A minority of patients with mild traumatic brain injury (mTBI) experience a persistent symptom complex also known as post-concussion syndrome. Explanations for this syndrome are still lacking. Objective: To investigate if the fear avoidance model, including catastrophizing thoughts and fear avoidance behaviour, poses a possible biopsychosocial explanation for lingering symptoms and delay in recovery after traumatic brain injury (TBI) with special focus on mTBI. Design: Cross-sectional study. Participants: 48 patients with TBI, of which 31 patients with mTBI, had persistent symptoms (mean time since injury 48.2 months); 92% of the entire sample fulfilled the criteria for post-concussion syndrome. Outcome variables: catastrophizing, fear-avoidance, depression and post-concussion symptoms. Results: High levels of catastrophizing were found in 10% and high levels of fear avoidance behaviour were found in 35%. Catastrophizing, fear avoidance behaviour, depressive symptoms and post-concussion symptoms correlated significantly with each other (p < 0.05). Conclusion:The fear-avoidance model proposes a possible explanation for persistent symptoms. Validation and normative data are needed for suitable measures of catastrophizing and fear avoidance of post-concussion symptoms after TBI. Longitudinal prospective cohort studies are needed to establish its causal and explanatory nature.

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“…The Rivermead Post Concussion Symptoms Questionnaire 34,35 and the Brief Symptom Inventory, 36 from which the Global Severity Index (GSI) was calculated, were also collected as self-report symptom measures. Socioeconomic Composite Index (SCI) scores were calculated based on annual family income, level of education (maternal education for participants younger than 18 years old), and occupational prestige.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Predictors of Poor Recovery from Mild Traumatic Brain Injury

Rabinowitz

McCauley

et al. 2015

Journal of Neurotrauma

114

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Although most patients with mild traumatic brain injury (mTBI) recover within 3 months, a subgroup of patients experience persistent symptoms. Yet, the prevalence and predictors of persistent dysfunction in patients with mTBI remain poorly understood. In a longitudinal study, we evaluated predictors of symptomatic and cognitive dysfunction in adolescents and young adults with mTBI, compared with two control groups-patients with orthopedic injuries and healthy uninjured individuals. Outcomes were assessed at 3 months post-injury. Poor symptomatic outcome was defined as exhibiting a symptom score higher than 90% of the orthopedic control (OC) group, and poor cognitive outcome was defined as exhibiting cognitive performance poorer than 90% of the OC group. At 3 months post-injury, more than half of the patients with mTBI (52%) exhibited persistently elevated symptoms, and more than a third (36.4%) exhibited poor cognitive outcome. The rate of high symptom report in mTBI was markedly greater than that of typically developing (13%) and OC (17%) groups; the proportion of those with poor cognitive performance in the mTBI group exceeded that of typically developing controls (15.8%), but was similar to that of the OC group (34.9%). Older age at injury, female sex, and acute symptom report were predictors of poor symptomatic outcome at 3 months. Socioeconomic status was the only significant predictor of poor cognitive outcome at 3 months.

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Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire

Cited by 235 publications

References 22 publications

Duration and Course of Post-Concussive Symptoms

Duration and Course of Post-Concussive Symptoms

Does the fear avoidance model explain persistent symptoms after traumatic brain injury?

Prevalence and Predictors of Poor Recovery from Mild Traumatic Brain Injury

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