Deans' stroke musings: Catastrophizing is associated with excess cognitive symptom reporting after mild traumatic brain injury.

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, November 11, 2023

Catastrophizing is associated with excess cognitive symptom reporting after mild traumatic brain injury.

Your doctor is completely responsible for your mental health post stroke and is completely incompetent if that doesn't include 100% recovery protocols. If you can visualize recovery you won't catastrophize your lack of recovery.

Catastrophizing is associated with excess cognitive symptom reporting after mild traumatic brain injury.

Shi, S., Picon, E. L., Rioux, M., Panenka, W. J., & Silverberg, N. D. (2023). Catastrophizing is associated with excess cognitive symptom reporting after mild traumatic brain injury. Neuropsychology. Advance online publication. https://doi.org/10.1037/neu0000930

Objective: Persistent cognitive symptoms after mild traumatic brain injury (mTBI) often do not correlate with objective neuropsychological performance. Catastrophizing (i.e., excessively negative interpretations of symptoms) may help explain this discrepancy. We hypothesize that symptom catastrophizing will be associated with greater cognitive symptom reporting relative to neuropsychological test performance in people seeking treatment for mTBI. Method: Secondary analysis of baseline data from a randomized controlled trial. Adults with mTBI (N = 77) were recruited from two outpatient mTBI clinics in British Columbia, Canada. Questionnaires and assessments were administered at baseline (M = 17.7 weeks postinjury). The sample was 64% women with a mean age of 42 years (SD = 11.5). Validated questionnaires were used to assess catastrophizing, cognitive symptoms, and affective distress. Neuropsychological performance was assessed using the National Institutes of Health Toolbox Cognition Battery. Discrepancies between cognitive symptoms and cognitive functioning were operationalized using standard residuals from neuropsychological test performance scores regressed on cognitive symptom scores. Generalized linear models were run to measure the association between symptom catastrophizing, cognitive variables, and their discrepancy, with affective distress as a covariate. Results: Symptom catastrophizing was associated with more severe cognitive symptoms when controlling for neuropsychological performance (β = 0.44, 95% CI [0.23, 0.65]). Symptom catastrophizing was also associated with higher subjective–objective cognition residuals (β = 0.43, 95% CI [0.22, 0.64]). Catastrophizing remained a significant predictor after affective distress was introduced as a covariate. Conclusions: Catastrophizing is associated with misperceptions of cognitive functioning following mTBI, specifically overreporting cognitive symptoms relative to neuropsychological performance. Symptom catastrophizing may be an important determinant of cognitive symptom reporting months after mTBI. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impact Statement

Question: Can symptom catastrophizing help explain excess cognitive symptoms after mTBI? Findings: Symptom catastrophizing was associated with greater cognitive symptom reporting relative to neuropsychological test performance in patients seeking treatment for mTBI. Importance: Symptom catastrophizing may be a modifiable risk factor for persistent cognitive symptoms after mTBI. Next Steps: Future studies should evaluate psychological interventions targeting catastrophizing, such as cognitive behavioral therapy, for patients with excess cognitive symptoms after mTBI. (PsycInfo Database Record (c) 2023 APA, all rights reserved)