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Published in: Journal of Neurology 12/2006

01-12-2006 | ORIGINAL COMMUNICATION

The Rivermead Post Concussion Symptoms Questionnaire

A confirmatory factor analysis

Authors: Seb Potter, Eleanor Leigh, Derick Wade, Simon Fleminger

Published in: Journal of Neurology | Issue 12/2006

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Abstract

Objective

To investigate the factor structure of the Rivermead Post Concussion Symptoms Questionnaire (RPQ) among individuals seen as part of routine follow-up following traumatic brain injury.

Methods

RPQ data from 168 participants was examined (mean age 35.2, SD 14.3; 89% with post traumatic amnesia duration < 24 hours) six months after admission to an Accident & Emergency Department following TBI. Structural equation modelling was carried out to evaluate proposed models of the underlying structure of post-concussion symptoms (PCS).

Results

The results support the existence of separate cognitive, emotional and somatic factors, although there was a high degree of covariation between the three factors. A two-factor model that collapsed the emotional and somatic factors together showed a similar goodness-of-fit to the data, whilst a one-factor model proved a poor fit.

Conclusion

The results support the notion of post-concussion symptoms as a collection of associated but at least partially separable cognitive, emotional and somatic symptoms, although questions persist regarding symptom specificity. The use of the RPQ is discussed, and classification bands for use in clinical practice are suggested.
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Metadata
Title
The Rivermead Post Concussion Symptoms Questionnaire
A confirmatory factor analysis
Authors
Seb Potter
Eleanor Leigh
Derick Wade
Simon Fleminger
Publication date
01-12-2006
Publisher
Steinkopff-Verlag
Published in
Journal of Neurology / Issue 12/2006
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-006-0275-z

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