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Related Concept Videos

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Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
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Related Experiment Video

Updated: Feb 21, 2026

A Mouse Model of Single and Repetitive Mild Traumatic Brain Injury
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Does the fear avoidance model explain persistent symptoms after traumatic brain injury?

Melloney L M Wijenberg1,2, Sven Z Stapert1,3, Jeanine A Verbunt4

  • 1a Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience , Maastricht University , Maastricht , the Netherlands.

Brain Injury
|October 6, 2017
PubMed
Summary

The fear avoidance model may explain persistent post-concussion syndrome after mild traumatic brain injury (mTBI). Catastrophizing and fear avoidance behaviors correlate with lingering symptoms, suggesting a biopsychosocial link.

Keywords:
CatastrophizingTraumatic brain injurychronic phasefear avoidance behaviourpersistent symptomspost concussional syndrome

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Medicine

Background:

  • A minority of patients with mild traumatic brain injury (mTBI) develop persistent post-concussion syndrome.
  • Explanations for this prolonged symptom complex remain elusive.

Purpose of the Study:

  • To investigate the fear avoidance model as a potential biopsychosocial explanation for persistent symptoms and delayed recovery after traumatic brain injury (TBI).
  • Focus on mild TBI (mTBI) and its associated lingering symptoms.

Main Methods:

  • Cross-sectional study design.
  • Involved 48 patients with TBI (31 with mTBI) experiencing persistent symptoms.
  • Assessed catastrophizing, fear avoidance behavior, depression, and post-concussion symptoms.

Main Results:

  • High levels of catastrophizing (10%) and fear avoidance behavior (35%) were observed.
  • Significant correlations were found between catastrophizing, fear avoidance behavior, depressive symptoms, and post-concussion symptoms (p < 0.05).

Conclusions:

  • The fear avoidance model offers a plausible explanation for persistent post-concussion symptoms.
  • Further research, including validation of measures and longitudinal studies, is needed to establish causality.