Impact of Self-Efficacy and Affective Functioning on Pediatric Concussion Symptom Severity

Kesley A. Ramsey, Christopher Vaughan, Barry M. Wagner, Joseph F. McGuire, Gerard A. Gioia

Research output: Contribution to journalArticlepeer-review


Objective: The purpose of this study was to examine whether self-efficacy predicted pediatric concussion symptom severity and explore whether affective mood states (e.g., depression) influenced this relationship. Method: Children (8-17 years) who were diagnosed with a concussion within 30 days of injury participated in the study (n = 105). Following a clinical assessment, participants and caregivers completed questionnaires that assessed overall concussion symptom severity and current depression symptoms. Participants also completed ratings capturing self-efficacy for managing concussion recovery. Results: Linear regression models revealed that greater levels of self-efficacy predicted lower parent- (R2 = 0.10, p =.001) and youth-rated (R2 = 0.23, p <.001) concussion symptom severity. Interestingly, depression symptoms moderated the relationship between self-efficacy and concussion symptom severity. Conclusions: Findings provide initial support for a relationship between self-efficacy and concussion outcomes and highlight the influence of depressive symptoms. Interventions that optimize youth's self-efficacy have the potential to increase treatment adherence, reduce concussion symptom severity, and improve recovery prognosis.

Original languageEnglish (US)
Pages (from-to)875-882
Number of pages8
JournalJournal of the International Neuropsychological Society
Issue number9
StatePublished - Oct 14 2021


  • Adolescents
  • Children
  • Depression
  • Pediatric
  • Self-confidence
  • mTBI

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health


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