Psychological Factors Associated with Post-Concussion Syndrome

  • Research type

    Research Study

  • Full title

    Understanding the psychological factors associated with post-concussion symptoms and distress within the acute phase of mild traumatic brain injury

  • IRAS ID

    362450

  • Contact name

    Cerian Jackson

  • Contact email

    cerianj@liverpool.ac.uk

  • Sponsor organisation

    University of Liverpool

  • Duration of Study in the UK

    1 years, 4 months, 0 days

  • Research summary

    Mild traumatic brain injury (mTBI), often used interchangeably with ‘concussion’, is a common injury that can happen after a bump, blow, or jolt to the head/body. Symptoms can include headaches, tiredness, difficulty concentrating, and mood disturbances. Whilst many recover quickly, some people continue to experience long-term symptoms which can have significant impacts on everyday life, such as activities of daily living and employment.

    This research aims to explore how psychological factors may influence symptom experience and distress in the acute phase of mTBI. As distress and post-concussion symptoms are predictors of persistent symptoms, the study aims to explore which psychological mechanisms are associated with these. The study has two arms, each focusing on different psychological factors which may impact recovery. Arm 1 explores whether beliefs about personal control over life events (locus of control) and confidence in one’s ability to manage challenges (self-efficacy) are associated with the severity of post-concussion symptoms. Arm 2 explores whether symptom expectations and excessive online researching for health information (i.e., 'cyberchondria') are related to levels of emotional distress post-injury.

    The results of this study will help us to understand the early experiences of mTBI and provide crucial information which may guide early psychological interventions for people with mTBI who are at risk of developing persistent post-concussion symptoms.

    Adults aged 18 and over who have experienced an mTBI/concussion within the past three months will be invited to take part. Participants will be recruited through NHS Trusts in the north-west of England, specifically A&E departments and walk-in-centres. Participation involves completing a set of online questionnaires about their views and experiences since the injury. Questionnaires will take approximately 50 minutes to complete (from consent to debriefing), are anonymous and completed on a voluntary basis. Participants are also able to complete these on paper copies if they prefer not to use technology.

  • REC name

    South Central - Hampshire B Research Ethics Committee

  • REC reference

    26/SC/0057

  • Date of REC Opinion

    19 Mar 2026

  • REC opinion

    Further Information Favourable Opinion