Sutherland Jessica, Middleton Jason, Ornstein Tisha J, Lawson Kerry, Vickers Kristin
Department of Psychology.
Private Practice.
Rehabil Psychol. 2016 Aug;61(3):317-327. doi: 10.1037/rep0000090. Epub 2016 Jun 30.
Despite a documented prevalence of accident phobia in almost 40% of motor vehicle accident (MVA) survivors, the onset of accident phobia after traumatic brain injury (TBI) remains poorly understood. There is currently a body of knowledge about posttraumatic stress disorder (PTSD) in patients with TBI, but less is known about accident phobia following TBI, particularly in cases of mild TBI (mTBI). Accident phobia can impede safe return to driving or motor vehicle travel, inhibiting return to daily functioning. In addition, pain complaints have been found to correlate positively with postinjury anxiety disorders.
The present study sought to determine the reliability and validity of the Accident Fear Questionnaire (AFQ), a measure used to assess accident phobia, in 72 patients with mTBI using secondary data analysis and the subsequent development of accident phobia postinjury. Furthermore, we sought to examine the impact of pain, anxiety, and depression complaints on the AFQ.
Results reveal convergent validity and reliability in mTBI populations. Additionally, pain, anxiety, and depression measures were significantly correlated with scores on the AFQ.
Psychometrically, the phobia avoidance subscale of the AFQ is a reliable measure for use with mTBI populations, although some limitations were found. In particular, the accident profile (AP) subscale was not found to be reliable or valid and could be eliminated from the AFQ. Collectively, the present study contributes to the small body of published literature evaluating accident phobia in patients with mTBI and the impact of pain on the development of postinjury anxiety disorders. (PsycINFO Database Record
尽管有记录表明近40%的机动车事故（MVA）幸存者存在事故恐惧症，但创伤性脑损伤（TBI）后事故恐惧症的发病机制仍知之甚少。目前关于TBI患者创伤后应激障碍（PTSD）有一定的知识体系，但对于TBI后的事故恐惧症，尤其是轻度TBI（mTBI）病例，了解较少。事故恐惧症会阻碍安全恢复驾驶或机动车出行，抑制恢复日常功能。此外，疼痛主诉已被发现与伤后焦虑症呈正相关。
本研究旨在通过二次数据分析和随后对伤后事故恐惧症的发展情况进行研究，确定事故恐惧问卷（AFQ）在72例mTBI患者中的信效度，该问卷用于评估事故恐惧症。此外，我们还试图研究疼痛、焦虑和抑郁主诉对AFQ的影响。
结果显示在mTBI人群中具有收敛效度和信度。此外，疼痛、焦虑和抑郁测量与AFQ得分显著相关。
从心理测量学角度来看，AFQ的恐惧回避分量表是用于mTBI人群的可靠测量工具，尽管发现了一些局限性。特别是，事故概况（AP）分量表未被发现可靠或有效，可以从AFQ中剔除。总体而言，本研究为评估mTBI患者事故恐惧症及疼痛对伤后焦虑症发展影响的少量已发表文献做出了贡献。（PsycINFO数据库记录）
