Linguistic Interpretation of Acute Injury Characteristics That Define Mild Traumatic Brain Injury: an Exploratory Study of Native and Non-native English Speakers.

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From: Psychological Injury and Law(Vol. 14, Issue 3)
Publisher: Springer
Document Type: Report; Brief article
Length: 242 words

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Abstract :

Keywords: Mild traumatic brain injury; Linguistic factors; Diagnostic terminology; Brain injury Abstract In this study, we sought to explore if linguistic factors impact the diagnosis of mild traumatic brain injury (mTBI). More specifically, we examined if the meaning of acute injury characteristics that determine whether an mTBI was sustained systematically differed across linguistically diverse populations. A total of 296 participants (68% female 33% of South Asian descent 42% second generation Canadian) were administered an mTBI Criterion Questionnaire where they were asked to define the diagnostic terms "dazed," "disoriented," and "confused." These words were analyzed and placed into an appropriate validated word category scale (i.e., self-reference, social, positive emotion, negative emotion, and cognitive) using the Linguistic Inquiry and Word Count software program. There were no significant differences between native-English and limited English proficiency (i.e., non-native-English) speaker groups for the diagnostic terms "dazed" and "confused." However, there were significant differences between these language groups for the diagnostic term "disoriented." Our findings suggest that individuals that have limited English proficiency may be subject to additional distortions in symptom reporting. Clinicians should be particularly mindful of linguistic differences in patient interpretation of acute injury characteristics in the context of establishing a diagnosis of mTBI. Author Affiliation: (1) Graduate Department of Psychological Clinical Science, University of Toronto, Toronto, ON, Canada (2) Department of Psychology, University of Toronto, Toronto, ON, Canada (a) Article History: Registration Date: 06/01/2021 Received Date: 01/07/2021 Accepted Date: 06/01/2021 Online Date: 06/25/2021 Byline:

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Gale Document Number: GALE|A678066097