Predicting Psychological Distress after Pediatric Concussion

Journal of Neurotrauma
Brian L BrooksPERC Concussion Team

Abstract

A significant proportion of children and adolescents report psychological distress following concussion, but little is known about the predictors of these problems. The purpose of this study was to examine predictive factors of psychological distress following pediatric concussion. It was hypothesized that the presence of pre-injury psychological distress would be the strongest predictor of psychological distress post-concussion, with other demographic and acute injury factors adding incrementally to prediction. This is a prospective, multi-center cohort. Children and adolescents (6-17 years old; n = 311) who sustained a concussion and were assessed through four pediatric emergency departments. Participants were reassessed at 4-weeks (n = 275) and 12-weeks (n = 190) post-injury. Emergency department (ED) assessment documented injury mechanism, acute symptomatology, acute cognitive functioning, and pre-injury functioning. Psychological distress at 4- and 12-weeks follow-up was categorized as present if one or more psychological scores from the parent-completed measures (Child Behavior Checklist, Strengths and Difficulties Questionnaire) exceeded established cutoffs. The presence of psychological distress at each follow-up was pr...Continue Reading

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Citations

May 11, 2019·Journal of Neurotrauma·Alice GornallVicki Anderson
Sep 24, 2020·Journal for Specialists in Pediatric Nursing : JSPN·Gail MacartneyKristian Goulet
Sep 22, 2020·Current Psychiatry Reports·Melissa S XanthopoulosChristina L Master
Jul 6, 2019·Frontiers in Neurology·Eirik VikaneJan Sture Skouen
Aug 21, 2020·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Steven C DufourJoshua C Gray
May 1, 2021·British Journal of Sports Medicine·Alice GornallVicki Anderson
Jan 28, 2022·Current Opinion in Psychiatry·Kathryn A Ritchie, Beth S Slomine

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Methods Mentioned

BETA
sedation

Software Mentioned

Research Electronic Data Capture ( REDCap
R

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