Differences in Adolescent Symptom Reporting Following Motor Vehicle Accident Versus Sport-Related Concussion.

Autor:	Tarkenton T; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Caze Ii T; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Silver CH; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Hynan LS; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; University of Texas Southwestern Medical Center, Departments of Population and Data Sciences, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Didehbani N; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; University of Texas Southwestern Medical Center, Department of Physical Medicine & Rehabilitation, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Miller S; University of Texas Southwestern Medical Center, Departments of Orthopedic Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; University of Texas Southwestern Medical Center, Department of Pediatrics, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; Scottish Rite for Children Orthopedic and Sports Medicine Center, 5700 Dallas Pkwy, Frisco, TX 75034, USA., Batjer H; University of Texas Southwestern Medical Center, Department of Neurological Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Bell K; University of Texas Southwestern Medical Center, Department of Physical Medicine & Rehabilitation, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA., Cullum CM; University of Texas Southwestern Medical Center, Departments of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; University of Texas Southwestern Medical Center, Department of Neurology and Neurotherapeutics, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.; University of Texas Southwestern Medical Center, Department of Neurological Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA.
Jazyk:	angličtina
Zdroj:	Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2021 May 21; Vol. 36 (4), pp. 554-560.
DOI:	10.1093/arclin/acaa086
Abstrakt:	Objective: To characterize potential differences in youth concussion sustained in motor vehicle accident (MVA) versus sport-related concussion (SRC), hypothesizing that youth who sustain concussion in a MVA would endorse higher initial and persistent symptom scores compared to those with SRC, despite similar injury severity levels. Methods: Participants age 12-18 who sustained a concussion (i.e., Glasgow Coma Scale = 13-15) in a MVA (n = 35) were matched with SRC participants (n = 35) by sex, age, and days since injury. ANCOVA comparing initial postconcussion total symptom scores between the MVA and SRC groups were performed. Chi-square analysis with injury group by recovery time was used to determine whether youth who sustained concussion from MVA were more likely to endorse symptoms persisting >30 days at 3 months postinjury, and ANCOVA compared 3-month total symptom scores. Results: On average, the MVA group reported significantly higher initial postconcussion and more frequent persistent symptom scores compared to the SRC group. Conclusions: This is the first known study to examine context of injury in youth concussion while matching for injury severity, age, sex, and days since injury. Findings suggest the context of injury is an important clinical variable related to initial reporting of symptoms and endorsement of symptoms lasting more than 30 days. Tailored interventions that consider the context of injury may facilitate symptom resolution. (© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com.)
Databáze:	MEDLINE
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