Post-concussion syndrome and pre-existing mood disorder: A case report
Autor: | Clive D. Brock, Alexei O DeCastro, S Tucker Price |
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Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Neuropsychological Tests Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Medicine Humans Family history Psychiatry Depression (differential diagnoses) biology Post-concussion syndrome Cognitive Behavioral Therapy Athletes business.industry Mood Disorders Post-Concussion Syndrome biology.organism_classification medicine.disease Mental health Antidepressive Agents Cognitive behavioral therapy Psychiatry and Mental health Mood Anti-Anxiety Agents Attention Deficit Disorder with Hyperactivity Athletic Injuries Anxiety Anticonvulsants Epilepsy Tonic-Clonic medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | International journal of psychiatry in medicine. 54(3) |
ISSN: | 1541-3527 |
Popis: | Sport-related concussions in youth and adolescent athletes most commonly resolve within one week without residual symptoms, with athletes resuming full participation following return to play guidelines. A small percentage of athletes have persistent symptoms that cause significant morbidity, some of whom are ultimately diagnosed with post-concussion syndrome. In these athletes, symptoms in the emotional domain can be more prolonged than other domains, with athletes reporting anxiety and depression months to years following injury. A prior personal or family history of pre-existing mood disorder or attention-deficit/hyperactivity disorder increases the risk of a prolonged duration of symptoms. In this case series, we discuss two cases of post-concussion syndrome in adolescent athletes with a past personal or family history of attention-deficit/hyperactivity disorder, anxiety, and depression treated by a combination of cognitive behavioral therapy and medication with ongoing persistent symptoms. There is increased need for mental health screening in all athletes to identify individuals at risk for post-concussion syndrome. Early identification of at-risk individuals allows the interdisciplinary care team to discuss expectations for the athlete and family regarding duration of symptoms. |
Databáze: | OpenAIRE |
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