Posttraumatic stress symptoms in recovery from concussion

This study found that emotional symptoms present at initial clinical evaluation are associated with higher symptoms of posttraumatic stress and should be considered when managing recovery from concussion. Previous literature suggests that lingering concussion symptoms may be influenced by psychologi...

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Bibliographic Details
Published in:Journal of clinical and experimental neuropsychology 2024-09, Vol.46 (7), p.619-629
Main Authors: Bunt, Stephen C., Doggett, Hannah, Wilmoth, Kristin, Hynan, Linda S., Tamez, Ingrid, Didehbani, Nyaz, Stokes, Mathew, Miller, Shane M., Bell, Kathleen R., Cullum, C. Munro
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anxiety
Anxiety - etiology
Brain Concussion - complications
Brain Concussion - physiopathology
Brain Concussion - psychology
Concussion
Depression - etiology
Emotions
Female
Humans
lingering symptoms
Male
Mental depression
Middle Aged
PCL-5
Post traumatic stress disorder
PTSS
Recovery of Function - physiology
SCAT5
Stress Disorders, Post-Traumatic
Young Adult
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Summary:This study found that emotional symptoms present at initial clinical evaluation are associated with higher symptoms of posttraumatic stress and should be considered when managing recovery from concussion. Previous literature suggests that lingering concussion symptoms may be influenced by psychological factors. The relationship of posttraumatic stress symptoms (PTSS) during recovery with pre-existing/injury related factors and concussion symptomology is not fully understood. Identification of factors contributing to symptoms of posttraumatic stress may provide guidance to improve treatment following concussion. This study included 287 participants (Male 40.42%, n = 116; Female 59.58%, n = 171) aged 13-75 years diagnosed with a recent concussion at one of the North Texas Concussion Registry (ConTex) specialty concussion clinic sites. Preinjury emotional history, injury related factors, and emotional state at time of initial evaluation were analyzed as predictors of post-traumatic stress symptoms (PCL-5) during recovery. Sixty-one percent of participants endorsed at least one PTSS. Correlations were found between initial Sport Concussion Assessment Tool 5 Ⓡ (SCAT5) total emotional symptom severity and screening measures for anxiety (GAD-7; r = .453, p 
ISSN:1380-3395
1744-411X
1744-411X
DOI:10.1080/13803395.2024.2395331