ArticleThe Journal of pediatrics2016
Psychological Factors Associated with Delayed Symptom Resolution in Children with Concussion.
Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.
- How Perceptions Impact Recovery from Concussion in Childhood and Adolescence: a Systematic Review.Neuropsychology review · 2020Pooled it
- Implementation of active injury management (AIM) in youth with acute concussion: A randomized controlled trial.Contemporary clinical trials · 2022Trial
- Incidence, risk factors and outcomes of persistent post-concussion symptoms in Singaporean school-going children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Factors Associated with Persisting Post-Concussion Symptoms Among Collegiate Athletes and Military Cadets: Findings from the NCAA-DoD CARE Consortium.Sports medicine (Auckland, N.Z.) · 2025Article
- A review of the personality traits in post-concussion syndrome.Acta neurologica Belgica · 2024Review
- Application of Theory for Those With Sport-Related Concussion: Understanding the Effect of Athletic Identity on Health Outcomes.Journal of athletic training · 2023Review
- Correlation between Mild Traumatic Brain Injury-Induced Inflammatory Cytokines and Emotional Symptom Traits: A Systematic Review.Brain sciences · 2022Review
- Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review.Frontiers in neurology · 2022Article
- Prevalence and risk factors for depression, anxiety and suicidal ideation in youth with persistent post-concussive symptoms (PPCS).Brain injury · 2021Article
- Emotional Aspects of Pediatric Post-Intensive Care Syndrome Following Traumatic Brain Injury.Journal of child & adolescent trauma · 2021Article
- Do Initial Symptom Factor Scores Predict Subsequent Impairment Following Concussion?Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2020Article
- Atypical Somatic Symptoms in Adults With Prolonged Recovery From Mild Traumatic Brain Injury.Frontiers in neurology · 2020Article
- Persistent Postconcussion Symptoms After Injury.Pediatrics · 2018Article
- Predicting Concussion Recovery in Children and Adolescents in the Emergency Department.Current neurology and neuroscience reports · 2018Review
- Acute Clinical Predictors of Symptom Recovery in Emergency Department Patients with Uncomplicated Mild Traumatic Brain Injury or Non-Traumatic Brain Injuries.Journal of neurotrauma · 2018Article
- Psychiatric Sequelae of Concussions.Current psychiatry reports · 2017Review
- The Course of Concussion Recovery in Children 6-12 Years of Age: Experience From an Interdisciplinary Rehabilitation Clinic.PM & R : the journal of injury, function, and rehabilitation · 2017Article
- Neuropsychiatric aspects of concussion: acute and chronic sequelae.Concussion (London, England) · 2017Review
- Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicineReview
- Factors Influencing Primary Care Follow-Up After Pediatric Mild Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo characterize the psychological factors associated with persistent symptoms after pediatric concussion. STUDY
designLongitudinal cohort study of 179 children with concussion 8-18 years old evaluated in a pediatric emergency department. Participants were followed for 1 month for delayed symptom resolution, defined as ≥3 symptoms that were new/worse than preinjury symptoms measured by the use of graded symptom inventory. Preinjury psychological traits were measured by parental report on subscales of the Personality Inventory for Children-2 (maladjustment, cognitive abilities, somatization). Child report of postinjury anxiety and injury perception were measured with the State-Trait Anxiety Inventory for Children and Children's Illness Perception Questionnaire. Psychological instrument scores were compared between those with and without delayed symptom resolution via a Kruskal-Wallis test. Associations between psychological traits and delayed symptom resolution were investigated by the use of logistic regression.
resultsDelayed symptom resolution occurred in 21% of participants. Score distributions were significantly worse on the State-Trait Anxiety Inventory for Children (38 [IQR 33-40] vs 35 [IQR 31-39]; P = .04) and somatization subscale (1 [IQR 0-3] vs 1 [IQR 0-1]; P = .01) among children with delayed symptom resolution compared with children with early symptom resolution. Somatization was associated with delayed symptom resolution (aOR 1.35, 95% CI 1.08-1.69). The proportion of children with abnormal somatization scores was significantly greater in the delayed symptom resolution group (34.2%) than the early symptom resolution group (12.8%; P < .01). Other psychological measures were not different between groups.
conclusionSomatization is associated with delayed symptom resolution in this cohort of children with concussion. Postconcussive symptoms lasting at least 1 month may warrant referral to a neuropsychologist familiar with postconcussion care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.