ArticleFrontiers in neurology2021
Anxiety Is Associated With Diverse Physical and Cognitive Symptoms in Youth Presenting to a Multidisciplinary Concussion Clinic.
Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Incidence of anxiety after traumatic brain injury: a systematic review and meta-analysis.BMC neurology · 2024Pooled it
- Feasibility Randomized Controlled Trial of the Toolkit for Optimal Recovery After Concussion: A Live Video Program to Prevent Persistent Concussion Symptoms in Young Adults With Anxiety.Archives of physical medicine and rehabilitation · 2025Trial
- Responsivity of Concussion Symptom Domains to a Mind-Body Intervention for Young Adults With a Recent Concussion and Anxiety: A Pilot RCT.The Journal of head trauma rehabilitationTrial
- Recovery from Sport-Related Concussion in Athletes with Attention-Deficit/Hyperactivity Disorder: a Systematic Review.Neuropsychology review · 2026Review
- Motion Sickness and Psychological and Vestibular Symptom Burden After Concussion.Clinical pediatrics · 2026Article
- Biofluid-based predictors of post-concussion symptoms: a narrative review of mild traumatic brain injury biomarkers.Brain communications · 2026Review
- Association of Alzheimer's Disease Polygenic Risk Score with Concussion Severity and Recovery Metrics.Sports medicine (Auckland, N.Z.) · 2025Article
- Meta-synthesis of rehabilitation experiences and needs of adolescent patients with mild traumatic brain injury.Frontiers in neurology · 2025Review
- Preliminary Feasibility of a Novel Mind-Body Program to Prevent Persistent Concussion Symptoms Among Young Adults With Anxiety: Nonrandomized Open Pilot Study.JMIR formative research · 2024Article
- Why psychological factors are still being sidelined in sport-related concussion treatment and what we can do about it.British journal of sports medicine · 2024Article
- "I completely shut down": A mixed methods evaluation of the fear-avoidance model for young adults with a recent concussion and anxiety.Rehabilitation psychology · 2024Article
- "I Wish I Had That!": A Qualitative Analysis of Psychosocial Treatment Preferences Among Young Adults With Recent Concussion and Anxiety.Archives of physical medicine and rehabilitation · 2024Article
- "Alone in the dark": A qualitative study of treatment experiences among young adults with a recent concussion and anxiety.Neuropsychological rehabilitation · 2024Article
- Autonomic nervous system dysfunction in pediatric sport-related concussion: a systematic review.The Journal of the Canadian Chiropractic Association · 2023Article
- Changes in State and Trait Anxiety Throughout Concussion Recovery in High School- and College-Aged Individuals.Journal of athletic training · 2023Article
- The Impact of a Recent Concussion on College-Aged Individuals with Co-Occurring Anxiety: A Qualitative Investigation.International journal of environmental research and public health · 2023Article
- Comparison of Anxiety and Depression Symptoms in Concussed and Nonconcussed Adolescents.Sports healthArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
introductionPre-injury and post-injury anxiety are prevalent and important to consider in the medical management of concussions in youth. We examined the association between anxiety and other physical, cognitive, and emotional symptoms in injured adolescents and young adults undergoing an initial evaluation in a specialty concussion clinic.
methodsParticipants were 158 adolescents and young adults presenting to a multidisciplinary concussion clinic for evaluation and treatment (54.4% girls and women; mean age = 17.3 years; SD = 2.9). Their median days post injury was 29 (interquartile range = 14-49; range = 7-349). They were divided into binary groups based on whether they had a pre-injury history of anxiety diagnosis or treatment and whether they were experiencing current anxiety in the week prior to the evaluation, and then compared on the Post-Concussion Symptom Scale.
resultsYouth with a pre-injury history of anxiety reported greater post-concussion symptoms (Md total score = 36.0, IQR = 21.5-53.0) compared to youth with no pre-injury history of anxiety (Md total score = 20.5, IQR = 6.0-36.0; MW U = 1,520.00 DISCUSSION: Pre-injury and post-injury anxiety are important risk factors for greater post-concussion symptoms among adolescents and young adults. Elevated post-injury anxiety was the strongest predictor of persistent post-concussion symptoms. Assessment of anxiety is important among adolescents presenting for concussion care and delivery of evidence-supported treatments for anxiety are important considerations for treatment planning for these youth.
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