Archives of Clinical Neuropsychology最新文献

{"title":"A - 39 Self-Reported Behavioral Regulation and Post-Concussion Symptom Burden","authors":"S. Amalfe, S. Jennings, M. Womble, K. Durfee, R. Elbin","doi":"10.1093/arclin/acae052.39","DOIUrl":"https://doi.org/10.1093/arclin/acae052.39","url":null,"abstract":"\u0000 \u0000 \u0000 Examine the effects of self-reported behavioral regulation adherence levels on post-concussion symptom burden in individuals with sport-related concussion (SRC).\u0000 \u0000 \u0000 \u0000 A retrospective chart review of patients (ages 15-25 yrs) seeking care for a SRC within 90 days post-injury were included in this study. Participants completed a self-report, 4-point Likert scale (0-Never, 3-Most of the Time) questionnaire that assessed the previous week’s frequency of Sleep, Physical Activity (PA), Diet, Hydration, and Stress Management (Stress) behavioral regulation domains. Scores were divided into HIGH (Most of the Time) and LOW (Some of the Time - Never) regulation groups for each domain. A series of independent samples t-tests and analyses of covariance (ANCOVA; controlling for sex, history of anxiety/depression) were used to compare groups on Post-Concussion Symptom Scale (PCSS) total score at first clinical visit.\u0000 \u0000 \u0000 \u0000 Five-hundred thirty-seven participants (M = 15.35, SD = 2.40 yrs, 54% female) completed the study measures at 9.38 days post-injury (SD = 10.33). Participants in the HIGH behavioral regulation groups for Sleep (F (1, 537) = 68.16, p < 0.001), Diet (F (1, 537) = 22.42, p < 0.001), PA (F (1, 537) = 15.47, p < 0.001), and Stress (F (1, 537) = 6.70, p < 0.01), demonstrated significantly lower total symptom scores than the LOW groups. There were no significant between-group differences for Hydration (F (1, 537) = 3.62, p = 0.06).\u0000 \u0000 \u0000 \u0000 Effectively engaging in light PA, stress management, and consistent sleep and diet following SRC affects post-concussion symptom severity and should be considered an acute treatment plan. Hydration appears less influential in reducing symptom burden at initial clinical visit.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 36 Long-Term Psychological Symptoms Following Concussion in Adolescent Ice Hockey Players","authors":"C. David, M. Mrazik, K. O. Yeates, J-M Galarneau, C. A. Emery","doi":"10.1093/arclin/acae052.36","DOIUrl":"https://doi.org/10.1093/arclin/acae052.36","url":null,"abstract":"\u0000 \u0000 \u0000 Concussion symptoms typically resolve within 30 days from injury; however, in up to 35% of cases, symptoms may be prolonged and continue months, or even years, and may be associated with longer-term mental health problems. This study aimed to assess long-term psychological and emotional symptoms in adolescent youth ice hockey players after medical clearance to return to play.\u0000 \u0000 \u0000 \u0000 This study used data collected prospectively as part of a larger longitudinal cohort study involving injury surveillance in hockey players (11-18 years), conducted over five seasons from 2013 through 2018. Pre-season baseline measures of psychological and emotional functioning were compared across two consecutive time points, for youth with an intervening concussion, musculoskeletal.\u0000 (MSK) injury, or no intervening injury. Random intercept models with players nested by team and individuals, captured the effects of players contributing to the analysis multiple times. Covariates included age, sex, and body checking policy.\u0000 \u0000 \u0000 \u0000 Adolescent ice hockey players who sustained a concussion showed no evidence of worsening self-reported psychological and emotional symptoms after injury, compared to youth with MSK injury or no injury. Compared to athletes with MSK or no injury, athletes who sustained a concussion also showed no worsening symptoms based on parent ratings.\u0000 \u0000 \u0000 \u0000 The present study found no evidence of worsening psychological and emotional symptoms among adolescent ice hockey players up to one-year post-concussion, compared to youth with MSK injury or no injury. These findings support the expected recovery trajectory timeline of concussions and support current return-to-play policies for this group.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 15 Incorporating the Child Opportunity Index and Area Deprivation Index in Sport Concussion Research","authors":"G. L. Iverson, J. Santangelo, J. E. Maietta, N. E. Cook","doi":"10.1093/arclin/acae052.15","DOIUrl":"https://doi.org/10.1093/arclin/acae052.15","url":null,"abstract":"\u0000 \u0000 \u0000 Social determinants of health, including socioeconomic status (SES) and neighborhood characteristics, are underrepresented in concussion research. We examined two measures of neighborhood advantage and opportunity among patients accessing a multidisciplinary sports concussion clinic in Greater Boston.\u0000 \u0000 \u0000 \u0000 We collected the Child Opportunity Index (COI) and Area Deprivation Index (ADI) state decile scores and national percentile ranks for all new patients who presented to our clinic in 2023. The COI is an index of neighborhood conditions that may impact childhood development (e.g., education quality, SES, access to healthy food) with ratings from Very Low to Very High. The ADI characterizes an area’s socioeconomic conditions (e.g., income, housing quality, employment, education), with higher scores representing more disadvantage.\u0000 \u0000 \u0000 \u0000 There were 247 new patients who visited the clinic (Mage = 17.5, SDage = 5.2, 47.8% Girls/Women, 81.4% White, 4.0% Black, 6.5% Asian, 4.9% Hispanic). The majority lived in an area with a High or Very High state COI (74%) and High or Very High national COI (88%). The median ADI state decile was 2.00 (IQR = 1.00–4.00) and the median national percentile was 10.00 (IQR = 5.00–18.00) (representing the highest 10% of advantage). The state deciles for the two measures were correlated (Spearman rho = 0.64), but not redundant.\u0000 \u0000 \u0000 \u0000 The COI and ADI are important, accessible measures of SES that can be included in future studies. Patients from low SES were greatly underrepresented in the clinic compared to the population of our metropolitan area. Patients were predominantly from higher SES, consistent with prior studies suggesting socioeconomic disparities accessing specialty concussion care.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 55 Pre- to Post-Season Reliability of Blink Reflex Parameters in Non-Concussed Athletes","authors":"C. C. Long, J. Dugan, J. Jo, K. Williams, S. Zuckerman, D. Terry","doi":"10.1093/arclin/acae052.55","DOIUrl":"https://doi.org/10.1093/arclin/acae052.55","url":null,"abstract":"\u0000 \u0000 \u0000 Examining quantitative parameters of the blink reflex may improve sport-related concussion (SRC) diagnosis and management because it may serve as an objective measure of injury severity and recovery. However, the psychometric properties of several FDA-cleared devices assessing the blink reflex are understudied. The current study compared blink reflex parameters pre- and post-season using the BlinkTBI EyeStatTM device to assess its reliability in non-concussed athletes.\u0000 \u0000 \u0000 \u0000 A cohort of high school athletes underwent pre- and post-season BlinkTBI EyeStatTM testing. Statistical analysis included Spearman correlations, Wilcoxon signed-rank tests, and interclass correlations for ten blink parameters. Multivariable linear regressions assessed the influence of contact (i.e., soccer, football) vs. non-contact sports (i.e., baseball, softball, basketball) on changes in blink parameters.\u0000 \u0000 \u0000 \u0000 Among 32 athletes with pre- and post-season testing (age: mean = 15.3, SD = 1.1; 53.1% female), 19 played non-contact and 21 played contact sports. Most parameters were not statistically different between pre- and post-season, except for delta 30 (W = 229.5, p = 0.015), time under threshold (W = 191.0, p = 0.003), and oscillations (W = 667.0, p < 0.001). Parameters exhibited moderate to excellent reliability (interclass correlations = 0.575–0.872, p-values = 0.001–0.004). Spearman’s rho values ranged from 0.435 to 0.828 (p-values = 001–0.005). Participation in contact vs. non-contact sports was not associated with changes in blink parameters (all p-values>0.05).\u0000 \u0000 \u0000 \u0000 Preliminary evidence suggest stable blink parameters across a sports season in non-concussed athletes when measured by the BlinkTBI EyeStatTM device. Contact sport participation was not significantly associated with changes in blink parameters. The findings add to the psychometric evidence that the blink reflex can be reliably measured, warranting further study on its utility in concussion.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 51 Examining the Role of Cognition in Lower Extremity Musculoskeletal Injury and Concussion Risk in Elite Athletes","authors":"I. J. Sewell, T. Romeas, J. Deslauriers, S. Leclerc, M. Wojtowicz","doi":"10.1093/arclin/acae052.51","DOIUrl":"https://doi.org/10.1093/arclin/acae052.51","url":null,"abstract":"\u0000 \u0000 \u0000 Recent evidence suggests a relationship between cognitive performance and the risk of lower extremity musculoskeletal (LEMSK) injury, and that concussion may also increase the risk of subsequent LEMSK injury, though these relationships have been largely examined in isolation. This study examined associations between pre-season cognitive performance and the risk of subsequent LEMSK injury and concussion among elite athletes.\u0000 \u0000 \u0000 \u0000 An observational study of elite/international-level athletes from a Canadian national sport institute. 146 athletes (female = 87) across six different sports completed pre-season cognitive testing (Vienna Test System) between 2018 and 2023. Subsequent LEMSK injuries and concussions during the year following pre-season cognitive testing were documented via an injury surveillance program.\u0000 \u0000 \u0000 \u0000 Pre-season cognitive performance was similar in athletes with (n = 24) and without (n = 122) a subsequent concussion, and those with (n = 100) and without (n = 46) a subsequent LEMSK (ps > 0.05). Athletes with both a subsequent LEMSK and concussion had slower baseline reaction time on a task of stress reactivity (n = 16; median RT = 0.74 s) compared to athletes with only a subsequent LEMSK (n = 84; median RT = 0.69 s; V = 900.5, p = 0.019). Concussion history was a significant predictor of both subsequent LEMSK (B = 0.94, p = 0.017) and the number of subsequent LEMSK (B = 1.23, p < 0.01). Faster RTs on inhibition tests were predictors of subsequent number of LEMSK, while controlling for concussion history (B = -10.21, p = 0.045; B = -10.60, p = 0.017).\u0000 \u0000 \u0000 \u0000 Identifying risk factors for LEMSK injuries and concussions is critical for preventing future injuries. These preliminary results suggest a relationship between baseline reaction time performance and combined subsequent LEMSK and concussion injury.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 48 Predictors of Prolonged Recovery after Concussion in Collegiate Athletes: a LIMBIC MATARS Consortium Investigation","authors":"R. Smetana, D. Broshek, D. J. Rosenblum, J. E. Resch","doi":"10.1093/arclin/acae052.48","DOIUrl":"https://doi.org/10.1093/arclin/acae052.48","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate predictors of prolonged recovery after concussion in collegiate athletes.\u0000 \u0000 \u0000 \u0000 Data for this cross-sectional, retrospective chart review of collegiate athletes diagnosed with concussion (n = 1044 concussions), who were on average 20-years of age, were collected during the 2015–16 to 2019–20 athletic seasons. The majority (92% [959/1044]) of athletes achieved symptom resolution at rest and made an unrestricted return-to-sport by 23 days after injury. The remaining athletes (8% n = 85[36.5% female]), with symptoms that lasted beyond 23 days after concussion were considered to have prolonged recovery. Linear regression was used to determine predictors of prolonged recovery; times to symptom-freedom and unrestricted return-to-sport were dependent variables and variables associated with medical and psychiatric history, and some post-concussion symptoms, were independent variables.\u0000 \u0000 \u0000 \u0000 Athletes with prolonged recovery generally recovered on median (interquartile range) 32 (17) days after injury. The majority (42% [36/84]) participated in football. A self-reported history of anxiety [Β = 0.577, p = 0.01], depression [Β = 0.462, p = 0.04], a history of headache [Β = 0.84, p < 0.001], and migraine [Β = 0.761, p < 0.001] were predictors of prolonged recovery. A history of prior concussion and higher symptom burden immediately after concussion did not predict prolonged recovery (all p > 0.05).\u0000 \u0000 \u0000 \u0000 Similar to related research, our findings suggest a self-reported history of psychiatric conditions, headache, and migraine associate with prolonged recovery in collegiate athletes. Our findings highlight the importance of mood symptom monitoring, early psychological intervention, and management of headache following concussion. Importantly, the majority of our sample, inclusive of collegiate athletes with prolonged recovery, recovered approximately one-month after injury.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 01 Differences in Recovery among Acutely Injured Pediatric Concussion Patients with and without Cervicogenic Symptoms","authors":"A. S. Mathew, A. Datoc, L. C. Hartland, K. Roberts, J. Sexton, J. P. Abt","doi":"10.1093/arclin/acae052.01","DOIUrl":"https://doi.org/10.1093/arclin/acae052.01","url":null,"abstract":"\u0000 \u0000 \u0000 While previous research has demonstrated that cervicogenic symptoms may affect initial symptom burden, mixed findings exist regarding its effects on recovery time. The purpose of this study was to compare acutely injured pediatric sports-related concussion (SRC) patients, with and without cervicogenic symptoms, in terms of symptom burden, vestibular ocular motor components, and recovery time.\u0000 \u0000 \u0000 \u0000 Data were gathered from patients aged 8–18 years, evaluated within seven days since injury, and with and without cervicogenic symptoms. Demographic data were examined based on age, gender, race, and ethnicity. The neck and suboccipital regions were assessed for range of motion, tenderness, and spasm. Overall VOMS change score was calculated using Elbin et al., 2022 criteria. Symptom burden was assessed using Post-Concussion Symptom Scale (PCSS) scores. Analysis of variance and regression analyses were conducted.\u0000 \u0000 \u0000 \u0000 Of the 2018 pediatric patients diagnosed with SRC, 552 had cervicogenic symptoms. Those with cervicogenic symptoms had significantly greater PCSS scores (MCervical = 35.50¬ ± 23.50, MNoCervical = 21.70¬ ± 20.80), overall VOMS change scores (MCervical = 17.90¬ ± 17.40, MNoCervical = 12.00¬ ± 15.30) and longer recovery time (MCervical = 22.90¬ ± 13.90, MNoCervical = 20.0¬ ± 14.60) compared to those without cervicogenic symptoms (p < 0.001). The model revealed a significant interaction effect between cervicogenic symptoms, VOMS, and PCSS (R2 = 0.128, F(3, 1898) = 93.49, p < 0.001).\u0000 \u0000 \u0000 \u0000 Our results showed that pediatric patients with cervicogenic symptoms not only demonstrate greater concussion symptom burden as demonstrated by PCSS and VOMS, but also take longer to recover than those without cervicogenic concerns. The results underscore the need for early detection and treatment of cervicogenic issues alongside standard concussion management to expedite recovery.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 14 Examining Race-Associated Differences on Sway Medical System Balance and Cognitive Tests","authors":"K. Stephenson, J. E. Maietta, A. Kissinger-Knox, N. E. Cook, G. L. Iverson","doi":"10.1093/arclin/acae052.14","DOIUrl":"https://doi.org/10.1093/arclin/acae052.14","url":null,"abstract":"\u0000 \u0000 \u0000 To determine if there are race-associated differences in Sway Medical System balance and cognitive test scores among athletes undergoing baseline preseason testing.\u0000 \u0000 \u0000 \u0000 Athletes between 12 and 23 years old were administered the Sway Medical System balance and cognitive tests during pre-season baseline testing. Participants who did not report a past medical history of ADHD or concussion within the past 6 months were included (N = 32,918). Athletes who self-identified as “Black or African American”or “White”were compared on Balance, Reaction Time, Inspection Time, Impulse Control, and Memory module scores using Mann–Whitney U tests, and statistical tests were stratified by age and gender.\u0000 \u0000 \u0000 \u0000 The race-associated differences (effect sizes) between Black and White athletes ranged from extremely small (negligible) to small across all ages for both genders on Balance, Reaction Time, Inspection Time, and Impulse Control scores. For the Memory module, the effect sizes ranged from small to medium across all ages for both genders. White boys obtained higher Memory scores than Black boys (Hedge’s g = −0.18 to −0.43) and White men obtained higher Memory scores than Black men (g = −0.30 to −0.60). White girls obtained higher Memory scores than Black girls (g = −0.19 to −0.34).\u0000 \u0000 \u0000 \u0000 The race-associated differences between Black and White student-athletes on Sway Medical System balance and cognitive test scores are generally negligible. The reasons for modest race-associated differences in Memory scores are unknown and future research to examine the potential role or influence of social risk factors and social psychological factors on test scores is recommended.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 19 Reliability of Mobile Ecologic Momentary Assessment Platform ReCoUPS to Monitor Concussion Symptoms and Psychological HRQoL","authors":"A. J. Tracey, A. C. Bretzin, A. Rettmann, D. J. Wiebe, T. Covassin","doi":"10.1093/arclin/acae052.19","DOIUrl":"https://doi.org/10.1093/arclin/acae052.19","url":null,"abstract":"\u0000 \u0000 \u0000 The purpose of this study was to determine the psychometric properties of a concussion symptom checklist and psychological health-related quality of life (PHRQoL) inventories administered by novel, mobile ecological momentary assessment (EMA) platform, Recovering Concussion Update on Progression of Symptoms (ReCoUPS) in healthy individuals.\u0000 \u0000 \u0000 \u0000 We enrolled 53 healthy individuals (female = 34; Μ age = 20.79 years, SD = 2.68) into our test–retest reliability study using the ReCoUPS platform on participants’smartphones. Thirty survey questions from the Sport Concussion Assessment Tool6 (SCAT-6) and the PROMIS Emotional Distress Shorts Forms Anxiety and Depression (PROMISAnx and PROMISDepress), were administered at random times, daily, for 7 days via ReCoUPS text messages. Eight days after enrollment, participants completed recalled PHRQoL (rPHRQoL) inventories (i.e., “within the past 7 days”). Cronbach’s alpha (Α) determined the internal consistency of momentary PHRQoL (mPHRQoL). Intraclass correlation coefficients (ICC), 2-way mixed effects model (95% confidence intervals,[CI]) measured agreement between rHRQoL and mPHRQoL. Spearman’s rho (rs) correlation coefficients determined linear relationships between mPHRQoL and SCAT-6 symptom clusters.\u0000 \u0000 \u0000 \u0000 There was strong internal consistency among all mPHRQoL items (PROMISAnx Α = 0.83; PROMISDepress Α = 0.95). rPHRQoL demonstrated excellent agreement with mPHRQoL (PROMISAnx ICC = 0.92, 95% CI: 0.57–0.99; PROMISDepress ICC = 0.79, 95% CI: −0.09-0.99). mPROMISAnx was significantly correlated with all clusters (affective rs = 0.81, p < 0.001; cognitive-fatigue rs = 0.66, p < 0.001; migraine rs = 0.34; p < 0.001). mPROMISDepress was significantly correlated with affective (rs = 0.69, p < 0.001) and cognitive-fatigue (rs = 0.58, p < 0.001) clusters.\u0000 \u0000 \u0000 \u0000 These findings ensure the robustness and generalizability of administering the SCAT-6 symptom checklist, PROMISAnx, and PROMISDepress via ReCoUPS for monitoring concussion symptoms and PHRQoL in healthy participants.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A - 17 Pre-injury Predictors of Protracted Recovery from Pediatric Concussion: a Latent Class Analysis","authors":"D. June, M. Iampietro, Z. Zelikovsky, M. Grady, C. Master","doi":"10.1093/arclin/acae052.17","DOIUrl":"https://doi.org/10.1093/arclin/acae052.17","url":null,"abstract":"\u0000 \u0000 \u0000 This person-centered study examined pre-injury psychological and neurodevelopmental risk factors in youth experiencing persistent concussion symptoms (PCS). Latent class analysis (LCA) was used to empirically define groups of children and adolescents experiencing PCS, and compare their functional outcomes.\u0000 \u0000 \u0000 \u0000 126 pediatric patients (Mean age = 15.94 years; 65.1% female) experiencing PCS (Mean time since injury = 315 days) participated in a clinical neuropsychological consultation and evaluation within the Minds Matter Concussion Program at Children’s Hospital of Philadelphia. LCA models were run using pre-injury variables (mood and anxiety concerns, attention and learning challenges). Functional outcomes (neuropsychological performance, academic decline, symptom magnification) were then compared across the resulting classes.\u0000 \u0000 \u0000 \u0000 Statistical indicators [Akaike Information Criteria (804.59), adjusted Bayesian Information Criteria (801.01), Bootstrap Likelihood Ratio Test (p < 0.001)] indicated that a two-class model provided the best fit. Class 1 (n = 58) was predominately females (78.3%) with comorbid pre-injury developmental (46.6% learning challenges, 54.6% attention concerns) and psychological concerns (75.6% anxiety, 48.9% mood concerns). Class 2 (n = 68) was half females (49.8%) with fewer comorbid pre-injury developmental (14.6% learning challenges, 22.5% attention concerns) and psychological concerns (39.3% anxiety, 0% mood concerns). The two classes did not significantly differ on functional outcomes. Standardized testing scores were within the average range across the sample.\u0000 \u0000 \u0000 \u0000 Pre-injury risk factors contribute to persistent symptom experience and functional complaints in the absence of objective cognitive impairment. Given the incidence across groups, these findings highlight the importance of understanding psychological and neurodevelopmental factors, as well as sex-based differences when directing referrals and treatment of PCS within a multidisciplinary program.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}