Depression in youth recovering from concussion: Correlates and predictors

Stazyk, Kathy; DeMatteo, Carol; Moll, Sandra; Missiuna, Cheryl

doi:10.1080/02699052.2017.1283533

Cited by 44 publications

(38 citation statements)

References 47 publications

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“…Studies have reported an association between depression and concussion, 50 as well as increases in risk of depression after either a single or multiple concussions. [51][52][53] In addition, there is evidence for a relationship between depression and persistent symptoms of concussion, 54 and treatments for depression (such as cognitive-behavioral therapy and medication) have been found to be beneficial for treating youth with persistent concussion symptoms. 55 In sum, the relationship between depression and concussion is complex and this study adds important data on younger players.…”

Section: Discussionmentioning

confidence: 99%

Concussion Incidence, Duration, and Return to School and Sport in 5- to 14-Year-Old American Football Athletes

Chrisman

Lowry

Herring

et al. 2019

The Journal of Pediatrics

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Objective To collect prospective data on concussion incidence, risk factors, duration of symptoms, and return to school and sport in 5-to 14-year-old American football participants. Study design We conducted a prospective cohort study over 2 years collecting data during two 10-week fall seasons. Youth with concussion were followed to determine time to return to school, sport, and baseline level of symptoms. Logistic regression was used to estimate the risk of sustaining a concussion associated with baseline demographic factors. Time to return to school, sport, and baseline symptoms were analyzed using Kaplan-Meier survival curves. Results Of 863 youth followed (996 player-seasons), 51 sustained a football-related concussion, for an athletelevel incidence of 5.1% per season. Youth with history of concussion had a 2-fold increased risk for sustaining an incident concussion (OR, 2.2; 95% CI, 1.1-4.8). Youth with depression had a 5-fold increased risk of concussion (OR, 5.6; 95% CI, 1.7-18.8). After a concussion, 50% of athletes returned to school by 3 days, 50% returned to sport by 13 days, and 50% returned to a baseline level of symptoms by 3 weeks. Conclusions Concussion rates in this study were slightly higher than previously reported, with 5 of every 100 youth sustaining a football-related concussion each season. One-half of youth were still symptomatic 3 weeks after injury. Further research is needed to address the risk of concussion in youth football.

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Section: Discussionmentioning

confidence: 99%

Concussion Incidence, Duration, and Return to School and Sport in 5- to 14-Year-Old American Football Athletes

Chrisman

Lowry

Herring

et al. 2019

The Journal of Pediatrics

View full text Add to dashboard Cite

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“…3 Youth with concussion can experience both short-term and long-term physical, emotional, cognitive and sleep-related symptoms. 4 5 Although individual symptoms can vary, 5 6 researchers have consistently identified negative effects on academics, [7][8][9][10] physiological functioning, [11][12][13][14] psychological well-being [15][16][17] and overall quality of life. 18 Best practices for managing concussion include education to promote appropriate knowledge, attitudes and behaviours among stakeholders (eg, students, parents, school staff and healthcare providers), 19 20 interventions to manage recovery 21 22 and protocols to support students returning to academics and school sports.…”

Section: Introductionmentioning

confidence: 99%

Disparities in baseline neurocognitive testing for student concussion management in Massachusetts high schools

Campbell

Howland

Hess

et al. 2020

BMJ Open Sport Exerc Med

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PurposeThere is evidence of socioeconomic disparities with respect to the implementation of student-sports concussion laws nationally. The purpose of this study was to examine school sociodemographic characteristics associated with the provision of computerised baseline neurocognitive testing (BNT) in Massachusetts (MA) high schools, and to assess whether the scope of testing is associated with the economic status of student populations in MA.MethodsA cross-sectional secondary analysis of surveys conducted with MA athletic directors (n=270) was employed to investigate school characteristics associated with the provision of BNT. Correlation and regression analyses were used to assess whether the scope of testing is associated with the economic status of student populations in MA.ResultsThe scope of BNT was independently associated with the economic disadvantage rate (EDR) of the student population (β=−0.02, p=0.01); whether or not the school employs an athletic trainer (AT) (β=0.43, p=0.03); and school size (β=−0.54, p=0.03). In a multivariable regression model, EDR was significantly associated with the scope of baseline testing, while controlling for AT and size (β=−0.01, p=0.03, adj-R2=0.1135).ConclusionAmong public high schools in MA, disparities in the provision of BNT for students are associated with the economic characteristics of the student body. Schools that have a greater proportion of low-income students are less likely to provide comprehensive BNT. The clinical implications of not receiving BNT prior to concussion may include diminished quality of postconcussive care, which can have short-term and long-term social, health-related and educational impacts.

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“…18,19 A recent prospective cohort study of youth with concussion found that 22% self-reported significant depressive symptomatology following their injury. 20 Considering the prevalence and correlation of depressive symptoms in youth experiencing prolonged recovery from concussion, examination of these symptoms independent of other post-concussive symptoms is merited in order to understand their unique role in modifying the post-concussive symptom trajectory. This is particularly warranted given that depression is often treated differently, and sometimes under separate providers, than other post-injury symptoms.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal trajectories of post-concussive and depressive symptoms in adolescents with prolonged recovery from concussion

et al. 2017

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Primary Objective: To investigate the symptom trajectories of depressive and post-concussive symptoms (PCS) in slow-to-recover adolescents to understand how the two sets of symptoms are related. Research Design: We used data from a randomized clinical trial of a collaborative care intervention for post-concussive symptoms to better understand how these two sets of symptoms change in parallel over six months. Methods and Procedure: PCS and depressive symptom scores for 49 adolescents (ages 11–17) were measured at enrollment and after 1, 3, and 6 months. Latent growth curve modeling for parallel processes was used to simultaneously examine change in PCS and depressive symptoms over time and to evaluate the influence of one change process on the other. Main Outcomes and Results: On average, patients enrolled 66 days following injury (IQR 43.5, 88.5). PCS and depressive symptoms were significantly associated at enrollment and over time, and both decreased over the course of 6 months. Higher PCS at enrollment predicted a greater decrease in depressive symptoms over time. Conclusions: Our results suggest that clinicians should screen for and treat depressive symptoms in patients with high post-concussive symptoms one month following injury.

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Depression in youth recovering from concussion: Correlates and predictors

Abstract: Depression is commonly reported in this subset of children. High post-concussive symptom scores and hospital admission were strong predictors of depression. Screening for depression should be standard practice in concussion management in children and youth.

Cited by 44 publications

References 47 publications

Concussion Incidence, Duration, and Return to School and Sport in 5- to 14-Year-Old American Football Athletes

Concussion Incidence, Duration, and Return to School and Sport in 5- to 14-Year-Old American Football Athletes

Disparities in baseline neurocognitive testing for student concussion management in Massachusetts high schools

Longitudinal trajectories of post-concussive and depressive symptoms in adolescents with prolonged recovery from concussion

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