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Acute effects of concussion among adolescents with attention-deficit/hyperactivity disorder.

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Title: Acute effects of concussion among adolescents with attention-deficit/hyperactivity disorder.
Authors: Cook, Nathan E. (AUTHOR), Gaudet, Charles E. (AUTHOR), Zafonte, Ross (AUTHOR), Berkner, Paul D. (AUTHOR), Iverson, Grant L. (AUTHOR)
Source: Child Neuropsychology. Aug2023, Vol. 29 Issue 6, p973-996. 24p. 6 Charts, 4 Graphs.
Subjects: Youth with attention-deficit hyperactivity disorder, Attention-deficit hyperactivity disorder, Brain concussion, Teenagers, Verbal memory, Visual memory
Abstract: Adolescents with ADHD have a greater lifetime history of concussion and experience concussion-like symptoms in the absence of a concussion, complicating concussion assessment and management. It is well established that individuals who experience greater acute symptoms following concussion are at risk for slower recovery and persistent symptoms. We examined whether youth with ADHD experience worse acute effects, within the first 72 h following concussion, compared to youth without ADHD. We hypothesized that youth with ADHD would perform worse on neurocognitive testing and endorse more severe symptoms acutely following injury, but the magnitude of change from pre injury to post injury would be similar for both groups, and thus comparable to baseline group differences. The sample included 852 adolescents with pre-injury and post-injury ImPACT results (within 72 h); we also conducted supplementary case-control analyses on a subset of youth with and without ADHD matched on demographics and pre-injury health history. For both samples, there were significant interaction effects for the Verbal Memory and Visual Motor Speed composites (p < 0.01, η2=.01–.07, small-medium effect), such that youth with ADHD showed a greater magnitude of diminished cognitive functioning from pre-injury to post-injury testing. There were no significant differences in the magnitudes of changes from pre injury to post injury with regard to overall symptom reporting (i.e., total symptom severity scores, total number of symptoms endorsed); however, there were group differences in endorsement rates for several individual symptoms. Further research is needed to determine whether such differential acute effects are associated with recovery time in youth with ADHD. [ABSTRACT FROM AUTHOR]
Copyright of Child Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Acute effects of concussion among adolescents with attention-deficit/hyperactivity disorder.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Child+Neuropsychology%22&quot;&gt;Child Neuropsychology&lt;/searchLink&gt;. Aug2023, Vol. 29 Issue 6, p973-996. 24p. 6 Charts, 4 Graphs.
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  Data: Adolescents with ADHD have a greater lifetime history of concussion and experience concussion-like symptoms in the absence of a concussion, complicating concussion assessment and management. It is well established that individuals who experience greater acute symptoms following concussion are at risk for slower recovery and persistent symptoms. We examined whether youth with ADHD experience worse acute effects, within the first 72 h following concussion, compared to youth without ADHD. We hypothesized that youth with ADHD would perform worse on neurocognitive testing and endorse more severe symptoms acutely following injury, but the magnitude of change from pre injury to post injury would be similar for both groups, and thus comparable to baseline group differences. The sample included 852 adolescents with pre-injury and post-injury ImPACT results (within 72 h); we also conducted supplementary case-control analyses on a subset of youth with and without ADHD matched on demographics and pre-injury health history. For both samples, there were significant interaction effects for the Verbal Memory and Visual Motor Speed composites (p &lt; 0.01, η2=.01–.07, small-medium effect), such that youth with ADHD showed a greater magnitude of diminished cognitive functioning from pre-injury to post-injury testing. There were no significant differences in the magnitudes of changes from pre injury to post injury with regard to overall symptom reporting (i.e., total symptom severity scores, total number of symptoms endorsed); however, there were group differences in endorsement rates for several individual symptoms. Further research is needed to determine whether such differential acute effects are associated with recovery time in youth with ADHD. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Child Neuropsychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09297049.2022.2144815
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      – Code: eng
        Text: English
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        PageCount: 24
        StartPage: 973
    Subjects:
      – SubjectFull: Youth with attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Brain concussion
        Type: general
      – SubjectFull: Teenagers
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      – SubjectFull: Verbal memory
        Type: general
      – SubjectFull: Visual memory
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      – TitleFull: Acute effects of concussion among adolescents with attention-deficit/hyperactivity disorder.
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              Text: Aug2023
              Type: published
              Y: 2023
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