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Posttraumatic stress symptoms in recovery from concussion.

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Title: Posttraumatic stress symptoms in recovery from concussion.
Authors: Bunt, Stephen C. (AUTHOR), Doggett, Hannah (AUTHOR), Wilmoth, Kristin (AUTHOR), Hynan, Linda S. (AUTHOR), Tamez, Ingrid (AUTHOR), Didehbani, Nyaz (AUTHOR), Stokes, Mathew (AUTHOR), Miller, Shane M. (AUTHOR), Bell, Kathleen R. (AUTHOR), Cullum, C. Munro (AUTHOR)
Source: Journal of Clinical & Experimental Neuropsychology. Sep2024, Vol. 46 Issue 7, p619-629. 11p.
Subjects: Emotional state, Psychological factors, Brain concussion, Medical screening, Regression analysis
Abstract: Background: Previous literature suggests that lingering concussion symptoms may be influenced by psychological factors. The relationship of posttraumatic stress symptoms (PTSS) during recovery with pre-existing/injury related factors and concussion symptomology is not fully understood. Identification of factors contributing to symptoms of posttraumatic stress may provide guidance to improve treatment following concussion. Method: This study included 287 participants (Male 40.42%, n = 116; Female 59.58%, n = 171) aged 13–75 years diagnosed with a recent concussion at one of the North Texas Concussion Registry (ConTex) specialty concussion clinic sites. Preinjury emotional history, injury related factors, and emotional state at time of initial evaluation were analyzed as predictors of post-traumatic stress symptoms (PCL-5) during recovery. Results: Sixty-one percent of participants endorsed at least one PTSS. Correlations were found between initial Sport Concussion Assessment Tool 5Ⓡ (SCAT5) total emotional symptom severity and screening measures for anxiety (GAD-7; r =.453, p <.001) and depression (PHQ-8; r =.550, p <.001) symptom scores. Of the measures from the initial visit included in the multiple regression model predicting severity of PTSS at follow-up (R2 = 0.554, β <.001), three measures predicted PTSS severity: initial SCAT5 total emotional symptom severity (β = 0.565, p <.001), PHQ-8 score (β =.166, p =.009), and GAD-7 score (β = 0.119, p =.044). Conclusions: Symptoms of anxiety and depression along with specific SCAT5 emotional symptoms present at the time of initial evaluation may serve to predict overall level of PTSS and increased risk for PTSS during recovery. PTSS may be another dimension of response to injury and concussion recovery, with a large percentage of individuals endorsing at least one PTSS. Clinicians can utilize brief assessments such as the SCAT5 at the time of initial clinical evaluation to identify those at risk for PTSS following concussion. Statement of Clinical Relevance: This study found that emotional symptoms present at initial clinical evaluation are associated with higher symptoms of posttraumatic stress and should be considered when managing recovery from concussion. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical & Experimental 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: Posttraumatic stress symptoms in recovery from concussion.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bunt%2C+Stephen+C%2E%22&quot;&gt;Bunt, Stephen C.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Doggett%2C+Hannah%22&quot;&gt;Doggett, Hannah&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wilmoth%2C+Kristin%22&quot;&gt;Wilmoth, Kristin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hynan%2C+Linda+S%2E%22&quot;&gt;Hynan, Linda S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tamez%2C+Ingrid%22&quot;&gt;Tamez, Ingrid&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Didehbani%2C+Nyaz%22&quot;&gt;Didehbani, Nyaz&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Stokes%2C+Mathew%22&quot;&gt;Stokes, Mathew&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Miller%2C+Shane+M%2E%22&quot;&gt;Miller, Shane M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bell%2C+Kathleen+R%2E%22&quot;&gt;Bell, Kathleen R.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cullum%2C+C%2E+Munro%22&quot;&gt;Cullum, C. Munro&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emotional+state%22&quot;&gt;Emotional state&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+factors%22&quot;&gt;Psychological factors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Brain+concussion%22&quot;&gt;Brain concussion&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+screening%22&quot;&gt;Medical screening&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Regression+analysis%22&quot;&gt;Regression analysis&lt;/searchLink&gt;
– Name: Abstract
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  Data: Background: Previous literature suggests that lingering concussion symptoms may be influenced by psychological factors. The relationship of posttraumatic stress symptoms (PTSS) during recovery with pre-existing/injury related factors and concussion symptomology is not fully understood. Identification of factors contributing to symptoms of posttraumatic stress may provide guidance to improve treatment following concussion. Method: This study included 287 participants (Male 40.42%, n = 116; Female 59.58%, n = 171) aged 13–75 years diagnosed with a recent concussion at one of the North Texas Concussion Registry (ConTex) specialty concussion clinic sites. Preinjury emotional history, injury related factors, and emotional state at time of initial evaluation were analyzed as predictors of post-traumatic stress symptoms (PCL-5) during recovery. Results: Sixty-one percent of participants endorsed at least one PTSS. Correlations were found between initial Sport Concussion Assessment Tool 5Ⓡ (SCAT5) total emotional symptom severity and screening measures for anxiety (GAD-7; r =.453, p &lt;.001) and depression (PHQ-8; r =.550, p &lt;.001) symptom scores. Of the measures from the initial visit included in the multiple regression model predicting severity of PTSS at follow-up (R2 = 0.554, β &lt;.001), three measures predicted PTSS severity: initial SCAT5 total emotional symptom severity (β = 0.565, p &lt;.001), PHQ-8 score (β =.166, p =.009), and GAD-7 score (β = 0.119, p =.044). Conclusions: Symptoms of anxiety and depression along with specific SCAT5 emotional symptoms present at the time of initial evaluation may serve to predict overall level of PTSS and increased risk for PTSS during recovery. PTSS may be another dimension of response to injury and concussion recovery, with a large percentage of individuals endorsing at least one PTSS. Clinicians can utilize brief assessments such as the SCAT5 at the time of initial clinical evaluation to identify those at risk for PTSS following concussion. Statement of Clinical Relevance: This study found that emotional symptoms present at initial clinical evaluation are associated with higher symptoms of posttraumatic stress and should be considered when managing recovery from concussion. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of Clinical &amp; Experimental 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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        Value: 10.1080/13803395.2024.2395331
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        Text: English
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              Text: Sep2024
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