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Concussion AND Anxiety

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https://www.readbyqxmd.com/read/30095507/effectiveness-of-an-exercise-based-active-rehabilitation-intervention-for-youth-who-are-slow-to-recover-after-concussion
#1
Jérôme Gauvin-Lepage, Debbie Friedman, Lisa Grilli, Maria Sufrategui, Carol De Matteo, Grant L Iverson, Isabelle Gagnon
OBJECTIVE: (1) To determine the impact of providing participants aged 8 to 17 years who are slow to recover after a concussion with a well-developed active rehabilitation intervention (ARI), compared with receiving standard care alone, on postconcussion symptoms (PCS) at 2 and 6 weeks after the initiation of ARI; and (2) to investigate functional recovery 6 weeks after initiation of ARI. DESIGN: A multicenter prospective quasi-experimental control group design. SETTING: Tertiary care pediatric trauma center and community health care providers...
August 8, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/30080797/evaluation-of-executive-function-and-mental-health-in-retired-contact-sport-athletes
#2
Barry S Willer, Michael Tiso, Mohammad N Haider, Andrea L Hinds, John G Baker, Jeffery C Miecznikowski, John J Leddy
OBJECTIVE: To compare retired professional contact sport athletes with age-matched noncontact sport athletes on measures of executive function and mental health. SETTING: The University Concussion Management Clinic. PARTICIPANTS: Twenty-one retired National Football League (NFL) and National Hockey League (NHL) players (mean age 56 years) and 21 age-matched noncontact sport athlete controls. DESIGNS: Case control. MAIN MEASURE: The self- and informant-reported Behavior Rating Inventory of Executive Function-Adult form (BRIEF-A); Wisconsin Card Sorting Test; Delis-Kaplan Executive Function System; Trail Making Part A and B; Wechsler Adult Intelligence Scale; Neuropsychological Assessment Battery; List Learning; Controlled Oral Word Association Test; Beck Depression Inventory; Beck Anxiety Inventory; and Personality Inventory of the DSM-5...
August 3, 2018: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/30079371/examining-the-correlation-between-acute-behavioral-manifestations-of-concussion-and-the-underlying-pathophysiology-of-chronic-traumatic-encephalopathy-a-pilot-study
#3
M Byrd, C E Dixon, B Lucke-Wold
Concussion in athletes can contribute to early neuropsychological changes that may be indicative of future neurodegenerative disease. One of the hallmark findings of chronic traumatic encephalopathy is anxiety and impulsive behavior that often develops early in the course of the disease. The behavioral dysfunction can be grouped into a broader category referred to as cognitive disruption. The current gold standard for diagnosing chronic neurodegeneration is post-mortem evaluation of tauopathy to identify neurofibrillary tau tangles in neurons...
May 2018: Journal of Neurology and Psychology
https://www.readbyqxmd.com/read/30056743/the-effects-of-vestibular-rehabilitation-on-dizziness-and-balance-problems-in-patients-after-traumatic-brain-injury-a-randomized-controlled-trial
#4
Ingerid Kleffelgaard, Helene Lundgaard Soberg, Anne-Lise Tamber, Kari Anette Bruusgaard, Are Hugo Pripp, Maria Sandhaug, Birgitta Langhammer
OBJECTIVE: To investigate the effects of group-based vestibular rehabilitation in patients with traumatic brain injury. DESIGN: A single-blind randomized controlled trial. SETTING: University Hospital (recruitment and baseline assessments) and Metropolitan University (experimental intervention). SUBJECTS: A total of 65 patients (45 women) with mild-to-moderate traumatic brain injury (mean age 39.4 ± 13.0 years) were randomly assigned to intervention ( n = 33) or control group ( n = 32)...
July 30, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30054440/comprehensive-analysis-of-the-predictors-of-neurobehavioral-symptom-reporting-in-veterans
#5
Ryan J Andrews, Jennifer R Fonda, Laura K Levin, Regina E McGlinchey, William P Milberg
OBJECTIVE: This study assessed the strength of military-related concussion-, psychological-, and behavioral-related measures to predict neurobehavioral symptom (NBS) reporting in order to help clarify the extent to which persistent NBS reflect lingering effects of concussion vs other psychological/behavioral factors among veterans. METHODS: Baseline analysis included 351 consecutively enrolled veterans in the Translational Research Center for Traumatic Brain Injury and Stress Disorders longitudinal cohort study...
July 27, 2018: Neurology
https://www.readbyqxmd.com/read/30047782/convergent-and-divergent-validity-of-the-connor-davidson-resilience-scale-in-children-with-concussion-and-orthopaedic-injury
#6
Christianne Laliberté Durish, Keith Owen Yeates, Brian L Brooks
OBJECTIVE: Psychological resilience is an important predictor of outcome in concussion; however, there is no published evidence of psychometric support for use of a measure of psychological resilience in children with concussion. This study examined construct validity of the Connor-Davidson Resilience Scale (CD-RISC) in a paediatric concussion and orthopaedic injury sample. METHODS: Seventy-five children with a history of concussion or orthopaedic injury were recruited from a children's hospital...
July 26, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/30032719/predicting-psychological-distress-after-pediatric-concussion
#7
Brian L Brooks, Vickie Plourde, Miriam Helen Beauchamp, Ken Tang, Keith Owen Yeates, Michelle Keightley, Peter Anderson, Naddley Desire, Nicholas J Barrowman, Roger Zemek
A significant proportion of children and adolescents report psychological distress following concussion, but little is known about the predictors of these problems. The purpose of this study was to examine predictive factors of psychological distress following pediatric concussion. It was hypothesized that the presence of pre-injury psychological distress would be the strongest predictor of psychological distress post-concussion, with other demographic and acute injury factors adding incrementally to prediction...
July 21, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/30030911/physiological-underarousal-as-a-mechanism-of-aggressive-behavior-in-university-athletes-with-a-history-of-concussion
#8
Caitlyn Gallant, Nicole Barry, Dawn Good
INTRODUCTION: Research has indicated that athletes who engage in high-risk athletic activities, such as football and hockey, have riskier personalities than their low-risk and nonathlete counterparts (Ahmadi et al., 2011, Procedia Soc Behav Sci, 30 and 247-251; Zuckerman, 1983, Biological bases of sensation seeking, impulsivity, and anxiety, Lawrence Erlbaum Assoc Inc.). For instance, increased sensation-seeking and aggression are common in high-risk athletes, rendering these individuals more likely to sustain a subsequent injury, such as concussion...
July 20, 2018: Brain and Behavior
https://www.readbyqxmd.com/read/30003822/heading-and-unintentional-head-impacts-have-opposing-associations-with-patient-reported-outcomes-in-amateur-soccer-players
#9
Liane E Hunter, Chloe Ifrah, Molly E Zimmerman, Mimi Kim, Richard B Lipton, Walter F Stewart, Michael L Lipton
The effects of soccer-related head impacts, beyond overt concussions, on Patient Reported Outcomes (PROs) have not been explored to date. Generalized estimating equations were employed to determine the association between soccer-related head impacts (headers in the prior 2 weeks, unintentional head impacts in the prior 2 weeks, headers in the prior 12 months and lifetime concussions) on PROs including depression, anxiety, sleep disturbance and sleep impairment. Compared to players with no unintentional head impacts in the prior 2 weeks, players with one unintentional exposure reported more symptoms of anxiety (p = 0...
July 13, 2018: Research in Sports Medicine
https://www.readbyqxmd.com/read/29982209/emotional-reserve-and-prolonged-post-concussive-symptoms-and-disability-a-swedish-prospective-1-year-mild-traumatic-brain-injury-cohort-study
#10
Christian Oldenburg, Anders Lundin, Gunnar Edman, Catharina Nygren Deboussard, Aniko Bartfai
OBJECTIVE: Prolonged post-concussive symptoms (PCS) affect a significant minority of patients withmild traumatic brain injury (mTBI). The aetiology is multifactorial depending on preinjury as well as peri-injury and postinjury factors. In this study, we examine outcome from an emotional reserve perspective. DESIGN: Prospective cohort study. SETTING: Patients were recruited from three emergency departments in major university hospitals in Stockholm, Sweden...
July 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29962440/-a-pedigree-of-hereditary-hyperekplexia
#11
Hideyuki Moriyoshi, Yukiko Hata, Ryosuke Inagaki, Junichiro Suzuki, Suguru Nishida, Naoki Nishida, Yasuhiro Ito
A 31-year old women presented with excessive startle reflex and frequent falls. Her startle reflex is induced by slight stimuli which are not problematic in most people. Soon after her startle reflex is evoked, generalized muscle stiffness occurs. She becomes rigid and falls down without loss of consciousness. Because she cannot protect herself when she is startled and falls, she has repeatedly bruised her head and face. The pedigree includes her father and two sisters with similar symptoms. Gene analysis revealed GLRA1 mutation, and she was diagnosed with hereditary hyperekplexia (HPX)...
July 27, 2018: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/29933281/differences-in-postinjury-psychological-symptoms-between-collegiate-athletes-with-concussions-and-orthopedic-injuries
#12
Jinhong Guo, Jingzhen Yang, Honggang Yi, Bhavna Singichetti, Despina Stavrinos, Corinne Peek-Asa
OBJECTIVE: To describe the differences in postinjury psychological symptoms among Division I collegiate student athletes who sustained concussions versus orthopedic injures and to examine the effects of injury type on postinjury psychological symptoms during the course of recovery. DESIGN: A prospective cohort study with repeated measures. SETTING: Two Big 10 Conference universities. PARTICIPANTS: Student athletes who were at least 18 years old and participated in one of 9 National Collegiate Athletic Association (NCAA) Division I-sponsored sports during the 2007 to 2011 seasons...
June 21, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29922224/neuroendocrine-abnormalities-following-traumatic-brain-injury-an-important-contributor-to-neuropsychiatric-sequelae
#13
REVIEW
Amir M Molaie, Jamie Maguire
Neuropsychiatric symptoms following traumatic brain injury (TBI) are common and contribute negatively to TBI outcomes by reducing overall quality of life. The development of neurobehavioral sequelae, such as concentration deficits, depression, anxiety, fatigue, and loss of emotional well-being has historically been attributed to an ambiguous "post-concussive syndrome," considered secondary to frank structural injury and axonal damage. However, recent research suggests that neuroendocrine dysfunction, specifically hypopituitarism, plays an important role in the etiology of these symptoms...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29888305/evidence-for-altered-brain-reactivity-to-norepinephrine-in-veterans-with-a-history-of-traumatic-stress
#14
Rebecca C Hendrickson, Murray A Raskind, Steven P Millard, Carl Sikkema, Garth E Terry, Kathleen F Pagulayan, Ge Li, Elaine R Peskind
Background: Increases in the quantity or impact of noradrenergic signaling have been implicated in the pathophysiology of posttraumatic stress disorder (PTSD). This increased signaling may result from increased norepinephrine (NE) release, from altered brain responses to NE, or from a combination of both factors. Here, we tested the hypothesis that Veterans reporting a history of trauma exposure would show an increased association between brain NE and mental health symptoms commonly observed after trauma, as compared to Veterans who did not report a history of trauma exposure, consistent with the possibility of increased brain reactivity to NE after traumatic stress...
February 2018: Neurobiology of Stress
https://www.readbyqxmd.com/read/29874472/the-incidence-of-anosmia-after-traumatic-brain-injury-the-shefbit-cohort
#15
Rajiv Singh, Thomas Humphries, Suzanne Mason, Fiona Lecky, Jeremy Dawson, Saurabh Sinha
BACKGROUND: While anosmia is common after Traumatic Brain Injury(TBI) (prevalence 4%-68%),studies differ in the associations found with other variables. AIMS: To assess the incidence of anosmia within a large, mixed TBI cohort and examine relationships with other injury or demographic features, including depression and global outcome(GOSE). DESIGN, SUBJECTS AND SETTING: 774 consecutive TBI admissions over 2 years, assessed within a specialist neurorehabilitation clinic...
2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29864098/activity-and-exercise-intolerance-after-concussion-identification-and-management-of-postural-orthostatic-tachycardia-syndrome
#16
Nicole A Miranda, Jeffrey R Boris, Kristen M Kouvel, Lauren Stiles
BACKGROUND AND PURPOSE: Postural orthostatic tachycardia syndrome (POTS) is increasingly recognized as a complication affecting recovery from concussion. Individuals with POTS demonstrate refractory dizziness, lightheadedness, cognitive dysfunction, fatigue, headache, chronic pain, nausea and gastrointestinal dysmotility, activity and exercise intolerance, syncope, and tachycardia. Subtypes of POTS may include hypovolemia, hyperadrenergic states, autonomic neuropathy, and underlying autoimmunity, which may variably impact response to rehabilitation in varying ways...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29755402/default-mode-network-oscillatory-coupling-is-increased-following-concussion
#17
Benjamin T Dunkley, Karolina Urban, Leodante Da Costa, Simeon M Wong, Elizabeth W Pang, Margot J Taylor
Concussion is a common form of mild traumatic brain injury. Despite the descriptor "mild," a single injury can leave long-lasting and sustained alterations to brain function, including changes to localized activity and large-scale interregional communication. Cognitive complaints are thought to arise from such functional deficits. We investigated the impact of injury on neurophysiological and functionally specialized resting networks, known as intrinsic connectivity networks (ICNs), using magnetoencephalography...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29729683/effects-of-repeated-concussions-and-sex-on-early-processing-of-emotional-facial-expressions-as-revealed-by-electrophysiology
#18
Frédérike Carrier-Toutant, Samuel Guay, Christelle Beaulieu, Édith Léveillé, Alexandre Turcotte-Giroux, Samaël D Papineau, Benoit Brisson, Fabien D'Hondt, Louis De Beaumont
OBJECTIVES: Concussions affect the processing of emotional stimuli. This study aimed to investigate how sex interacts with concussion effects on early event-related brain potentials (ERP) measures (P1, N1) of emotional facial expressions (EFE) processing in asymptomatic, multi-concussion athletes during an EFE identification task. METHODS: Forty control athletes (20 females and 20 males) and 43 multi-concussed athletes (22 females and 21 males), recruited more than 3 months after their last concussion, were tested...
May 6, 2018: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/29717643/national-institute-of-neurological-disorders-and-stroke-and-department-of-defense-sport-related-concussion-common-data-elements-version-1-0-recommendations
#19
Steven P Broglio, Anthony P Kontos, Harvey Levin, Kathryn Schneider, Elisabeth A Wilde, Robert C Cantu, Nina Feddermann-Demont, Gordon W Fuller, Isabelle Gagnon, Gerard A Gioia, Christopher Giza, Grace S Griesbach, John J Leddy, Michael L Lipton, Andrew R Mayer, Thomas W McAllister, Michael McCrea, Lara B McKenzie, Margot Putukian, Stefano Signoretti, Stacy J Suskauer, Robert Tamburro, Michael Turner, Keith O Yeates, Roger Zemek, Sherita Ala'i, Joy Esterlitz, Katelyn Gay, Patrick S F Bellgowan, Kristen Joseph
Through a partnership with the National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health, and Department of Defense, the development of Sport-Related Concussion (SRC) Common Data Elements (CDEs) was initiated. The aim of this collaboration was to increase the efficiency and effectiveness of clinical research studies and clinical treatment outcomes, increase data quality, facilitate data sharing across studies, reduce study start-up time, more effectively aggregate information into metadata results, and educate new clinical investigators...
July 23, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29672135/influences-of-mental-illness-current-psychological-state-and-concussion-history-on-baseline-concussion-assessment-performance
#20
Michelle L Weber, John-Henry L Dean, Nicole L Hoffman, Steven P Broglio, Michael McCrea, Thomas W McAllister, Julianne D Schmidt, April Reed Hoy, Joseph B Hazzard, Louise A Kelly, Justus D Ortega, Nicholas Port, Margot Putukian, T Dianne Langford, Ryan Tierney, Darren E Campbell, Gerald McGinty, Patrick O'Donnell, Steven J Svoboda, John P DiFiori, Christopher C Giza, Holly J Benjamin, Thomas Buckley, Thomas W Kaminski, James R Clugston, Luis A Feigenbaum, James T Eckner, Kevin Guskiewicz, Jason P Mihalik, Jessica Dysart Miles, Scott Anderson, Christina L Master, Micky Collins, Anthony P Kontos, Jeffrey J Bazarian, Sara P D Chrisman, Allison Brooks, Stefan Duma, Christopher Todd Bullers, Christopher M Miles, Brian H Dykhuizen
BACKGROUND: A student-athlete's mental state, including history of trait anxiety and depression, or current psychological state may affect baseline concussion assessment performance. PURPOSE: (1) To determine if mental illness (anxiety, depression, anxiety with depression) influences baseline scores, (2) to determine if psychological state correlates with baseline performance, and (3) to determine if history of concussion affects Brief Symptom Inventory-18 (BSI-18) subscores of state anxiety, depression, and somatization...
June 2018: American Journal of Sports Medicine
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