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Concussion AND Anxiety

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https://www.readbyqxmd.com/read/30540572/preinjury-and-postinjury-factors-that-predict-sports-related-concussion-and-clinical-recovery-time
#1
Margot Putukian, Kaitlin Riegler, Stephanie Amalfe, Jared Bruce, Ruben Echemendia
OBJECTIVES: To evaluate the relationship between preinjury risk factors (RFs) and subsequent occurrence of concussion and examine whether preinjury RFs or postinjury assessments predict clinical recovery in collegiate athletes. METHODS: Risk factors (sex, sport, and self-report history of concussion, migraine, attention-deficit disorder, learning disability, depression, and anxiety) and Sport Concussion Assessment Tool (SCAT), depression/anxiety screenings, and neuropsychological testing were obtained before the season...
December 6, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/30506568/behavioral-therapies-and-mind-body-interventions-for-posttraumatic-headache-and-post-concussive-symptoms-a-systematic-review
#2
REVIEW
Mia Minen, Sarah Jinich, Gladys Vallespir Ellett
BACKGROUND: There are no clear guidelines on how to treat posttraumatic headache (PTH) or post-concussive symptoms (PCS). However, behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation are Level-A evidence-based treatments for headache prevention. To understand how to develop and study further mind-body interventions (MBIs) and behavioral therapies for PTH and PCS, we developed the following question using the PICO framework: Are behavioral therapies and MBIs effective for treating PTH and PCS? METHODS: We conducted a systematic search of 3 databases (Medline, PsycINFO, and EMBASE) for behavioral interventions and MBIs with the subject headings and keywords for PTH, concussion, and traumatic brain injury (TBI)...
December 1, 2018: Headache
https://www.readbyqxmd.com/read/30482344/postconcussion-syndrome
#3
Brigid Dwyer, Douglas I Katz
Postconcussion syndrome (PCS) is a heterogeneous condition comprised of a set of signs and symptoms in somatic, cognitive, and emotional domains. PCS is a controversial concept because of differing consensus criteria, variability in presentation, and lack of specificity to concussion. Whereas symptoms of concussion resolve in most individuals over days to weeks, a minority of individuals experience symptoms persisting months to years. The clinical consequences of concussion may be best conceptualized as two multidimensional disorders: (1) a constellation of acute symptoms termed early-phase posttraumatic disorder (commonly headache, dizziness, imbalance, fatigue, sleep disruption, impaired cognition, photo- and phonophobia); and (2) late-phase posttraumatic disorder, consisting of somatic, emotional, and cognitive symptoms...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30482343/neuropsychiatry-of-sport-related-concussion
#4
Thomas W McAllister, Rachel Wall
Changes in mood, emotions, and behavior are common components of the acute clinical picture of sport-related concussion (SRC). Common concussion symptom inventories such as the Sport Concussion Assessment Tool-5 (SCAT5) contain a large number of questions that assess these neuropsychiatric domains. In fact, of 22 items assessed by the SCAT5, arguably only five of the items do not overlap with symptoms assessed by standard measures of anxiety and depression, suggesting that concussion is best viewed as a neuropsychiatric syndrome...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30426138/factors-associated-with-persistent-post-concussion-symptoms-following-mild-traumatic-brain-injury-in-adults
#5
Jennifer Ponsford, Sylvia Nguyen, Marina Downing, Marije Bosch, Joanne N McKenzie, Simon Turner, Marisa Chau, Duncan Mortimer, Russell L Gruen, Jonathan Knott, Sally Green
OBJECTIVES: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department...
November 14, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/30380944/cerebral-blood-flow-in-children-and-adolescents-several-years-after-concussion
#6
Brian L Brooks, Trevor A Low, Vickie Plourde, Shane Virani, Zeanna Jadavji, Frank P MacMaster, Karen M Barlow, R Marc Lebel, Keith Owen Yeates
OBJECTIVES: The long-term effects of concussion in youth remain poorly understood. The objective of this study was to determine the association between history of concussion and cerebral blood flow (CBF) in youth. METHODS: A total of 53 children and adolescents with a history of concussion (n = 37) or orthopaedic injury (OI; n = 16) were considered. Measures included pseudo-continuous arterial spin labelling magnetic resonance imaging to quantify CBF, post-concussion symptoms, psychological symptoms, and cognitive testing...
October 31, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/30372657/the-use-of-an-intensive-physical-exertion-test-as-a-final-return-to-play-measure-in-concussed-athletes-a-prospective-cohort
#7
Cameron M Marshall, Nicole Chan, Pauline Tran, Carol DeMatteo
OBJECTIVES: To examine the utility of a novel physical exertion test developed by the Chicago Blackhawks medical staff as a final return to play (RTP) clearance test in youth and young adult athletes, and to determine the relationship between participant and test variables on RTP within asymptomatic athletes diagnosed with concussion. METHODS: Once asymptomatic and following completion of all RTP steps, concussed athletes underwent the Gapski-Goodman Test (GGT) or modified GGT (mGGT) at partnered Complete Concussion Management Inc...
October 29, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/30335561/post-concussion-syndrome-and-pre-existing-mood-disorder-a-case-report
#8
S Tucker Price, Alexei O DeCastro, Clive D Brock
Sport-related concussions in youth and adolescent athletes most commonly resolve within one week without residual symptoms, with athletes resuming full participation following return to play guidelines. A small percentage of athletes have persistent symptoms that cause significant morbidity, some of whom are ultimately diagnosed with post-concussion syndrome. In these athletes, symptoms in the emotional domain can be more prolonged than other domains, with athletes reporting anxiety and depression months to years following injury...
October 18, 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/30302664/health-related-quality-of-life-following-concussion-in-collegiate-student-athletes-with-and-without-concussion-history
#9
M L Weber, R C Lynall, N L Hoffman, E H Miller, T W Kaminski, T A Buckley, H J Benjamin, C M Miles, C T Whitlow, L Lintner, S P Broglio, M McCrea, T McAllister, J D Schmidt
The purpose of this study was to compare global and specific health-related quality of life (HRQOL) throughout concussion recovery between those with and without concussion history. Student-athletes diagnosed with concussion completed global (Short Form-12v2; SF-12) and specific (Hospital Anxiety and Depression Scale: HADS) HRQOL assessments at baseline, 24-48 h, asymptomatic, return-to-play, and 6-months post-injury. Baseline scores were compared to post-injury time points for SF-12 subscores (physical and mental; PCS-12, MCS-12) and HADS subscores (depression and anxiety; HADS-D, HADS-A)...
October 9, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/30183574/exploration-of-the-relationship-between-concussions-and-depression-symptoms-anxiety-symptoms-and-hazardous-drinking-among-a-sample-of-college-students
#10
Ryan J Martin, Beth H Chaney
OBJECTIVE: In clinical and athlete populations, research has found that experiencing a concussion (or traumatic brain injury) is correlated with experiencing other psychiatric conditions, including depression and alcohol problems. However, less is known about concussion comorbidity in other population segments. The purpose of this study is to examine the relationships between concussions and depression symptoms, anxiety symptoms, and hazardous drinking among a large sample of college students (N = 1776) enrolled in a mandatory health course...
September 5, 2018: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/30176241/transient-disruption-of-mouse-home-cage-activities-and-assessment-of-orexin-immunoreactivity-following-concussive-or-blast-induced-brain-injury
#11
Patricia A Vu, Laura B Tucker, Jiong Liu, Eileen H McNamara, Thanhlong Tran, Amanda H Fu, Yeonho Kim, Joseph T McCabe
The employment of explosive weaponry in modern warfare exposes populations to shock wave-induced and impact-related brain injuries. Among the most common clinical complaints resulting from traumatic brain injury (TBI) are sleep-wake disturbances. The current study assessed the acute effects of mild concussive brain injury (CBI) and mild blast wave-induced brain injury (BTBI) on mouse behavior and orexin-A expression. Male C57BL/6J mice were exposed to CBI, BTBI, or sham procedures. Injured animals and their shams were further divided into the following subgroups: 24-h survival in standard group (SG) housing, 72-h survival in SG housing, and 72-h survival in Any-Maze cages (AMc)...
August 31, 2018: Brain Research
https://www.readbyqxmd.com/read/30136628/repetitive-concussive-and-subconcussive-injury-in-a-human-tau-mouse-model-results-in-chronic-cognitive-dysfunction-and-disruption-of-white-matter-tracts-but-not-tau-pathology
#12
Mihika Gangolli, Joseph Benetatos, Thomas J Esparza, Emeka M Fountain, Shamilka Seneviratne, David L Brody
Due to the unmet need for a means to study chronic traumatic encephalopathy (CTE) in vivo, there have been numerous efforts to develop an animal model of this progressive tauopathy. However, there is currently no consensus in the field on an injury model that consistently reproduces the neuropathological and behavioral features of CTE. We have implemented a repetitive Closed-Head Impact Model of Engineered Rotational Acceleration (CHIMERA) injury paradigm in human transgenic (hTau) mice. Animals were subjected to daily subconcussive or concussive injuries for 20 days and tested acutely, 3 months, and 12 months post-injury for deficits in social behavior, anxiety, spatial learning and memory, and depressive behavior...
October 3, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/30095507/effectiveness-of-an-exercise-based-active-rehabilitation-intervention-for-youth-who-are-slow-to-recover-after-concussion
#13
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
#14
Barry S Willer, Michael R 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...
September 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
#15
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
#16
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
#17
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...
August 21, 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
#18
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...
2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/30032719/predicting-psychological-distress-after-pediatric-concussion
#19
Brian L Brooks, Vickie Plourde, Miriam H Beauchamp, Ken Tang, Keith Owen Yeates, Michelle Keightley, Peter Anderson, Naddley Désiré, Nick 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...
October 10, 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
#20
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...
August 2018: Brain and Behavior
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