@article{ref1,
title="Assessment of post-concussion emotional symptom load using PCSS and PROMIS instruments in pediatric patients",
journal="Physician and sportsmedicine",
year="2023",
author="Johnson, Gina M. and Wild, Jacob and Burgess, Jamie K. and McCracken, Kristi and Malekian, Sina and Turner, Jaqueline A. and King, Kiana and Kwon, Soyang and Carl, Rebecca L. and Labella, Cynthia R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: The purpose of this study is to evaluate the utilityof the Patient-Reported Outcomes Measurement Information System (PROMIS)anxiety and depressive symptom domains [1] in conjunction with the Post-Concussion SymptomScale (PCSS) [2] for identifying pediatric patients withemotional symptoms following a concussion, and to identify predictors of higheremotional symptom loads. <br><br>METHODS: We recruited English-speaking patients aged 8-17 years presenting to a tertiary-care concussion clinic from 2014 to 2018 (n = 458). Demographics and clinical data including PCSS, injury date, previous history of anxiety/depression, and Vestibular/Ocular-Motor Screen (VOMS) were collected from patients' electronic medical records. Participants completed surveys in the PROMIS(TM) Pediatric Item Bank v1.1-Anxiety and Depressive Symptoms domains at their initial clinic visit. Multivariable linear regression identified predictors of higher emotional symptom loads. <br><br>RESULTS: Overall, 425 (92.8%) reported ≥ 1 emotional symptom on either PROMIS or PCSS. Predictors of higher emotional symptom loads were abnormal VOMS, female sex, history of anxiety or depression, and longer time since injury. <br><br>CONCLUSION: Our results suggest that adding PROMIS anxiety and depressive symptom surveys to pediatric concussion evaluations may identify more children with emotional symptoms, allowing clinicians to better direct post-concussion treatment and incorporate psychological support for patients if necessary. Future studies should examine whether earlier identification of emotional symptoms with these tools facilitates recovery and improves short- and/or long-term psychological outcomes in pediatric concussions.<p /> <p>Language: en</p>",
language="en",
issn="0091-3847",
doi="10.1080/00913847.2023.2239159",
url="http://dx.doi.org/10.1080/00913847.2023.2239159"
}