TY  - JOUR
PY  - 2023//
TI  - Assessment of post-concussion emotional symptom load using PCSS and PROMIS instruments in pediatric patients
JO  - Physician and sportsmedicine
A1  - Johnson, Gina M.
A1  - Wild, Jacob
A1  - Burgess, Jamie K.
A1  - McCracken, Kristi
A1  - Malekian, Sina
A1  - Turner, Jaqueline A.
A1  - King, Kiana
A1  - Kwon, Soyang
A1  - Carl, Rebecca L.
A1  - Labella, Cynthia R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0091-3847
UR  - http://dx.doi.org/10.1080/00913847.2023.2239159
ID  - ref1
ER  -