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History of Somatization Is Associated with Prolonged Recovery from Concussion.
Root, Jeremy M; Zuckerbraun, Noel S; Wang, Li; Winger, Daniel G; Brent, David; Kontos, Anthony; Hickey, Robert W.
Afiliação
  • Root JM; Emergency Medicine and Trauma Services, Children's National Medical Center, Washington, DC. Electronic address: jroot@childrensnational.org.
  • Zuckerbraun NS; Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA.
  • Wang L; Office of Clinical Research, Health Sciences, University of Pittsburgh, Pittsburgh, PA.
  • Winger DG; Office of Clinical Research, Health Sciences, University of Pittsburgh, Pittsburgh, PA.
  • Brent D; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • Kontos A; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
  • Hickey RW; Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA.
J Pediatr ; 174: 39-44.e1, 2016 Jul.
Article em En | MEDLINE | ID: mdl-27059916
OBJECTIVE: To determine the association between a history of somatization and prolonged concussion symptoms, including sex differences in recovery. STUDY DESIGN: A prospective cohort study of 10- to 18-year-olds with an acute concussion was conducted from July 2014 to April 2015 at a tertiary care pediatric emergency department. One hundred twenty subjects completed the validated Children's Somatization Inventory (CSI) for pre-injury somatization assessment and Postconcussion Symptoms Scale (PCSS) at diagnosis. PCSS was re-assessed by phone at 2 and 4 weeks. CSI was assessed in quartiles with a generalized estimating equation model to determine relationship of CSI to PCSS over time. RESULTS: The median age of our study participants was 13.8 years (IQR 11.5, 15.8), 60% male, with separate analyses for each sex. Our model showed a positive interaction between total CSI score, PCSS and time from concussion for females P < .01, and a statistical trend for males, P = .058. Females in the highest quartile of somatization had higher PCSS than the other 3 CSI quartiles at each time point (B -26.7 to -41.1, P values <.015). CONCLUSIONS: Patients with higher pre-injury somatization had higher concussion symptom scores over time. Females in the highest somatization quartile had prolonged concussion recovery with persistently high symptom scores at 4 weeks. Somatization may contribute to sex differences in recovery, and assessment at the time of concussion may help guide management and target therapy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Somatoformes / Recuperação de Função Fisiológica / Síndrome Pós-Concussão Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2016 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Somatoformes / Recuperação de Função Fisiológica / Síndrome Pós-Concussão Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2016 Tipo de documento: Article País de publicação: Estados Unidos