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Cognitive, Sleep-Arousal, Physical, and Affective Domain Scores on the Post-Concussion Symptom Scale: Added Utility in Detecting Symptom Elevations among Student-Athletes with a Remote History of Concussion.
- Source :
-
Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2024 Oct 25; Vol. 39 (7), pp. 829-838. - Publication Year :
- 2024
-
Abstract
- Objective: The evaluation of self-reported symptoms is a standard component of concussion assessment and management. Clinicians typically evaluate a total symptom severity score rather than scores corresponding to specific symptom domains (i.e., cognitive, sleep-arousal, physical, and affective symptoms). This study examined (i) whether elevations in specific symptom domains would be missed when interpreting only the total symptom severity score and (ii) if a single symptom domain elevation was more common than having elevated symptoms across multiple domains.<br />Method: Adolescent student-athletes (N = 1,008) with concussion history (i.e., ≥6 months since last concussion) completed the Post-Concussion Symptom Scale (PCSS). The PCSS total score and cognitive, sleep-arousal, physical, and affective domain scores were calculated. To determine if symptoms were elevated, scores were compared to normative data matched on gender and pre-existing conditions, with scores considered elevated if they were ≥84th percentile. The frequency of total and domain score elevations were calculated and stratified by gender and number of prior concussions (i.e., 1 or ≥2 prior concussions).<br />Results: Overall, 26% of student-athletes had an elevated symptom domain score without being elevated on the total score. The most common symptom presentation was to have a single elevated symptom domain (21%), followed by two (11%), three (8%), or four elevated domains (6%).<br />Conclusions: Interpreting PCSS symptom domains may be beneficial in detecting student-athletes with elevated symptoms following a remote concussion. Roughly a quarter of student-athletes have domain-specific symptom elevations that would be missed by interpreting the total score alone.<br /> (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Subjects :
- Humans
Male
Female
Adolescent
Students
Neuropsychological Tests standards
Arousal physiology
Sleep physiology
Self Report
Post-Concussion Syndrome diagnosis
Post-Concussion Syndrome etiology
Athletic Injuries diagnosis
Athletic Injuries complications
Athletes psychology
Brain Concussion diagnosis
Brain Concussion complications
Brain Concussion psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-5843
- Volume :
- 39
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
- Publication Type :
- Academic Journal
- Accession number :
- 38594912
- Full Text :
- https://doi.org/10.1093/arclin/acae027