Differences in Adolescent Symptom Reporting Following Motor Vehicle Accident Versus Sport-Related Concussion

Tahnae Tarkenton, Todd Caze, Cheryl Silver, Linda S. Hynan, Nyaz Didehbani, Shane Miller, Hunt Batjer, Kathleen Bell, C. Munro Cullum

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To characterize potential differences in youth concussion sustained in motor vehicle accident (MVA) versus sport-related concussion (SRC), hypothesizing that youth who sustain concussion in a MVA would endorse higher initial and persistent symptom scores compared to those with SRC, despite similar injury severity levels. METHODS: Participants age 12-18 who sustained a concussion (i.e., Glasgow Coma Scale = 13-15) in a MVA (n = 35) were matched with SRC participants (n = 35) by sex, age, and days since injury. ANCOVA comparing initial postconcussion total symptom scores between the MVA and SRC groups were performed. Chi-square analysis with injury group by recovery time was used to determine whether youth who sustained concussion from MVA were more likely to endorse symptoms persisting >30 days at 3 months postinjury, and ANCOVA compared 3-month total symptom scores. RESULTS: On average, the MVA group reported significantly higher initial postconcussion and more frequent persistent symptom scores compared to the SRC group. CONCLUSIONS: This is the first known study to examine context of injury in youth concussion while matching for injury severity, age, sex, and days since injury. Findings suggest the context of injury is an important clinical variable related to initial reporting of symptoms and endorsement of symptoms lasting more than 30 days. Tailored interventions that consider the context of injury may facilitate symptom resolution.

Original languageEnglish (US)
Pages (from-to)554-560
Number of pages7
JournalArchives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
Volume36
Issue number4
DOIs
StatePublished - May 21 2021

Keywords

  • Concussion
  • Mild traumatic brain injury
  • Motor vehicle accident
  • Pediatrics
  • Rehabilitation
  • Sport-related concussion

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

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