Psychiatric Sequelae of Concussions

AbstractPurpose of ReviewThe purpose of this study was to review the frequency, risk factors, phenomenology, and course of prolonged recovery from concussion and of psychiatric sequelae in pediatric populations.Recent FindingsYouth with prolonged recovery from concussions have higher initial symptoms, a history of multiple and/or recent concussions, and a tendency to somatization. Depression, post-traumatic stress disorder, behavioral disorders, and perhaps, suicidal behavior disorder are more common as both short- and longer-term sequelae of concussions. The weight of evidence supports a graduated return to function as compared to prolonged rest, which may actually impede recovery. For those with prolonged recovery, cognitive behavior therapy aimed at education about concussions, improving coping, problem-solving, sleep hygiene, and dealing with anxiety and depression provided in a collaborative care model is superior to usual care.SummaryConcussed youth have an increased risk of psychiatric symptoms and sleep disturbance that can be prevented or treated with proper management.
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research

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