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Review
. 2019 Feb 20:13:1179069519830421.
doi: 10.1177/1179069519830421. eCollection 2019.

Current State of the Literature on Psychological and Social Sequelae of Sports-Related Concussion in School-Aged Children and Adolescents

Kristin Wilmoth  1 , Alexander Tan  2 , Cole Hague  3 , Tahnae Tarkenton  3 , Cheryl H Silver  3 , Nyaz Didehbani  3 , Heidi C Rossetti  3 , Hunt Batjer  4 , Kathleen R Bell  5 , C Munro Cullum  3   4   6
Affiliations
Review

Current State of the Literature on Psychological and Social Sequelae of Sports-Related Concussion in School-Aged Children and Adolescents

Kristin Wilmoth et al. J Exp Neurosci. .

Abstract

Considerably less attention has been paid to psychological and social sequelae of concussion in youth athletes compared with neurocognitive outcomes. This narrative review consolidates the literature on postconcussive emotional and psychosocial functioning in school-aged children and adolescents, highlighting athlete-specific findings. MEDLINE and PsycINFO databases were queried for pediatric concussion studies examining psychological and/or social outcomes, and 604 studies met search criteria (11 of those specific to sport). Results were organized into domains: emotional and social dysfunction, behavioral problems, academic difficulties, sleep disturbance, headache, and quality of life. The small body of literature regarding psychological and social issues following pediatric concussion suggests behavioral disturbances at least temporarily disrupt daily life. Extrapolation from samples of athletes and nonathletes indicates postconcussive anxiety and depressive symptoms appear, although levels may be subclinical. Social and academic findings were less clear. Future well-controlled and adequately powered research will be essential to anticipate concussed athletes' psychosocial needs.

Keywords: Neurotrauma; neuropsychology.

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Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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