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Abstract Details

Impact of Psychological Disorders on Clinical Presentation of Pediatric Patients Following a Concussion
Pediatric/Youth
P1 - Poster Session 1 (7:00 AM-3:15 PM)
060
To examine differences in clinical symptom measures between pediatric patients with a history of depression and/or anxiety and no history of psychological disorders (PD) following a concussion.
Limited information exists regarding impact of pre-existing psychological disorders on initial clinical presentation in pediatric patients following concussion.
Data were prospectively collected from participants aged 5-18 diagnosed with a concussion between August 2015-March 2020. Demographics and clinical measures from initial presentation were reviewed, including SCAT-5 Symptom, Patient Health Questionnaire (PHQ-8), Generalized Anxiety Disorder (GAD-7) scale, and Brief Resiliency Scale (BRS). Participants were separated into four groups based on self-reported prior diagnosis: depression, anxiety, both, and no PD.

1770 participants included: 50 depression, 82 anxiety, 84 both, and 1554 no PD history. There was no significant difference in age, sex, prior concussion history, or time to presentation between the depression and no PD group, or the anxiety and no PD group. The both group was older, had more females and prior concussions, and presented later than the no PD group.  The depression, anxiety, and both groups had higher rates of learning disorders than the no PD group (40%, 47.6%, 46.4% vs 16.4%, all p<0.001).

Each PD group had higher symptom severity scores than the no PD group. The PD groups all reported higher GAD-7 and PHQ-8 scores and lower BRS scores compared to the no PD group. The both group had the highest symptom severity, GAD-7, and PHQ-8 scores along with the lowest BRS score. All findings p≤0.001.
Differences were seen in participants with a history of depression and/or anxiety at initial clinical presentation, including history of learning disability, symptom severity scores, and screening tests for depression, anxiety, and resiliency compared to those without a history of PD. Understanding differences at initial presentation may urge providers to engage multidisciplinary teams in facilitating patient recovery. 
Authors/Disclosures
Hannah Worrall, Other (Scottish Rite for Children)
PRESENTER 		Ms. Worrall has nothing to disclose.
Shane Miller Shane Miller has nothing to disclose.
Munro Cullum, PhD (Univ of Texas Southwestern Medical Center) The institution of Dr. Cullum has received research support from NIH. Dr. Cullum has received intellectual property interests from a discovery or technology relating to health care. Dr. Cullum has received personal compensation in the range of $10,000-$49,999 for serving as a Scientific Director with Texas Alzheimers Research and Care Consortium.
No disclosure on file