{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:01:28Z","timestamp":1782493288050,"version":"3.54.5"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"10","funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development","award":["R03HD094560"],"award-info":[{"award-number":["R03HD094560"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development","award":["R03HD094560"],"award-info":[{"award-number":["R03HD094560"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development","award":["R03HD094560"],"award-info":[{"award-number":["R03HD094560"]}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders And Stroke","doi-asserted-by":"crossref","award":["R01NS100952"],"award-info":[{"award-number":["R01NS100952"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders And Stroke","doi-asserted-by":"crossref","award":["R03HD094560"],"award-info":[{"award-number":["R03HD094560"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders And Stroke","doi-asserted-by":"crossref","award":["R43NS108823"],"award-info":[{"award-number":["R43NS108823"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Our purpose was to evaluate the effect of self-reported pre-injury anxiety diagnosis on persistent symptom development, vestibular symptom severity, and balance control among youth who sustained a concussion. We performed a retrospective study of patients seen at a specialty pediatric concussion clinic. Patients were 18 years of age or younger, examined within 10 days of concussion, and received care until full recovery. A questionnaire was used to assess pre-existing medical and psychiatric conditions, including anxiety. Our main outcomes were prolonged symptom recovery defined as persistent symptoms for &gt;\u200928 days after concussion) and severity of vestibular symptoms. Patients who reported pre-injury anxiety (n=43; median age=14.9 years; 37% female) were more likely to experience symptoms&gt;28 days post-injury (76 vs. 54%; p=0.04) than those without pre-existing anxiety (n=241; median age=14.9 years; 53% female). After adjusting for sex, history of migraine, depression and ADHD, however, there was no independent association between pre-existing anxiety and prolonged symptom duration (adjusted odds ratio=2.34; 95% CI=0.083\u20136.63; p=0.11). Pre-existing anxiety was independently associated with self-reported nausea\/vomiting severity (\u03b2 coefficient=0.59, 95% CI=0.07\u20131.11). A pre-existing anxiety diagnosis does not appear to be associated with persistent symptoms after concussion, although it may be associated with post-injury nausea.<\/jats:p>","DOI":"10.1055\/a-1107-3025","type":"journal-article","created":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T23:08:09Z","timestamp":1591225689000},"page":"682-687","source":"Crossref","is-referenced-by-count":13,"title":["Symptom Presentation After Concussion and Pre-existing Anxiety Among Youth Athletes"],"prefix":"10.1055","volume":"41","author":[{"given":"Matthew","family":"Kent","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Pittsburgh, Pittsburgh, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Brilliant","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Children\u2019s Hospital Boston, Boston, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk","family":"Erickson","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Pittsburgh, Pittsburgh, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Meehan","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, The Micheli Center for Sports Injury Prevention, Waltham, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado Denver School of Medicine, Aurora, United States"},{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,6,3]]},"reference":[{"key":"ref1","first-page":"733","article-title":"Nonfatal traumatic brain 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