{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:02:40Z","timestamp":1792188160612,"version":"4.4.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"13-14","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>\n                    Children often experience mental health difficulties after a concussion. Yet, the extent to which a concussion precipitates or exacerbates mental health difficulties remains unclear. This study aimed to examine psychological predictors of mental health difficulties after pediatric concussion. Children (5 to &lt;18 years of age,\n                    <jats:italic toggle=\"yes\">M<\/jats:italic>\n                    = 11.7,\n                    <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                    = 3.3) with concussion were recruited in a single-site longitudinal prospective cohort study conducted at a tertiary children\u2019s hospital (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 115, 73.9% male). The primary outcomes included internalizing (anxious, depressed, withdrawn behaviors), externalizing (risk-taking, aggression, attention difficulties), and total mental health problems, as measured by the Child Behavior Checklist at 2 weeks (acute) and 3 months (post-acute) after concussion. Predictors included parents\u2019 retrospective reports of premorbid concussive symptoms (Post-Concussion Symptom Inventory; PCSI), the child and their family\u2019s psychiatric history, child-rated perfectionism (Adaptive\u2013Maladaptive Perfectionism Scale), and child-rated resilience (Youth Resilience Measure). Higher premorbid PCSI ratings consistently predicted acute and post-acute mental health difficulties. This relationship was significantly moderated by child psychiatric history. Furthermore, pre-injury learning difficulties, child psychiatric diagnoses, family psychiatric history, lower resilience, previous concussions, female sex, and older age at injury were associated with greater mental health difficulties after concussion. Pre-injury factors accounted for 23.4\u201339.9% of acute mental health outcomes, and 32.3\u201337.8% of post-acute mental health outcomes. When acute mental health was factored into the model, a total of 47.0\u201368.8% of variance was explained by the model. Overall, in this sample of children, several pre-injury demographic and psychological factors were observed to predict mental health difficulties after a concussion. These findings need to be validated in future research involving larger, multi-site studies that include a broader cohort of children after concussion.\n                  <\/jats:p>","DOI":"10.1089\/neu.2023.0116","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T09:43:31Z","timestamp":1714038211000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Psychological Predictors of Mental Health Difficulties After Pediatric Concussion"],"prefix":"10.1177","volume":"41","author":[{"given":"Alice","family":"Gornall","sequence":"first","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."},{"name":"Turner Institute for Brain and Mental Health, Monash University, School of Psychological Sciences, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Takagi","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."},{"name":"Turner Institute for Brain and Mental Health, Monash University, School of Psychological Sciences, Melbourne, Victoria, Australia."},{"name":"School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathriona","family":"Clarke","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."},{"name":"Emergency Department, The Royal Children\u2019s Hospital, Melbourne, Victoria, Australia."},{"name":"Department of Pediatrics, University of Melbourne, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2209-4717","authenticated-orcid":false,"given":"Nicholas","family":"Cheng","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."},{"name":"Turner Institute for Brain and Mental Health, Monash University, School of Psychological Sciences, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin A.","family":"Davis","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Dunne","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."},{"name":"Department of Pediatrics, University of Melbourne, Melbourne, Victoria, Australia."},{"name":"Department of Rehabilitation Medicine, The Royal Children\u2019s Hospital, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Anderson","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J. 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