{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:09:39Z","timestamp":1787846979073,"version":"build-2784847793"},"reference-count":61,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"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":["Neurotrauma Reports"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:p>\n                    Resilience is associated with the degree to which post-concussion symptoms (PCS) are experienced. However, the role of resilience in the recovery trajectory of minority women, who tend to have prolonged concussion recovery, is poorly characterized. We evaluated the association between resilience and PCS, to determine if the association differed by race. A secondary data analysis was performed. Resilience was assessed using the Resilience Scale and PCS with the Rivermead questionnaire. Both variables were evaluated 6\u201310 weeks post-injury. Baseline demographics, spearman correlation, and multivariable linear regression models were used to determine the association between resilience and PCS. Seventy-seven women (mean age 28 \u00b1 7.6) were included, 57% were White, and 43% were Black or Hispanic. The overall cohort had a moderate association between resilience and PCS (\n                    <jats:italic toggle=\"yes\">R<\/jats:italic>\n                    = \u22120.304,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.007). The association was present in minorities (\n                    <jats:italic toggle=\"yes\">R<\/jats:italic>\n                    = \u22120.486,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.004), and was stronger for Blacks (\n                    <jats:italic toggle=\"yes\">R<\/jats:italic>\n                    = \u22120.745,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001). After adjusting for religion as a covariate separately, resilience (\n                    <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                    = \u22120.156, 95% confidence interval [CI]: \u22120.285, \u22120.026;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.019) and mood (\n                    <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                    = 1.082, 95% CI: 0.847, 1.317;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001), were both independent predictors of PCS. The adjusted associations were stronger for the minority subgroup for both resilience (\n                    <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                    = \u22120.231, 95% CI: \u22120.413, \u22120.050;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.014) and mood (\n                    <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                    = 1.122, 95% CI: 0.753, 1.491;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001). Our findings show that compared with Whites, minority individuals with higher resilience have greater resolution of PCS. However, mood is also of importance in this association. Thus resilience-based interventions must also target mood. Interventions that strengthen resilience may have promise in promoting equitable recovery in the setting of female concussions.\n                  <\/jats:p>","DOI":"10.1089\/neur.2024.0075","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T12:12:52Z","timestamp":1728475972000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Resilience and Concussion Recovery in Minority Women: Promoting Health Equity"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9056-1116","authenticated-orcid":false,"given":"Leon","family":"Ruiter-Lopez","sequence":"first","affiliation":[{"name":"Neuroscience, Kenneth P. Dietrich School of Arts &amp; Science , University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack K.","family":"Donohue","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemika","family":"Vempalli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca C.","family":"Thurston","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele D.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Snedaker","sequence":"additional","affiliation":[{"name":"PINK Concussions, Norwalk, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyla Z.","family":"Donnelly","sequence":"additional","affiliation":[{"name":"LoveYourBrain Foundation, Norwich, Vermont, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David O.","family":"Okonkwo","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Anto-Ocrah","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."},{"name":"Department of Epidemiology Pittsburgh, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcn.2015.03.001"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.yco.0000165601.29047.ae"},{"key":"e_1_3_5_4_2","volume-title":"Report to Congress. Traumatic Brain Injury in the United States: Epidemiology and Rehabilitation","author":"Prevention CfDCa","year":"2015","unstructured":"Prevention CfDCa. Report to Congress. Traumatic Brain Injury in the United States: Epidemiology and Rehabilitation. National Center for Injury Prevention and Control: Atlanta, GA; 2015."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050410001720158"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181c15600"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.3046"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000395"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2009.1068"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-020-0232-9"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2015.4070"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.0211"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2015.12.002"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2009.01.011"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.2984"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2019.1313"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2009-0450"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181d36ca3"},{"key":"e_1_3_5_19_2","volume-title":"Executive Order on Advancing Women\u2019s Health Research and Innovation","author":"Biden JR","year":"2024","unstructured":"Biden JR. 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