{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:05:22Z","timestamp":1791936322767,"version":"4.3.4"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurosurg.","NEUROS"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Current concussion symptom inventories emphasize total number or symptoms and severity and overlap with other conditions, such as mental health disorders, which may limit their specificity and clinical utility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To develop and test the reliability and validity of a new Concussion Clinical Profiles Screening tool (CP Screen) in both healthy controls and concussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>CP Screen is a 29-item self-report, clinical profile-based symptom inventory that measures the following 5 concussion clinical profiles: 1) anxiety\/mood, 2) cognitive\/fatigue, 3) migraine, 4) ocular, and 5) vestibular; and the following 2 modifying factors: 1) sleep and 2) neck. Post-Concussion Symptom Scale (PCSS), vestibular\/ocular motor screening (VOMS) tool, and Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) were conducted. CP Screen was administered in community a concussion surveillance program and 2 sports medicine concussion clinics. Responses include 248 athletes, 121 concussed, and 127 controls, enrolled between 2018 and 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Internal consistency of the CP Screen in the control (Cronbach's alpha\u00a0=\u00a0.87) and concussed (Cronbach's alpha\u00a0=\u00a0.93) samples was high. Moderate to high correlations among the CP Screen factors and PCSS factors and VOMS items, supporting concurrent validity. ROC curve analysis for identifying concussed from controls was significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) for all CP Screen factor and modifier scores with excellent AUCs for migraine (.93), ocular (.88), vestibular (.85), and cognitive (.81) factors, demonstrating predictive validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The CP Screen demonstrated strong reliability, concurrent validity with commonly used concussion assessment (ie, PCSS, VOMS, and ImPACT), and predictive validity for identifying concussion. The CP Screen extends current symptom inventories by evaluating more specific symptoms that may reflect clinical profiles and inform better clinical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyz545","type":"journal-article","created":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T15:12:29Z","timestamp":1578928349000},"page":"348-356","source":"Crossref","is-referenced-by-count":68,"title":["Concussion Clinical Profiles Screening (CP Screen) Tool: Preliminary Evidence to Inform a Multidisciplinary Approach"],"prefix":"10.1227","volume":"87","author":[{"given":"Anthony P","family":"Kontos","sequence":"first","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R J","family":"Elbin","sequence":"additional","affiliation":[{"name":"University of Arkansas, Fayetteville, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Trbovich","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Womble","sequence":"additional","affiliation":[{"name":"INOVA Medical Group, Department of Orthopedics and Sports Medicine, INOVA Sports Medicine Concussion Program, Fairfax, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azkya","family":"Said","sequence":"additional","affiliation":[{"name":"University of Arkansas, Fayetteville, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa Fazio","family":"Sumrok","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"French","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Kegel","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Puskar","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Sherry","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyndi","family":"Holland","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Collins","sequence":"additional","affiliation":[{"name":"UPMC Sports Concussion Program, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,8]]},"reference":[{"issue":"10","key":"bib1-20231011","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1177\/0363546512455400","article-title":"A revised factor structure for the post-concussion symptom scale","volume":"40","author":"Kontos","year":"2012","journal-title":"Am J Sports Med"},{"key":"bib2-20231011","first-page":"661","article-title":"The Post-Concussion Symptom Scale (PCSS): a factor analysis [abstract]","volume":"38","author":"Pardini","year":"2004","journal-title":"Br J Sports Med"},{"issue":"1","key":"bib3-20231011","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1249\/01.mss.0000183186.98212.d5","article-title":"Structural validity of a self-report concussion-related symptom scale","volume":"38","author":"Piland","year":"2006","journal-title":"Med Sci Sports Exerc"},{"issue":"12","key":"bib4-20231011","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1007\/s00415-006-0275-z","article-title":"The Rivermead postconcussion symptoms questionnaire","volume":"253","author":"Potter","year":"2006","journal-title":"J Neurol"},{"issue":"2","key":"bib5-20231011","doi-asserted-by":"crossref","first-page":"221","DOI":"10.4085\/1062-6050-47.2.221","article-title":"Psychometric properties of self-report concussion scales and checklists","volume":"47","author":"McLeod","year":"2012","journal-title":"J Athl Train"},{"issue":"4","key":"bib6-20231011","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1080\/13803395.2017.1353590","article-title":"Evaluating the test-retest reliability of symptom indices associated with the ImPACT post-concussion symptom scale (PCSS)","volume":"40","author":"Merritt","year":"2018","journal-title":"J Clin Exp Neuropsychol"},{"issue":"8","key":"bib7-20231011","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1136\/bjsm.2010.081299","article-title":"Defining asymptomatic status following sports concussion: fact or fallacy?","volume":"46","author":"Alla","year":"2012","journal-title":"Br J Sports Med"},{"issue":"8","key":"bib8-20231011","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1191\/0269215505cr905oa","article-title":"Construct validity and reliability of the Rivermead post-concussion symptoms questionnaire","volume":"19","author":"Eyres","year":"2005","journal-title":"Clin Rehabil"},{"issue":"2","key":"bib9-20231011","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4085\/1062-6050-51.2.12","article-title":"High baseline postconcussion symptom scores and concussion outcomes in athletes","volume":"51","author":"Custer","year":"2016","journal-title":"J Athl Train"},{"key":"bib10-20231011","article-title":"Factors influencing post-concussion-like symptom reporting in adolescent athletes","author":"Iverson","year":"2014"},{"issue":"3","key":"bib11-20231011","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1207\/S15324826AN1003_02","article-title":"Examination of \u201cPostconcussion-Like\u201d symptoms in a healthy sample","volume":"10","author":"Iverson","year":"2003","journal-title":"Appl Neuropsychol"},{"issue":"2","key":"bib12-20231011","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00167-013-2791-6","article-title":"A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion","volume":"22","author":"Collins","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"bib13-20231011","doi-asserted-by":"crossref","first-page":"238","DOI":"10.3109\/02699052.2014.965207","article-title":"Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: an evidence-based classification system with directions for treatment","volume":"29","author":"Ellis","year":"2015;","journal-title":"Brain Inj"},{"issue":"6","key":"bib15-20231011","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1227\/NEU.0000000000001447","article-title":"Statements of agreement from the targeted evaluation and active management (team) approaches to treating concussion meeting held in Pittsburgh, October 15-16, 2015","volume":"79","author":"Collins","year":"2016","journal-title":"Neurosurgery"},{"issue":"2","key":"bib16-20231011","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00167-013-2791-6","article-title":"A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion","volume":"22","author":"Collins","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"bib17-20231011","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1249\/JSR.0000000000000573","article-title":"Sport-related concussion clinical profiles","volume":"18","author":"Kontos","year":"2019","journal-title":"Curr Sports Med Rep"},{"issue":"11","key":"bib18-20231011","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"issue":"3","key":"bib19-20231011","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1207\/s15324826an1303_4","article-title":"Measurement of symptoms following sports-related concussion: reliability and normative data for the post-concussion scale","volume":"13","author":"Lovell","year":"2006","journal-title":"Appl Neuropsychol"},{"issue":"1","key":"bib20-20231011","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1177\/0363546509343805","article-title":"Long-term test-retest reliability of baseline cognitive assessments using ImPACT","volume":"38","author":"Schatz","year":"2010","journal-title":"Am J Sports Med"},{"issue":"5","key":"bib21-20231011","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1093\/arclin\/act034","article-title":"One-month test-retest reliability of the ImPACT test battery","volume":"28","author":"Schatz","year":"2013","journal-title":"Arch Clin Neuropsychol"},{"issue":"1","key":"bib22-20231011","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.acn.2005.08.001","article-title":"Sensitivity and specificity of the ImPACT test battery for concussion in athletes","volume":"21","author":"Schatz","year":"2006","journal-title":"Arch Clin Neuropsychol"},{"issue":"2","key":"bib23-20231011","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1177\/0363546512466038","article-title":"Sensitivity and specificity of the online version of ImPACT in high school and collegiate athletes","volume":"41","author":"Schatz","year":"2013","journal-title":"Am J Sports Med"},{"issue":"4","key":"bib24-20231011","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1076\/clin.17.4.460.27934","article-title":"Interpreting change on ImPACT following sport concussion","volume":"17","author":"Iverson","year":"2003","journal-title":"Clin Neuropsychol"},{"issue":"6","key":"bib25-20231011","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1081\/13803390490918435","article-title":"Validity of ImPACT for measuring processing speed following sports-related concussion","volume":"27","author":"Iverson","year":"2005","journal-title":"J Clin Exp Neuropsychol"},{"issue":"10","key":"bib26-20231011","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1177\/0363546514543775","article-title":"A brief vestibular\/ocular motor screening (VOMS) assessment to evaluate concussions","volume":"42","author":"Mucha","year":"2014","journal-title":"Am J Sports Med"},{"issue":"6","key":"bib27-20231011","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1177\/0363546516632754","article-title":"Reliability and associated risk factors for performance on the vestibular\/ocular motor screening (VOMS) tool in healthy collegiate athletes","volume":"44","author":"Kontos","year":"2016","journal-title":"Am J Sports Med"},{"issue":"2","key":"bib28-20231011","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1177\/1941738116678411","article-title":"Validity and reliability of the vestibular\/ocular motor screening and associations with common concussion screening tools","volume":"9","author":"Yorke","year":"2017","journal-title":"Sports Health"},{"issue":"4","key":"bib29-20231011","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1177\/0363546514566193","article-title":"The effect of preinjury sleep difficulties on neurocognitive impairment and symptoms after sport-related concussion","volume":"43","author":"Sufrinko","year":"2015","journal-title":"Am J Sports Med"},{"issue":"3","key":"bib30-20231011","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1177\/0363546514560727","article-title":"Sleep disturbance and neurocognitive function during the recovery from a sport-related concussion in adolescents","volume":"43","author":"Kostyun","year":"2014","journal-title":"Am J Sports Med"},{"issue":"4","key":"bib31-20231011","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1037\/neu0000250","article-title":"The influence of sleep duration and sleep-related symptoms on baseline neurocognitive performance among male and female high school athletes","volume":"30","author":"Sufrinko","year":"2016","journal-title":"Neuropsychology"},{"issue":"2","key":"bib32-20231011","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1177\/0363546513510389","article-title":"Baseline neurocognitive testing in sports-related concussions","volume":"42","author":"McClure","year":"2014","journal-title":"Am J Sports Med"},{"issue":"7","key":"bib33-20231011","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1177\/0363546513488751","article-title":"Posttraumatic migraine as a predictor of recovery and cognitive impairment after sport-related concussion","volume":"41","author":"Kontos","year":"2013","journal-title":"Am J Sports Med"},{"issue":"12","key":"bib34-20231011","doi-asserted-by":"crossref","first-page":"3055","DOI":"10.1177\/0363546515606430","article-title":"Near point of convergence after a sport-related concussion","volume":"43","author":"Pearce","year":"2015","journal-title":"Am J Sports Med"}],"container-title":["Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/neurosurgery\/article-pdf\/87\/2\/348\/33521710\/nyz545.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/neuros\/nyz545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:55:09Z","timestamp":1786121709000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/neuros\/nyz545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,17]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/neuros\/nyz545","relation":{},"ISSN":["0148-396X","1524-4040"],"issn-type":[{"value":"0148-396X","type":"print"},{"value":"1524-4040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,17]]}}}