{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:57:43Z","timestamp":1785373063062,"version":"3.55.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"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":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p>Limited evidence exists concerning how a diagnosis of attention-deficit hyperactivity disorder and\/or learning disabilities (ADHD\/LD) modifies recovery and behavior following sport-related concussion (SRC). To understand how ADHD\/LD modifies the post-SRC experience, we conducted a retrospective cohort study of concussed young athletes through phone interviews with patients and guardians. Outcomes included time until symptom resolution (SR) and return-to-learn (RTL), plus subjective changes in post-SRC activity and sports behavior. Multivariate Cox and logistic regression was performed, adjusting for biopsychosocial characteristics. The ADHD\/LD diagnosis was independently associated with worse outcomes, including lower likelihood to achieve SR (hazard ratio [HR] = 0.62, 95% confidence interval [CI] = [0.41-0.94]; P = .02) and RTL (HR = 0.55, 95% CI = [0.36-0.83]; P &lt; .01) at any time following injury, and increased odds of changing sport behavior after concussion (odds ratio [OR] = 3.26, 95% CI = [1.26-8.42], P = .02), often to a safer style of play (62.5% vs 39.6%; P = .02) or retiring from the sport (37.5% vs 18.5%; P = .02). These results provide further evidence of the unique needs for athletes with ADHD\/LD following SRC.<\/jats:p>","DOI":"10.1177\/00099228221113787","type":"journal-article","created":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:55:34Z","timestamp":1658883334000},"page":"121-131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Attention-Deficit Hyperactivity Disorder and Learning Disabilities Modify Recovery and Sport Behavior Following Sport-Related Concussion"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4610-684X","authenticated-orcid":false,"given":"Jesse C.","family":"Pullen","sequence":"first","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel I.","family":"Wolfson","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas J.","family":"Totten","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Vanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron S.","family":"Jeckell","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Department of Psychiatry, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher 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