{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:44:59Z","timestamp":1785703499901,"version":"3.56.0"},"reference-count":81,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100010487","name":"Texas Institute for Brain Injury and Repair, University of Texas Southwestern Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010487","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"abstract":"<jats:p>\n                    Adolescent athletes with attention-deficit hyperactivity disorder (ADHD) have a higher prevalence of concussion history, and ADHD symptoms may complicate post-concussion neurocognitive test interpretation. This study compared post-concussion testing results in adolescents with and without ADHD. Athletes (10-18 years) from the North Texas Concussion Registry (2015-2024) were categorized as ADHD-only or No-ADHD (no learning disorders or ADHD). Post-concussion testing included ImPACT and King-Devick at initial visit, and Generalized Anxiety Disorder\u20137 (GAD-7), Patient Health Questionnaire\u20138 (PHQ-8), and Pittsburgh Sleep Quality Index (PSQI) at initial visit and 3-month follow-up. Groups were compared using Mann-Whitney\n                    <jats:italic toggle=\"yes\">U<\/jats:italic>\n                    tests and longitudinal data were compared using paired Student\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    tests (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.05). A total of 1518 athletes were included (155 ADHD; 46.6% female). No differences were found in primary ImPACT cognitive domains or King Devick testing scores between groups. ADHD-only athletes had higher GAD-7 and PHQ-8 scores (\u03bc\u2009=\u20094.24, \u03bc\u2009=\u20095.46) than no-ADHD athletes (\u03bc\u2009=\u20093.37, \u03bc\u2009=\u20094.36) (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.05) at initial visit, but no differences were observed at 3 months. Recognizing affective symptoms after concussion in athletes with ADHD is important for clinical intervention.\n                  <\/jats:p>","DOI":"10.1177\/08830738261467646","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:02:27Z","timestamp":1785330147000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Attention-Deficit Hyperactivity Disorder on Clinical Measures and Outcomes Following Concussion in Adolescent Athletes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8353-0047","authenticated-orcid":false,"given":"Ashna","family":"Shah","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4779-7585","authenticated-orcid":false,"given":"Joshua A.","family":"Beitchman","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4133-9970","authenticated-orcid":false,"given":"Cheryl H.","family":"Silver","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane S.","family":"Chung","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"},{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Sports Medicine Center, Texas Scottish Rite Hospital for Children, Dallas, Texas, 75219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5133-4770","authenticated-orcid":false,"given":"Jacob C.","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"},{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Sports Medicine Center, Texas Scottish Rite Hospital for Children, Dallas, Texas, 75219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5002-5095","authenticated-orcid":false,"given":"Shane M.","family":"Miller","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"},{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Sports Medicine Center, Texas Scottish Rite Hospital for Children, Dallas, Texas, 75219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9706-5465","authenticated-orcid":false,"given":"C. Munro","family":"Cullum","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"},{"name":"Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8655-9814","authenticated-orcid":false,"given":"Mathew A.","family":"Stokes","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Sports Medicine Center, Texas Scottish Rite Hospital for Children, Dallas, Texas, 75219, USA"},{"name":"Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Reuben C Elgaddal N. 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