{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T12:14:24Z","timestamp":1788092064596,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100013704","name":"Consejo Nacional de Ciencia y Tecnolog\u00eda, Paraguay","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013704","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare outcomes among children and youth (3-21 years) with post-concussion syndrome (PCS) who received early (\u22648 days) embedded psychological intervention (EI) after the index visit with those who received usual care (UC) in a pediatric concussion program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective cohort study at the Boston Medical Center Concussion Clinic (2015-2024) including 56 patients (EI n\u2009=\u200928; UC n\u2009=\u200928). Outcomes were follow-up time and recovery status at last follow-up. Mann-Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      and Fisher exact tests were used, with effect sizes (|\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      | and odds ratio [OR]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Follow-up time was shorter in EI (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001; |\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      |=0.72). Recovery was higher in EI (57.1% vs 10.7%; OR 10.58, 95% CI 2.40-67.50;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.005). Between-group differences persisted in a sensitivity analysis restricted to UC participants without major neurologic or neurodevelopmental complexity; the association with recovery remained significant after adjustment (aOR 10.14, 95% CI 1.25-226.95;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early embedded psychological intervention was associated with improved recovery outcomes in pediatric PCS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08830738261476151","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:36Z","timestamp":1787762076000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Psychological Intervention Embedded in a Pediatric Concussion Program: A Retrospective Cohort Study"],"prefix":"10.1177","author":[{"given":"Luisa","family":"Atunes Ortega","sequence":"first","affiliation":[{"name":"Boston Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5751-6310","authenticated-orcid":false,"given":"Gustavo Ignacio","family":"Rivas-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Asunci\u00f3n (UNA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Boston University Chobanian & Avedisian School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4866-4925","authenticated-orcid":false,"given":"Alex Stephano","family":"Aguirre","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital"},{"name":"Boston University Chobanian & Avedisian School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Relfa","family":"Proano","sequence":"additional","affiliation":[{"name":"Department of Neurology, Larkin Community Hospital, South Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alcy","family":"Torres","sequence":"additional","affiliation":[{"name":"Boston University Chobanian & Avedisian School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(22)00309-X"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2025.115156"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2020.02.002"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710001728"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2853"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1203"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/2576117X.2020.1815502"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3074"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-063489"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2023-106898"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097470"},{"key":"e_1_3_2_13_2","doi-asserted-by":"crossref","unstructured":"Postconcussion syndrome. 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