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In a cohort of concussed high school athletes, the authors examined the role(s) of family and personal psychiatric histories in the risk of developing PCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A retrospective cohort study of 154 high school athletes with complete documentation of postconcussion symptom resolution or persistence at 6 weeks was conducted. PCS was defined as 3 or more symptoms present 6 weeks after SRC. Three groups were defined: 1) positive family psychiatric history and personal psychiatric history (FPH\/PPH), 2) positive FPH only, and 3) negative family and personal psychiatric histories (controls). Three bivariate regression analyses were conducted: FPH\/PPH to controls, FPH only to controls, and FPH\/PPH to FPH. Post hoc bivariate regression analyses examined specific FPH pathologies and PCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Athletes with FPH\/PPH compared with controls had an increased risk of PCS (\u03c7<jats:sup>2<\/jats:sup> = 8.90, p = 0.018; OR 5.06, 95% CI 1.71\u201314.99). Athletes with FPH only compared with controls also had an increased risk of PCS (\u03c7<jats:sup>2<\/jats:sup> = 6.04, p = 0.03; OR 2.52, 95% CI 1.20\u20135.30). Comparing athletes with FPH\/PPH to athletes with FPH only, no added PCS risk was noted (\u03c7<jats:sup>2<\/jats:sup> = 1.64, p = 0.247; OR 2.01, 95% CI 0.68\u20135.94). Among various FPH diagnoses, anxiety (\u03c7<jats:sup>2<\/jats:sup> = 7.48, p = 0.021; OR 2.99, 95% CI 1.36\u20136.49) and bipolar disorder (\u03c7<jats:sup>2<\/jats:sup> = 5.13, p = 0.036; OR 2.74, 95% CI 1.14\u20136.67) were significantly associated with the presence of PCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Concussed high school athletes with FPH\/PPH were greater than 5 times more likely to develop PCS than controls. Athletes with only FPH were over 2.5 times more likely to develop PCS than controls. Those with an FPH of anxiety or bipolar disorder are specifically at increased risk of PCS. These results suggest that not only are athletes with FPH\/PPH at risk for slower recovery after SRC, but those with an FPH only\u2014especially anxiety or bipolar disorder\u2014may also be at risk. Overall, this study supports taking a detailed FPH and PPH in the management of SRC.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.3.peds1850","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T13:55:32Z","timestamp":1527861332000},"page":"238-243","source":"Crossref","is-referenced-by-count":42,"title":["The role of family and personal psychiatric history in postconcussion syndrome following sport-related concussion: a story of compounding risk"],"prefix":"10.3171","volume":"22","author":[{"given":"Andrew D.","family":"Legarreta","sequence":"first","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin L.","family":"Brett","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee;"},{"name":"Department of Counseling, Educational Psychology and Research, The University of Memphis, Tennessee; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary S.","family":"Solomon","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee;"},{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L.","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee;"},{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2000","unstructured":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. 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