OBJECTIVE The purpose of this study was to examine gender differences on the Concussion Clinical Profile Screen (CP Screen) in adolescents following sport-related concussion (SRC). DESIGN Cross-sectional study. SETTING A… Click to show full abstract
OBJECTIVE The purpose of this study was to examine gender differences on the Concussion Clinical Profile Screen (CP Screen) in adolescents following sport-related concussion (SRC). DESIGN Cross-sectional study. SETTING A concussion specialty clinic. PARTICIPANTS A total of 276 adolescent (Age=15.02 ± 1.43 yrs; Female= 152 [55%]) athletes with a recent (≤30 days) diagnosed concussion. MAIN OUTCOME MEASURES The five CP Screen profiles (e.g., anxiety/mood, cognitive/fatigue, migraine, vestibular, ocular), and two modifiers (e.g., neck, sleep), symptom total, and symptom severity scores were compared using a series of Mann-Whitney U tests between males and females. RESULTS Females (n=152) scored significantly higher than males (n=124) on the <.001) factor scores, but not the migraine (U =7768, z =-2.52, p =.01) factor scores. Females also cognitive/fatigue (U = 7160.50, z = -3.46, p =.001) and anxiety/mood (U =7059, z =-3.62, p endorsed a significantly higher number of symptoms (n=124) (U = 27233, z =-3.33, p =.001) and scored higher in symptom severity (U =7049, z =-3.60, p <.001) than males. CONCLUSIONS Among adolescents, symptom endorsement on the CP Screen varies on the basis of gender, and clinicians need to be aware of differences especially when evaluating post-concussion presentation in the absence of baseline data.
               
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