TY - JOUR
PY - 2021//
TI - Do male and female adolescents report symptoms differently after concussion?
JO - Brain injury
A1 - Alsalaheen, Bara
A1 - Almeida, Andrea
A1 - Eckner, James
A1 - Freeman, Jeremiah
A1 - Ichesco, Ingrid
A1 - Popovich, Michael
A1 - Streicher, Nicholas
A1 - Lorincz, Matthew
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - We investigated sex-based differences in the presence and severity of aggregated symptom indicators as well as individual concussion symptoms.
MATERIALS AND METHODS: A cross-sectional examination of sex differences in symptoms reported by adolescents upon initial concussion evaluation at a concussion clinic. Nine hundred and eighty-six adolescents completed the Sport Concussion Assessment Tool (SCAT5) symptom checklist. Chi-square and Mann-Whitney U tests were used for differences in the presence and severity of symptoms, respectively. Sex differences in global indices of symptom distress were compared.
RESULTS: Females endorsed more symptoms (Female: Median (M)=15, Interquartile range (IQR):9-18 vs. Male: M=11, IQR: 6-15, p<0.001) and a greater total symptom score (Female: M=37, IQR:16-45 vs. Male: M=20, IQR:8-39). After False Discovery Rate (FDR) adjustment, females endorsed the presence of 21 of 22 individual symptoms more frequently than males (p≤ 0.039), with greater symptom severity for 20 of 22 individual symptoms (p≤0.036). Moderate ESs were observed for sex-based differences in the total symptom score and the global severity index. Small ESs was observed for differences in most individual symptoms.
CONCLUSIONS: The greater frequency and severity of concussion symptoms reported by female adolescents highlights the importance of considering sex as a modifier for the management of concussion.
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2021.1896034 ID - ref1 ER -