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 -