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Abstract Details

Early Psychotherapy in Post-Concussion Syndrome. A Study in the Pediatric Population and Young Adults.
Child Neurology and Developmental Neurology
P10 - Poster Session 10 (8:00 AM-9:00 AM)
Post-concussion syndrome consists of a wide constellation of physical, cognitive, and emotional symptoms in the aftermath of a mild traumatic brain injury. A brain injury in children and young adults, even if mild, may be more traumatic psychologically than physically; yet psychological symptoms are the least discussed and, hence, therapy is usually delayed.
To determine the efficacy of early psychological intervention in patients with post-concussion syndrome.
This retrospective cohort study used the electronic health records from April 2014 to May 2021 from the Pediatric Concussion Clinic at Boston Medical Center. We performed descriptive and logistic regression analyses based on demographics, visit dates, medical history, and psychological evaluations.

60 patients were included in this study between the ages of 3 to 21. Patients demonstrated a statistically significant decreasing trend (p = 0.004) for total days of neurological treatment at the concussion clinic and the early psychological intervention in children and young adults. Common psychological diagnoses included mood disorders, post-traumatic stress disorder and adjustment disorder.

The evidence supports early psychotherapy intervention helps with the prompt recovery of cognitive and physical symptoms in children and young adults. Therapists should be aware of possible signs of depression, anxiety and other psychological disturbances that are common after a traumatic brain injury. 
Alcy Torres, MD (Boston Medical Center)
Dr. Torres has nothing to disclose.
Relfa Proano, MD (Blue Hill Rehab Center) Dr. Proano has nothing to disclose.
Joyce A. Jimenez Zambrano, MD Dr. Jimenez Zambrano has nothing to disclose.
No disclosure on file