Journal
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
Volume 101, Issue 12, Pages 1117-1121Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0000000000001985
Keywords
Concussion; Mental Illness; Depression; Anxiety
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The study aimed to determine the number of patients affected by a mental illness within 3 years of a concussion and explore demographic differences that may influence a mental illness diagnosis. Using a nationwide database, patients aged 18-45 years with no previous mental illness and diagnosed with a concussion were identified, and their subsequent diagnosis of mental illness within 3 years was analyzed. The study found that within 3 years after a concussion, 48% of patients were later diagnosed with a mental illness, with higher proportions compared to the general population.
ObjectiveThe sequalae of mild concussions continue to emerge with increased awareness in sports-related injuries. This study aimed to quantify the number of patients who are affected by a mental illness within 3 yrs of a concussion and identify whether demographic differences exist that may influence a mental illness diagnosis.DesignUsing a nationwide database, data were queried for a diagnosis of concussion, capturing patients aged 18-45 yrs with no previous mental illness, and then identified if these patients were diagnosed with a mental illness within 3 yrs of their concussion. The mental illnesses specifically chosen for this study included depression, anxiety, panic disorder, posttraumatic stress disorder, bipolar, and schizophrenia.ResultsWithin 3 yrs after a concussion, 48% of patients were later diagnosed with a mental illness. All of the mental illnesses this study chose to evaluate were present in a higher proportion of patients after a concussion than the general population.ConclusionsThe mechanism between concussions and mental illness remains unclear. A large proportion of patients who experience a concussion are later diagnosed with a mental illness within 3 yrs. Patients with a history of a previous concussion may benefit from screening for the development of a mental illness.
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