Post-concussive Syndrome (PCS)
Post-concussive syndrome is a constellation of somatic, cognitive, and affective symptoms that appear shortly after mild traumatic brain injury (mTBI) and fail to resolve (within 3 months). Psychological (McCrea 2008) and neurological (Hayes and Dixon 1994) mechanisms have been proposed to explain PCS development and maintenance. There is no consensus definition, and various diagnostic criteria have been proposed (American Psychiatric Association 1994; World Health Organization 1992). The incidence of PCS is unknown, but estimates range from 20% to 40% of persons who experience a mTBI (Donnell et al. 2012; Ponsford et al. 2012). This range of prevalence is attributed to a lack of similarity in populations that experience persistent PCS symptoms. Treatments include cognitive-behavioral therapy, which has some empirical support (Sayegh et al. 2010; Silverberg et al. 2013), psychoeducation and reassurance, and symptom-specific management (Sayegh et al. 2010)....
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. Washington, D.C.: American Psychiatric Association.
Donnell, A. J., Kim, M. S., Silva, M. A., & Vanderploeg, R. D. (2012). Incidence of postconcussion symptoms in psychiatric diagnostic groups, mild traumatic brain injury, and comorbid conditions. The Clinical Neuropsychologist, 26(7), 1092–1101.
Hayes, R. L., & Dixon, C. E. (1994). Neurochemical changes in mild head injury. Seminars in Neurology, 14(01), 25–31. © 1994 by Thieme Medical Publishers, Inc.
McCrea, M. (2008). Mild traumatic brain injury and postconcussion syndrome: The new evidence base for diagnosis and treatment. New York: Oxford University Press.
Ponsford, J., Cameron, P., Fitzgerald, M., Grant, M., Mikocka-Walus, A., & Schönberger, M. (2012). Predictors of postconcussive symptoms 3 months after mild traumatic brain injury. Neuropsychology, 26(3), 304.
Sayegh, A. A., Sandford, D., & Carson, A. J. (2010). Psychological approaches to treatment of postconcussion syndrome: A systematic review. Journal of Neurology, Neurosurgery and Psychiatry, 81(10), 1128–1134.
Silverberg, N. D., Hallam, B. J., Rose, A., Underwood, H., Whitfield, K., Thornton, A. E., & Whittal, M. L. (2013). Cognitive-behavioral prevention of postconcussion syndrome in at-risk patients: A pilot randomized controlled trial. Journal of Head Trauma Rehabilitation, 28(4), 313–322.
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.
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Smith, N.D. (2017). Post-concussive Syndrome. In: Kreutzer, J., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-56782-2_9227-1
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DOI: https://doi.org/10.1007/978-3-319-56782-2_9227-1
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