Collaborative Care for Adolescents With Persistent Postconcussive Symptoms: A Randomized Trial | Zendy

Carolyn A. McCarty | Zendy; Douglas Zatzick | Zendy; Elizabeth Stein | Zendy; Jin Wang | Zendy; Robert J. Hilt | Zendy; Frederick P. Rivara | Zendy

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Collaborative Care for Adolescents With Persistent Postconcussive Symptoms: A Randomized Trial

Author(s) -

Carolyn A. McCarty,

Douglas Zatzick,

Elizabeth Stein,

Jin Wang,

Robert J. Hilt,

Frederick P. Rivara

Publication year - 2016

Publication title -

pediatrics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.611

H-Index - 345

eISSN - 1098-4275

pISSN - 0031-4005

DOI - 10.1542/peds.2016-0459

Subject(s) - medicine , collaborative care , anxiety , concussion , intervention (counseling) , randomization , randomized controlled trial , depression (economics) , post concussion syndrome , injury prevention , poison control , physical therapy , clinical psychology , psychiatry , emergency medicine , mental health , economics , macroeconomics

Postconcussive and co-occurring psychological symptoms are not uncommon after sports-related concussion and are associated with functional impairment and societal costs. There is no evidence-based treatment targeting postconcussive symptoms in children and adolescents. The goal of this study was to test a collaborative care intervention model with embedded cognitive-behavioral therapy, care management, and psychopharmacological consultation. We hypothesized that patients in collaborative care would demonstrate greater reductions in postconcussive, depressive, and anxiety symptoms and improvement in functioning over the course of 6 months, compared with usual care control.

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