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Post-traumatic Stress Disorder

Post-traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...

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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion

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Persistent Postconcussion Symptoms: An Expert Consensus-Based Definition Using the Delphi Method.

Corinne Lagacé-Legendre¹, Valérie Boucher, Sébastien Robert

¹Axe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec (Dr Lagacé-Legendre, Ouellet, Émond, Moore, and Le Sage, Ms Boucher, and Mr Tardif), and Faculté de médecine (Drs Lagacé-Legendre, Robert, Ouellet, Frémont, Émond, Moore, and Le Sage and Ms Boucher), Université Laval, Quebec City, Quebec, Canada; Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec City, Quebec, Canada (Ms Boucher and Drs Ouellet, Émond, and Le Sage); Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City, Quebec, Canada (Dr Ouellet); Research-Institute, McGill University Health Centre, Montreal, Quebec, Canada (Dr de Guise); Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Quebec, Canada (Dr de Guise); and La Clinique Neuropsychologique, Québec, Canada (Dr Boulard).

The Journal of Head Trauma Rehabilitation

|August 23, 2020

Summary

This summary is machine-generated.

An expert consensus defines persistent postconcussion symptoms after mild traumatic brain injury (mTBI). Symptoms must be present daily for 3 months post-trauma, impact life, and not be due to pre-existing conditions.

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Area of Science:

Neurology
Traumatology
Clinical Consensus

Background:

Mild traumatic brain injury (mTBI) can lead to persistent postconcussion symptoms.
A clear, universally accepted definition for these persistent symptoms is lacking.
This ambiguity complicates diagnosis and patient management.

Purpose of the Study:

To establish an expert consensus definition for persistent postconcussion symptoms following mTBI.
To provide a standardized framework for identifying and managing these symptoms.

Main Methods:

An online Delphi process involving Canadian healthcare professionals was employed.
Multiple rounds of expert opinion and rating using a 9-point Likert scale were conducted.
Consensus was defined as a median rating of 7 or more with sufficient agreement.

Main Results:

Consensus was achieved on criteria for persistent postconcussion symptoms after 5 Delphi rounds.
Key criteria include symptoms appearing within hours of mTBI, persisting daily for 3 months, and impacting at least one life sphere.
Symptoms must not be attributable to a pre-existing condition.

Conclusions:

The proposed definition offers a uniform approach for clinicians and researchers defining persistent symptoms in mild TBI.
This consensus definition aims to improve the identification and management of patients experiencing persistent postconcussion symptoms.