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Updated: Jun 27, 2026
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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
Published on: December 8, 2014
Preinjury and Injury-Related Risk Factors Associated With Concussion Clinical Profiles Screening (CP Screen) and
Daniel M Choi1, Anthony P Kontos, Elizabeth E Foster
1Author Affiliations: Widener University, Institute for Graduate Clinical Psychology, Chester, Pennsylvania (Drs Choi, Foster, and Goldberg); and University of Pittsburgh Sports Medicine Concussion Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Dr Kontos).
The Journal of Head Trauma Rehabilitation
|June 26, 2026
Summary
Preinjury and injury factors help identify concussion clinical profile screening (CP Screen) scores. However, few factors predict clinician-adjudicated profiles, highlighting concussion
Area of Science:
- Neurology
- Sports Medicine
- Psychiatry
Background:
- Concussion diagnosis and management can be complex.
- Identifying factors associated with specific concussion profiles is crucial for effective care.
- The Concussion Clinical Profile Screening (CP Screen) tool aids in categorizing concussion symptoms.
Purpose of the Study:
- To investigate the relationship between demographic, medical history, and injury factors with CP Screen scores.
- To determine which factors predict clinician-adjudicated concussion profiles.
Main Methods:
- Retrospective cross-sectional study of 242 concussion patients (aged 9-51) at a specialty clinic.
- Correlated CP Screen scores and clinician-adjudicated profiles with various risk factors.
- Used logistic regression and receiver operating curve analyses to identify predictors.
Main Results:
- Most risk factors correlated with CP Screen scores (P < .05).
- History of depression, ADHD/LD, and non-sport-related concussions predicted the anxiety/mood profile (AUC = .74).
- ADHD/LD history predicted the cognitive/fatigue profile (AUC = .65).
Conclusions:
- Preinjury and injury factors are valuable for identifying CP Screen scores.
- Fewer factors predicted specific clinician-adjudicated profiles, underscoring concussion's complexity.
- These findings support the use of identified factors in concussion care.
