Abstract

Abstract Objective Concussion evaluation often entails patient completion of symptom checklists and questionnaires. Prior research indicates children often report higher concussion-related symptoms than parents (Johnson et al., 2020; Liu & Hicks, 2020). Furthermore, research indicates sex differences in reported symptoms among children and adolescents. (Preiss-Farzanegan et al., 2009; Frommer et al., 2011). This study aimed to explore these differences and the relationship between self-reported and parent-reported concussion symptoms by sex. Methods Children who sustained a concussion were examined in an acute concussion clinic for diagnosis and treatment of injury. In addition to the physical examination, parents were given the Post-Concussion Symptom Inventory Parent Assessment Form (PCSI-P) and children were given the appropriate version of the PCSI based on their age. Results 44 children (M = 14.05, SD = 2.49; sex: 12 male, 32 female) and 36 parents were included for analysis. Parents reported higher tiredness (M = 3.4, SD = 1.72) than children self-report (M = 2.57, SD = 1.88; t(34) = 2.84, p = 0.007), and higher irritability (M = 3.03, SD = 2.07) children self-report (M = 2.06, SD = 2.17; t(34) = 2.78, p = 0.009). In male and female self-report, males reported higher levels of feeling dazed (M = 3.33, SD = 1.75) than females (M = 1.58, SD = 1.74; t(28) = 2.20, p = 0.036),and higher levels of slowed response (M = 4.00, SD = 1.23) than females (M = 2.13, SD = 1.96; t(27) = 2.04, p = 0.05). No differences were found between parent reports of male and female children. Conclusion Our findings highlight discrepancies between parent and child reports of concussion-related symptoms, emphasizing the need for self and parent report assessments in clinical concussion evaluations. Furthermore, sex differences in self-reported symptoms underscore the importance of considering sex-related factors in concussion management and treatment.

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