[{"key":"dc.contributor.author","value":"Green, Katherine","language":null},{"key":"dc.date.accessioned","value":"2019-06-17T15:56:15Z","language":null},{"key":"dc.date.available","value":"2019-06-17T15:56:17Z","language":null},{"key":"dc.date.issued","value":"2019","language":"en"},{"key":"dc.identifier.uri","value":"http:\/\/hdl.handle.net\/2429\/70656","language":null},{"key":"dc.description.abstract","value":"Background: Approximately 30% of adolescents who sustain a concussion experience related symptoms that persist beyond one month post-injury, affecting everyday functioning, developmental achievements, and quality of life. Somatization, the process whereby psychological distress is expressed as unintentionally produced physical symptoms, may relate to and maintain persistent post-concussive symptoms in some adolescents. However, effectively identifying somatization in adolescents with persistent post-concussive symptoms is challenging due to ambiguity about factors that specifically characterize the issue, such as symptoms, impairment levels, premorbid experiences, mental health and medical service use.\r\nObjectives: To describe the characteristics of somatization in adolescents with persistent post- concussive symptoms and compare outcomes in adolescents with persistent post-concussive symptoms unaffected by somatization.\r\nMethods: This study involved a review of medical records of adolescents referred to a tertiary care interdisciplinary concussion clinic between January 2016 and May 2018. Information on demographics and injury characteristics, post-concussive symptoms, mental health, medical service use, and school attendance was extracted from charts. Those with physician-identified somatization were compared to those without physician-identified somatization.\r\nResults: Compared to those unaffected by somatization, adolescents with somatization reported more severe and unusual post-concussive symptoms, demonstrated that they had more post-injury impairment in school attendance, were more likely to have a history of premorbid chronic pain or medically unexplained symptoms, obtained more neuroimaging after injury, and obtained more health care after injury.\r\nConclusions: Adolescents with persistent post-concussive symptoms affected by somatization differed in their experience of post-concussive symptoms, illness behaviours, and pre-morbid history compared to those unaffected by somatization. These findings should help improve clinical identification of somatization in youth following a concussion, and subsequently the referral of affected youth to effective mental health services.","language":"en"},{"key":"dc.language.iso","value":"eng","language":"en"},{"key":"dc.publisher","value":"University of British Columbia","language":"en"},{"key":"dc.rights","value":"Attribution-NonCommercial-NoDerivatives 4.0 International","language":"*"},{"key":"dc.rights.uri","value":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/","language":"*"},{"key":"dc.title","value":"Somatization in adolescents with persistent post-concussive symptoms : a retrospective chart review","language":"en"},{"key":"dc.type","value":"Text","language":"en"},{"key":"dc.degree.name","value":"Master of Science - MSc","language":"en"},{"key":"dc.degree.discipline","value":"Experimental Medicine","language":"en"},{"key":"dc.degree.grantor","value":"University of British Columbia","language":"en"},{"key":"dc.date.graduation","value":"2019-09","language":"en"},{"key":"dc.type.text","value":"Thesis\/Dissertation","language":"en"},{"key":"dc.description.affiliation","value":"Medicine, Faculty of","language":"en"},{"key":"dc.description.affiliation","value":"Medicine, Department of","language":"en"},{"key":"dc.degree.campus","value":"UBCV","language":"en"},{"key":"dc.description.scholarlevel","value":"Graduate","language":"en"}]