Somatization in adolescents with persistent post-concussive symptoms : a retrospective chart review
department or school: Medicine, Faculty of
department or school: Medicine, Department of
data provider: DSpace
degree campus: UBCV
creator: Green, Katherine
issued: 2019-06-17T15:56:17Z
issued: 2019
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: 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. Objectives: 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. Methods: 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. Results: 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. Conclusions: 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 unaff…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/70656
note: SOMATIZATION IN ADOLESCENTS WITH PERSISTENT POST-CONCUSSIVE SYMPTOMS: A RETROSPECTIVE CHART REVIEW by Katherine Green BSc Hons, The University of British Columbia, 2017 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in The Faculty of Graduate and Postdoctoral Studies (Experimental Medicine) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) June 2019 © Katherine Green, 2019 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, a thesis/dissertation entitled: Somatization in adolescents with persistent post-concussive symptoms: a retrospective chart review Submitted by Katherine Green in partial fulfilment of the requirements for the degree Master of Science in Experimental Medicine. Examining Committee: Dr. Amrit Dhariwal Co-supervisor Dr. Tim Oberlander Co-supervisor Dr. Noah Silverberg Supervisory Committee Member Dr. Shelina Babul Additional Examiner Additional Supervisory Committee Members: Dr. Jacqueline Purtzki Supervisory Committee Member iii ABSTRACT 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. Objective: To describe the characteristics of somatization in adolescents with persistent post- concussive symptoms and compare outcomes in adolescents with persistent post-concussiv…
has type: Thesis/Dissertation
date issued: 2019-09
is shown at: 10.14288/1.0379467
language: eng
degree discipline: Experimental Medicine
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/70656