Post-Concussion Symptom Reporting after Multiple Mild Traumatic Brain Injuries
Abstract
The relationship between previous mild traumatic brain injury/injuries (MTBI) and recovery from a subsequent MTBI may be complex. The present study investigated three factors hypothesized to influence this relation: (1) the number of prior MTBIs, (2) the interval between MTBIs, and (3) the certainty level of previous MTBIs. The study design was retrospective cross-sectional. Participants (N=105) were evaluated at a concussion clinic on average 1 month after sustaining an MTBI, defined by World Health Organization diagnostic criteria. Approximately half the sample had at least one previous MTBI. Subgroups with 0, 1, or 2+ previous MTBIs did not differ in levels of current post-concussion symptom reporting on the British Columbia Post-Concussion Symptom Inventory. Time since the most recent previous MTBI was significantly associated with current post-concussion symptom reporting. This relation was best characterized as logarithmic; i.e., the impact of previous MTBI(s) lessens exponentially as time elapses to a subsequent MTBI. Defining previous MTBIs with a higher certainty level (i.e., probable versus possible) was not consistently associated with greater post-concussion symptom reporting. In conclusion, participants with multiple MTBIs did not report more post-concussion symptoms than those with no history of MTBI. Previous MTBI(s), however, were associated with increased symptom reporting from a subsequent MTBI to the extent they occurred closer in time. Having one or two previous remote MTBIs was not associated with worse outcome from subsequent MTBI in this sample.
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mTBI, especially when experienced repetitively, is linked to several broad symptoms involving mood, behavior, and cognitive changes.
“mTBI, especially when experienced repetitively [52], is linked to several symptoms which are broad in nature, involving mood, behavior, and cognitive changes [126, 140].”
From DNA repair deficiency and senescence in concussed professional athletes involved in contact sports (2019) · cites this paper as [140]
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- Authors
- Silverberg, N. D., Lange, R. T., Millis, S. R., Rose, A., Hopp, G., Leach, S., & Iverson, G. L.
- Affiliations
- University of British Columbia (CA)
- Wayne State University (US)
- GF Strong Rehabilitation Centre (CA)
- Independent practice, Port Coquitlam, British Columbia, Canada.
- Simon Fraser University (CA)
- Harvard University (US)
- Corresponding author
- Silverberg, Noah D.
- Venue
- Journal of Neurotrauma
- Publisher
- SAGE Publications
- Published
- 2013-08-15
- Volume
- 30
- Issue
- 16
- Pages
- 1398-1404
- ISSN
- 0897-7151 (ISSN-L)
- 1557-9042
- OpenAlex
- W1982624366
- Cited by
- 38
- References
- 52
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 5
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neurotrauma (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ohio State University
- Health Research Board
- Vancouver Coastal Health Research Institute
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- mild traumatic brain injury, multiple concussions, post-concussion symptoms, symptom reporting, concussion recovery
- MeSH terms
- Adult, Aged, Brain Injuries, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Post-Concussion Syndrome, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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