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• W3104324196 abstract "Objective In this pilot study, we aim to assess the prevalence of eating disorder (ED) risk in patients presenting to a multi-disciplinary concussion clinic. Background Anxiety and depression are commonly seen after concussion. However, other post-concussive psychiatric disorders, including EDs, have not been as extensively studied. Athletes represent a population at higher risk for concussion; they also have increased risk of EDs, partly due to emphasis placed on body composition for athletic performance. Design/Methods Consecutive new patients evaluated in a multi-disciplinary concussion clinic received questionnaires: the SCOFF ED Screening Tool, Patient Health Questionnaire (PHQ-9 or PHQ-A for adolescents), and Generalized Anxiety Disorder 7 (GAD-7). Patients 12–52 years old referred for concussion were included. A positive screen for ED behavior was defined as answering ‘yes’ to = 1 question on the SCOFF and/or reported poor appetite, weight loss, or overeating on the PHQ. Independent Samples Mann-Whitney U Tests were used to assess group differences in demographic and questionnaire data. Results Twenty-two patients (55% female, mean age 20.2 ± 10.4 years) completed questionnaires. Time from injury ranged from 3 days to >1 year. Injury mechanisms included sport (n = 16), fall (n = 4), struck (n = 1), and other (n = 1). Ten (45% total, 80% female) had positive ED screens. Significant associations were found between positive screens and total PHQ-9 ( p = 0.017), GAD-7 scores ( p = 0.025), and time since injury ( p = 0.036), but not for age. Findings were no longer significant after controlling for gender. Conclusions A significant proportion of females who present to a concussion clinic may be at risk of EDs. Because ED behaviors may affect concussion management and recovery, routine screening for ED in concussion clinics should be considered. Those with positive screens would benefit from a referral to a registered dietitian for additional evaluation. Further research is needed to verify the prevalence and characterize the effect of subclinical and clinical EDs in this population." @default.
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• W3104324196 date "2020-11-16" @default.
• W3104324196 modified "2023-10-18" @default.
• W3104324196 title "Eating Disorder Risk Among Patients Presenting to a Specialty Concussion Clinic" @default.
• W3104324196 doi "https://doi.org/10.1212/01.wnl.0000719952.81181.73" @default.
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