Background: Post-concussive depression describes an elevation of depressive symptoms following concussion that occurs in conjunction with other symptoms of concussion. Children with concussion are more likely to diagnosed with depression. The overlapping symptoms between clinical depression and concussion make the diagnosis of depression difficult. The purpose of this study is to explore how post-concussive depression relates to post-concussion symptoms and cognition by investigating symptom-reporting in youth with post-concussive depression and executive function.Methods: Adolescents (age 10-17 years) diagnosed with concussion were divided into two groups based on depression scores on the Children's Depression Inventory (post-concussion depression; non-depression groups). Symptom reporting on the Post-Concussion Symptom Inventory and performance on Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) were compared.Results: Participants with post-concussive depression had heightened emotionality, irritability, and nervousness. Sadness and fatigue were reported by both groups. ImPACT was unable to distinguish between groups but the group overall demonstrated severe neurocognitive deficits.Conclusion: Reports of greater emotionality, irritability, and nervousness on concussion symptom scales may be indicators of post-concussion depression. It is important for clinicians to take note when an adolescent with concussion scores high on these three emotional symptoms as they may be indicative of greater emotional distress.

中文翻译：

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脑震荡后抑郁：评估青少年脑震荡后的抑郁症状及其对执行功能的影响。

背景：脑震荡后抑郁症描述了脑震荡后抑郁症状的升高，与其他脑震荡症状同时发生。患有脑震荡的儿童更有可能被诊断出患有抑郁症。临床抑郁症和脑震荡之间的重叠症状使抑郁症的诊断变得困难。本研究的目的是通过调查患有脑震荡后抑郁症和执行功能的青少年的症状报告，探讨脑震荡后抑郁症与脑震荡后症状和认知之间的关系。 方法：被诊断患有脑震荡的青少年（10-17 岁）根据儿童抑郁量表的抑郁评分分为两组（脑震荡后抑郁；非抑郁组）。比较了脑震荡后症状量表的症状报告和脑震荡后立即评估和认知测试 (ImPACT) 的表现。结果：脑震荡后抑郁症的参与者情绪激动、易怒和紧张。两组都报告了悲伤和疲劳。ImPACT 无法区分各组，但该组总体上表现出严重的神经认知缺陷。结论：关于脑震荡症状量表上情绪化、易怒和紧张的报告可能是脑震荡后抑郁的指标。当患有脑震荡的青少年在这三种情绪症状上得分较高时，临床医生必须注意，因为这可能表明情绪困扰更大。