Concussion Risk and Recovery in Athletes With Psychostimulant-Treated Attention-Deficit/Hyperactivity Disorder: Findings From the NCAA-DOD CARE Consortium

Author:

Coffman Colt A.1ORCID,Gunn Brett S.2ORCID,Pasquina Paul F.3ORCID,McCrea Michael A.4,McAllister Thomas W.5,Broglio Steven P.6ORCID,Moore Robert D.2,Pontifex Matthew B.1ORCID

Affiliation:

1. Department of Kinesiology, Michigan State University, East Lansing, MI, USA

2. Department of Exercise Science, University of South Carolina, Columbia, SC, USA

3. Department of Physical Medicine & Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

4. Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA

5. Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA

6. Michigan Concussion Center, University of Michigan, Ann Arbor, MI, USA

Abstract

The aim of the present study was to examine the effects of attention–deficit/hyperactivity disorder (ADHD) –related psychostimulant use in the context of concussion risk and symptom recovery. Data were obtained from the National Collegiate Athletic Association Department of Defense Grand Alliance Concussion Assessment, Research, and Education (NCAA-DOD CARE) Consortium from 2014 to 2017. Relative to individuals without diagnosed ADHD (i.e., control), both ADHD diagnosis and the combination of ADHD diagnosis and psychostimulant use were associated with a greater risk of incurring a concussive injury. Following a concussive injury, ADHD diagnosis was associated with longer symptom recovery time relative to the control group. However, individuals with ADHD who use psychostimulants did not take longer to resolve symptoms than controls, suggesting that psychostimulants may have a positive influence on recovery. Regardless of time point, ADHD diagnosis was associated with an elevated number of concussion-related symptoms; however, this effect appears mitigated by having used ADHD-related psychostimulants.

Publisher

Human Kinetics

Subject

Applied Psychology

Reference71 articles.

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