title: Somatization in Post-Concussion Syndrome: A Retrospective Study.
abstract: This is a retrospective study of concussion patient data conducted to analyze the prevalence of somatization in patients presenting with post-concussion symptoms. Patient records from June 2010 to December 2015 were examined for concussion history, psychosocial history, neuropsychological test results, validity scores, and a symptom severity scale. Records meeting inclusion criteria from 33 males and 27 females were located. The sample had an age range of 11-78 years with a mean age of 33.40 (SD +/- 7.5 years). A clinically significant number of patients (55%) were found to be somaticizing their symptoms and a significant majority (78%) of somaticizing patients reported no loss of consciousness, retrograde amnesia, or post-traumatic amnesia but their symptom validity scales were significantly exaggerated. Caution should be exercised by clinicians to ensure that the obtained results of neuropsychological testing are reliable and valid. It is very important for the clinician to take into account the entire patient history, including psychosocial factors (such as pre-existing psychological traits or conditions) and social influences (such as stressors in family dynamics or work/school activities that may be affecting the patient's complaints).
authors.affiliation: Neurological Surgery, Weill Cornell Medical College.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Perrine
authors.affiliation: Neurological Surgery, Weill Cornell Medical College.
authors.forename: James C
authors.initials: JC
authors.lastname: Gibaldi
keywords: concussion; mild traumatic brain injury; post-concussion syndrome; somatization