A - 29 Clinical Considerations for Concussion Care for Transgender Youth

IF 2.1 4区心理学 Q2 PSYCHOLOGY

Archives of Clinical Neuropsychology Pub Date : 2024-07-06 DOI:10.1093/arclin/acae052.29

A. Datoc, A. S. Mathew, S. Boucher, D. M. Choi, C. Ellis, J. P. Abt

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引用次数: 0

Abstract

Medical care for transgender youth requires a tailored approach to address their specific healthcare needs. The purpose of this study was to compare concussion patient characteristics between a population of youth who identified as transgender and their cisgender peers. Data were extracted from medical records (neurodevelopmental/psychiatric history, mechanism of injury, time between injury/evaluation, time between evaluation/recovery, and initial PCSS score) of 10 female patients selected using a stratified random sampling method (Mage = 15.0¬ ± 2.9 years) and five patients who identified as transgender with female sex assigned at birth (Mage = 14.4¬ ± 1.5 years). All patients presented to a specialty concussion clinic in 2020–2023. Patients who identified as transgender were significantly more likely to have a history of anxiety (X2[1] = 8.57, p = 0.003) and depression (X2[1] = 10.91, p < 0.001). Recovery time was significantly longer in those who identified as transgender (Mtrans = 36¬ ± 20.6 days; Mcis = 18.9¬ ± 8.6 days; p = 0.03). Days since injury to initial visit (Mtrans = 6.4¬ ± 2.4 days; Mcis = 3.8¬ ± 3.5 days; p = 0.16) and PCSS score (Mtrans = 46.8¬ ± 16.5; Mcis = 38¬ ± 26.6; p = 0.56) did not differ between groups. The average recovery time for this sample of transgender youth was significantly longer than their cisgender peers. Transgender youth also reported higher rates of anxiety and depression, which are well-known to impact concussion recovery. Sensitivity to psychological distress and mental health history is crucial for overall medical care and is supported when assessing and treating concussion in transgender youth. The effects of gender transition-related treatments (i.e., hormone therapy), discomfort in gender-segregated spaces, gender dysphoria, and other minority stressors warrant further research and should also be considered in concussion care of transgender patients.

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A - 29 变性青少年脑震荡护理的临床考虑因素

变性青少年的医疗护理需要量身定制的方法来满足他们特殊的医疗保健需求。本研究的目的是比较变性青少年与同性青少年脑震荡患者的特征。研究人员从采用分层随机抽样方法选出的10名女性患者（年龄=15.0±2.9岁）和5名出生时性别即为女性的变性患者（年龄=14.4±1.5岁）的病历（神经发育史/精神病史、受伤机制、受伤/评估间隔时间、评估/康复间隔时间和PCSS初始评分）中提取了数据。所有患者均于 2020-2023 年到脑震荡专科门诊就诊。变性患者有焦虑（X2[1] = 8.57，p = 0.003）和抑郁（X2[1] = 10.91，p < 0.001）病史的几率明显更高。变性人的康复时间明显更长（Mtrans = 36¬ ± 20.6 天；Mcis = 18.9¬ ± 8.6 天；p = 0.03）。从受伤到初次就诊的天数（Mtrans = 6.4¬ ± 2.4天；Mcis = 3.8¬ ± 3.5天；p = 0.16）和PCSS评分（Mtrans = 46.8¬ ± 16.5；Mcis = 38¬ ± 26.6；p = 0.56）在组间没有差异。变性青少年样本的平均恢复时间明显长于同性别青少年。变性青少年还报告了较高的焦虑和抑郁率，众所周知，焦虑和抑郁会影响脑震荡的恢复。对心理困扰和精神健康病史的敏感性对于整体医疗护理至关重要，在评估和治疗跨性别青少年脑震荡时也得到了支持。性别转换相关治疗（即激素治疗）、在性别隔离空间中的不适感、性别焦虑症和其他少数群体压力因素的影响值得进一步研究，在变性患者的脑震荡治疗中也应加以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Clinical Neuropsychology 医学-心理学

CiteScore

4.60

自引率

7.70%

发文量

358

审稿时长

6-12 weeks

期刊介绍： The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.