A. Datoc, A. S. Mathew, S. Boucher, D. M. Choi, C. Ellis, J. P. Abt
{"title":"A - 29 Clinical Considerations for Concussion Care for Transgender Youth","authors":"A. Datoc, A. S. Mathew, S. Boucher, D. M. Choi, C. Ellis, J. P. Abt","doi":"10.1093/arclin/acae052.29","DOIUrl":null,"url":null,"abstract":"\n \n \n 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.\n \n \n \n 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.\n \n \n \n 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.\n \n \n \n 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.\n","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":" 12","pages":""},"PeriodicalIF":4.6000,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1093/arclin/acae052.29","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
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.
期刊介绍:
ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications.
The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.