A - 48 Predictors of Prolonged Recovery after Concussion in Collegiate Athletes: a LIMBIC MATARS Consortium Investigation

IF 2.1 4区 心理学 Q2 PSYCHOLOGY
R. Smetana, D. Broshek, D. J. Rosenblum, J. E. Resch
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Abstract

To investigate predictors of prolonged recovery after concussion in collegiate athletes. Data for this cross-sectional, retrospective chart review of collegiate athletes diagnosed with concussion (n = 1044 concussions), who were on average 20-years of age, were collected during the 2015–16 to 2019–20 athletic seasons. The majority (92% [959/1044]) of athletes achieved symptom resolution at rest and made an unrestricted return-to-sport by 23 days after injury. The remaining athletes (8% n = 85[36.5% female]), with symptoms that lasted beyond 23 days after concussion were considered to have prolonged recovery. Linear regression was used to determine predictors of prolonged recovery; times to symptom-freedom and unrestricted return-to-sport were dependent variables and variables associated with medical and psychiatric history, and some post-concussion symptoms, were independent variables. Athletes with prolonged recovery generally recovered on median (interquartile range) 32 (17) days after injury. The majority (42% [36/84]) participated in football. A self-reported history of anxiety [Β = 0.577, p = 0.01], depression [Β = 0.462, p = 0.04], a history of headache [Β = 0.84, p < 0.001], and migraine [Β = 0.761, p < 0.001] were predictors of prolonged recovery. A history of prior concussion and higher symptom burden immediately after concussion did not predict prolonged recovery (all p > 0.05). Similar to related research, our findings suggest a self-reported history of psychiatric conditions, headache, and migraine associate with prolonged recovery in collegiate athletes. Our findings highlight the importance of mood symptom monitoring, early psychological intervention, and management of headache following concussion. Importantly, the majority of our sample, inclusive of collegiate athletes with prolonged recovery, recovered approximately one-month after injury.
A - 48 大学生运动员脑震荡后恢复期延长的预测因素:LIMBIC MATARS 联合会调查
研究大学生运动员脑震荡后恢复期延长的预测因素。 这项横断面回顾性病历审查收集了 2015-16 年至 2019-20 年运动赛季期间被诊断为脑震荡的大学生运动员(n = 1044 例脑震荡)的数据,这些运动员平均年龄为 20 岁。大多数运动员(92% [959/1044])在休息时症状得到缓解,并在受伤后 23 天内不受限制地重返赛场。其余运动员(8% n = 85[36.5%为女性])的症状持续时间超过了脑震荡后 23 天,被认为是恢复时间过长。采用线性回归法确定延长恢复期的预测因素;无症状和无限制恢复运动的时间是因变量,与病史和精神病史相关的变量以及一些脑震荡后症状是自变量。 恢复期延长的运动员一般在受伤后 32(17)天恢复。大多数人(42% [36/84])参加了足球运动。自我报告的病史包括焦虑[Β = 0.577, p = 0.01]、抑郁[Β = 0.462, p = 0.04]、头痛[Β = 0.84, p 0.05]。 与相关研究相似,我们的研究结果表明,自我报告的精神病史、头痛和偏头痛与大学生运动员恢复期的延长有关。我们的研究结果突显了脑震荡后情绪症状监测、早期心理干预和头痛治疗的重要性。重要的是,在我们的样本中,包括恢复期较长的大学生运动员在内的大多数人都是在受伤后一个月左右恢复的。
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来源期刊
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.
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