A - 11 Autonomic Anxiety vs Generalized Anxiety: Predictive Recovery Time in Sport-Related Concussions among Collegiate Athletes

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-07-06 DOI:10.1093/arclin/acae052.11

F. Nelson, E. Clise, A. Logalbo

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Abstract

This study represents the second phase in testing a self-report anxiety questionnaire and self-report vestibular symptom questionnaire, including its subscales, as potential competing predictive factors of protracted concussion recovery times among collegiate athletes. The Vertigo Symptom Scale-Short Form (VSS-SF) and Generalized Anxiety Disorder-7 (GAD-7) were administered to 31 collegiate athletes (18 females, 13 males, ages 18–23) at baseline and post-injury. Participant data was grouped by number of days until symptom resolution post-concussion (1–10 days [N = 18], 11+ days [N = 13]). VSS-SF, VSS-SF-Autonomic-Anxiety (VSS-SF-A), VSS-SF-Vestibular-Balance (VSS-SF-V), and GAD-7 scores were calculated via scoring guidelines. Results from an independent-samples t-test demonstrated that post-injury VSS-SF-A scores were significantly higher among athletes with 11+ recovery days (M = 3.08, SD = 3.71) compared to those with 1–10 recovery days (M = 1.06, SD = 2.65); t(29) = 1.78, p = 0.043, Cohen’s d = 0.65. Similar t-tests for post-injury VSS-SF-V (11+ [M = 5.23, SD = 6.41], 1–10 [M = 3.17, SD = 3.67]) and GAD-7 (11+ [M = 4.08, SD = 4.84], 1–10 [M = 2.50, SD = 2.23]) scores were not significant; t(29) = 1.14, p = 0.132, t(29) = 1.22, p = 0.116. A linear regression revealed that post-injury VSS-SF-A scores significantly predicted recovery time and explained 14.1% of the variance (b = 0.88, R2 = 0.14, p = 0.037). Post-injury VSS-SF-V and GAD-7 scores were not significant predictors. Results suggest that post-injury VSS-SF-A scores can aid in identifying athletes that may be at risk for longer recovery times. Additionally, post-concussive autonomic anxiety appears to have a greater influence on athletes’recovery time, as compared to generalized anxiety symptoms. Interventions directed towards reducing and/or coping with autonomic anxiety symptoms may be particularly important for supporting post-concussive recovery.

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A - 11 自主焦虑与广泛焦虑：大学运动员运动性脑震荡恢复时间的预测方法

本研究是测试自我报告焦虑问卷和自我报告前庭症状问卷（包括其分量表）作为大学生运动员脑震荡恢复时间延长的潜在竞争预测因素的第二阶段。 31 名大学生运动员（18 名女性，13 名男性，年龄 18-23 岁）在基线和受伤后接受了眩晕症状量表-简表（VSS-SF）和广泛性焦虑症-7（GAD-7）问卷调查。参与者的数据按脑震荡后症状消失的天数分组（1-10 天 [N = 18]，11 天以上 [N = 13]）。根据评分指南计算 VSS-SF、VSS-SF-自主神经-焦虑（VSS-SF-A）、VSS-SF-前庭-平衡（VSS-SF-V）和 GAD-7 分数。独立样本 t 检验结果表明，与恢复天数为 1-10 天的运动员相比，恢复天数为 11 天以上的运动员受伤后 VSS-SF-A 得分明显更高（中位数 = 3.08，标准差 = 3.71）（中位数 = 1.06，标准差 = 2.65）；t(29) = 1.78，p = 0.043，Cohen's d = 0.65。类似的 t 检验对受伤后的 VSS-SF-V （11+ [中位数 = 5.23，标化率 = 6.41]，1-10 [中位数 = 3.17，标化率 = 3.67]）和 GAD-7 （11+ [中位数 = 4.08，标化率 = 4.84]，1-10 [中位数 = 2.50，标化率 = 2.23]）得分没有显著影响；t(29) = 1.14，p = 0.132，t(29) = 1.22，p = 0.116。线性回归结果显示，受伤后 VSS-SF-A 评分可显著预测恢复时间，并可解释 14.1% 的方差（b = 0.88，R2 = 0.14，p = 0.037）。受伤后 VSS-SF-V 和 GAD-7 评分对预测时间的影响不大。结果表明，受伤后 VSS-SF-A 评分有助于识别可能需要更长时间恢复的运动员。此外，与普遍焦虑症状相比，撞击后自主焦虑似乎对运动员的恢复时间影响更大。旨在减少和/或应对自律神经焦虑症状的干预措施可能对支持震后恢复尤为重要。

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

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

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.