Posttraumatic stress symptoms in recovery from concussion.

IF 1.8 4区 心理学 Q3 CLINICAL NEUROLOGY
Stephen C Bunt, Hannah Doggett, Kristin Wilmoth, Linda S Hynan, Ingrid Tamez, Nyaz Didehbani, Mathew Stokes, Shane M Miller, Kathleen R Bell, C Munro Cullum
{"title":"Posttraumatic stress symptoms in recovery from concussion.","authors":"Stephen C Bunt, Hannah Doggett, Kristin Wilmoth, Linda S Hynan, Ingrid Tamez, Nyaz Didehbani, Mathew Stokes, Shane M Miller, Kathleen R Bell, C Munro Cullum","doi":"10.1080/13803395.2024.2395331","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Previous literature suggests that lingering concussion symptoms may be influenced by psychological factors. The relationship of posttraumatic stress symptoms (PTSS) during recovery with pre-existing/injury related factors and concussion symptomology is not fully understood. Identification of factors contributing to symptoms of posttraumatic stress may provide guidance to improve treatment following concussion.</p><p><strong>Method: </strong>This study included 287 participants (Male 40.42%, <i>n</i> = 116; Female 59.58%, <i>n</i> = 171) aged 13-75 years diagnosed with a recent concussion at one of the North Texas Concussion Registry (ConTex) specialty concussion clinic sites. Preinjury emotional history, injury related factors, and emotional state at time of initial evaluation were analyzed as predictors of post-traumatic stress symptoms (PCL-5) during recovery.</p><p><strong>Results: </strong>Sixty-one percent of participants endorsed at least one PTSS. Correlations were found between initial Sport Concussion Assessment Tool 5<sup>Ⓡ</sup> (SCAT5) total emotional symptom severity and screening measures for anxiety (GAD-7; <i>r</i> = .453, <i>p</i> < .001) and depression (PHQ-8; <i>r</i> = .550, <i>p</i> < .001) symptom scores. Of the measures from the initial visit included in the multiple regression model predicting severity of PTSS at follow-up (R<sup>2</sup> = 0.554, β < .001), three measures predicted PTSS severity: initial SCAT5 total emotional symptom severity (β = 0.565, <i>p</i> < .001), PHQ-8 score (β =.166, <i>p</i> = .009), and GAD-7 score (β = 0.119, <i>p</i> = .044).</p><p><strong>Conclusions: </strong>Symptoms of anxiety and depression along with specific SCAT5 emotional symptoms present at the time of initial evaluation may serve to predict overall level of PTSS and increased risk for PTSS during recovery. PTSS may be another dimension of response to injury and concussion recovery, with a large percentage of individuals endorsing at least one PTSS. Clinicians can utilize brief assessments such as the SCAT5 at the time of initial clinical evaluation to identify those at risk for PTSS following concussion.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of clinical and experimental neuropsychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/13803395.2024.2395331","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Previous literature suggests that lingering concussion symptoms may be influenced by psychological factors. The relationship of posttraumatic stress symptoms (PTSS) during recovery with pre-existing/injury related factors and concussion symptomology is not fully understood. Identification of factors contributing to symptoms of posttraumatic stress may provide guidance to improve treatment following concussion.

Method: This study included 287 participants (Male 40.42%, n = 116; Female 59.58%, n = 171) aged 13-75 years diagnosed with a recent concussion at one of the North Texas Concussion Registry (ConTex) specialty concussion clinic sites. Preinjury emotional history, injury related factors, and emotional state at time of initial evaluation were analyzed as predictors of post-traumatic stress symptoms (PCL-5) during recovery.

Results: Sixty-one percent of participants endorsed at least one PTSS. Correlations were found between initial Sport Concussion Assessment Tool 5 (SCAT5) total emotional symptom severity and screening measures for anxiety (GAD-7; r = .453, p < .001) and depression (PHQ-8; r = .550, p < .001) symptom scores. Of the measures from the initial visit included in the multiple regression model predicting severity of PTSS at follow-up (R2 = 0.554, β < .001), three measures predicted PTSS severity: initial SCAT5 total emotional symptom severity (β = 0.565, p < .001), PHQ-8 score (β =.166, p = .009), and GAD-7 score (β = 0.119, p = .044).

Conclusions: Symptoms of anxiety and depression along with specific SCAT5 emotional symptoms present at the time of initial evaluation may serve to predict overall level of PTSS and increased risk for PTSS during recovery. PTSS may be another dimension of response to injury and concussion recovery, with a large percentage of individuals endorsing at least one PTSS. Clinicians can utilize brief assessments such as the SCAT5 at the time of initial clinical evaluation to identify those at risk for PTSS following concussion.

脑震荡恢复期的创伤后应激症状。
背景:以往的文献表明,挥之不去的脑震荡症状可能受到心理因素的影响。创伤后应激症状(PTSS)在恢复期间与之前存在的/与受伤有关的因素和脑震荡症状之间的关系尚未完全明了。确定导致创伤后应激症状的因素可为改善脑震荡后的治疗提供指导:本研究纳入了 287 名年龄在 13-75 岁之间、在北德克萨斯州脑震荡注册中心(ConTex)的一个脑震荡专科诊所确诊为近期脑震荡的参与者(男性占 40.42%,n = 116;女性占 59.58%,n = 171)。研究分析了受伤前的情绪病史、与受伤有关的因素以及初步评估时的情绪状态,以此预测康复期间的创伤后应激症状(PCL-5):结果:61%的参与者认可至少一种创伤后应激症状。初步运动震荡评估工具 5Ⓡ (SCAT5) 的总情绪症状严重程度与焦虑筛查指标(GAD-7;r = .453,p r = .550,p 2 = 0.554,β p p = .009)和 GAD-7 评分(β = 0.119,p = .044)之间存在相关性:结论:初次评估时出现的焦虑和抑郁症状以及特定的 SCAT5 情绪症状可能有助于预测 PTSS 的总体水平以及在康复期间 PTSS 风险的增加。创伤后应激障碍可能是对受伤和脑震荡恢复的另一个层面的反应,很大一部分人至少有一种创伤后应激障碍。临床医生可以在进行初步临床评估时利用 SCAT5 等简短评估来识别脑震荡后出现 PTSS 的高危人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.20
自引率
4.50%
发文量
52
审稿时长
6-12 weeks
期刊介绍: Journal of Clinical and Experimental Neuropsychology ( JCEN) publishes research on the neuropsychological consequences of brain disease, disorders, and dysfunction, and aims to promote the integration of theories, methods, and research findings in clinical and experimental neuropsychology. The primary emphasis of JCEN is to publish original empirical research pertaining to brain-behavior relationships and neuropsychological manifestations of brain disease. Theoretical and methodological papers, critical reviews of content areas, and theoretically-relevant case studies are also welcome.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信