Exploration of the Relationship Between Concussions and Depression Symptoms, Anxiety Symptoms, and Hazardous Drinking Among a Sample of College Students.

IF 1.5 4区 医学 Q3 PSYCHIATRY
Journal of Dual Diagnosis Pub Date : 2022-10-01 Epub Date: 2018-09-05 DOI:10.1080/15504263.2018.1473906
Ryan J Martin, Beth H Chaney
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引用次数: 6

Abstract

Objective: In clinical and athlete populations, research has found that experiencing a concussion (or traumatic brain injury) is correlated with experiencing other psychiatric conditions, including depression and alcohol problems. However, less is known about concussion comorbidity in other population segments. The purpose of this study is to examine the relationships between concussions and depression symptoms, anxiety symptoms, and hazardous drinking among a large sample of college students (N = 1776) enrolled in a mandatory health course. Methods: This study used an online health survey to examine concussion frequency (informal and formal diagnoses), sports-related concussions, depression symptoms, anxiety symptoms, and hazardous drinking in the sample. Bivariate and multivariate analyses were conducted to examine comorbid relationships between concussion frequency and the dependent variables of interest (anxiety symptoms, depression symptoms, and hazardous drinking). Results: We found that 691 (39.1%) participants indicated having at least one concussion. Analyses indicated that concussion frequency scores of both formal or informal diagnoses were significantly associated with scores of depression symptoms, anxiety symptoms, and hazardous drinking. When examining concussion frequency scores of only formal diagnoses, only hazardous drinking evidenced a statistically significant relationship. In addition, participants who had a sports concussion had significantly higher concussion frequency scores and hazardous drinking scores than those who have had a concussion that was not sport-related. Conclusions: The comorbid concussion relationships found in this study are consistent with those observed in clinical and athlete populations. It is important for college health professionals to be aware that concussion comorbidity is not limited to the athlete population and can impact the entire student body.

大学生脑震荡与抑郁症状、焦虑症状和危险饮酒关系的探讨
目的:在临床和运动员人群中,研究发现,经历脑震荡(或创伤性脑损伤)与经历其他精神疾病有关,包括抑郁症和酗酒问题。然而,对其他人群的脑震荡合并症了解较少。本研究的目的是在参加强制性健康课程的大样本大学生(N = 1776)中检查脑震荡与抑郁症状、焦虑症状和危险饮酒之间的关系。方法:本研究使用在线健康调查来检查样本中的脑震荡频率(非正式和正式诊断),运动相关脑震荡,抑郁症状,焦虑症状和危险饮酒。进行了双变量和多变量分析,以检查脑震荡频率与相关因变量(焦虑症状、抑郁症状和危险饮酒)之间的共病关系。结果:我们发现691名(39.1%)参与者表示至少有一次脑震荡。分析表明,正式或非正式诊断的脑震荡频率得分与抑郁症状、焦虑症状和危险饮酒得分显著相关。当只检查正式诊断的脑震荡频率分数时,只有危险饮酒证明了统计上显著的关系。此外,与非运动相关的脑震荡患者相比,运动脑震荡患者的脑震荡频率得分和危险饮酒得分明显更高。结论:本研究发现的共病性脑震荡的关系与临床和运动员人群中观察到的一致。对于大学健康专业人员来说,重要的是要意识到脑震荡的合并症不仅限于运动员群体,而且可以影响整个学生群体。
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来源期刊
CiteScore
4.90
自引率
13.60%
发文量
20
期刊介绍: Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.
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