患有和未患有多动症的青少年在运动相关脑震荡后的症状表现和神经认知能力。

IF 1.9 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2025-10-01 Epub Date: 2025-02-23 DOI:10.1080/09297049.2025.2465517
Tahnae Tarkenton Allen, Stephen Bunt, Cason Hicks, Nyaz Didehbani, Logan Shurtz, Cheryl H Silver, C Munro Cullum
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引用次数: 0

摘要

发病前注意缺陷/多动障碍(ADHD)在青少年运动相关脑震荡(SRC)后恢复过程中的可能影响尚不清楚。本研究的目的是在匹配良好的SRC青少年样本中调查ADHD以及其他选定变量对症状表现和神经认知表现的影响。我们假设ADHD患者会出现更多的症状和更差的神经认知表现。在首次就诊时检查了场外脑震荡评估工具-5的症状和脑震荡后立即评估和认知测试(ImPACT)的认知测试结果,并在3个月时对112名患有(n = 56)和非(n = 56) ADHD的参与者(年龄12-18岁;M = 14.68, SD = 1.77),按年龄、性别、民族/种族和损伤后天数匹配。排除标准包括严重内科疾病或中度/重度脑损伤以及英语不流利。在总症状(p = 0.145)、症状严重程度(p = 0.179)或首次就诊时(p均为0.79)或3个月时的神经认知功能方面,组间无显著差异。然而,患有多动症的运动员报告了更多的恶心(p = 0.22),并且在最初的测试中感觉变慢(p = 0.021)。此外,病前焦虑影响症状报告(p = 0.010)。在脑震荡后的前3个月,ADHD似乎并没有造成更大的症状负担或神经认知缺陷的特定风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Symptom presentation and neurocognitive performance following sport-related concussion in adolescents with and without ADHD.

The possible impact of premorbid Attention-Deficit/Hyperactivity Disorder (ADHD) in the recovery process following sport-related concussion (SRC) in adolescents is not clear. The purpose of this study was to investigate the impact of ADHD together with other selected variables on symptom presentation and neurocognitive performance in a well-matched sample of adolescents with SRC. We hypothesized that more symptoms and poorer neurocognitive performance would be observed in those with ADHD. Symptoms from the Sideline Concussion Assessment Tool-5 and cognitive test results from the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) were examined at initial visit, and symptoms were re-assessed at 3-months in a sample of 112 participants with (n = 56) and without (n = 56) ADHD (ages 12-18 years; M = 14.68, SD = 1.77) who were matched by age, sex, ethnicity/race, and days post-injury. Exclusion criteria included severe medical illness or moderate/severe brain injury and lack of English fluency. No significant group differences were found in total symptoms (p = .145), symptom severity (p = .179), or neurocognitive functioning at initial visit (all p > .79) or at 3 months. However, athletes with ADHD reported more nausea (p = 0.22) and feeling slowed down at initial testing (p = .021). Additionally, premorbid anxiety influenced symptom report (p = .010). ADHD did not appear to pose a specific risk for greater symptom burden or neurocognitive deficits in the first 3 months post-concussion.

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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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