Nathan R Ramirez, Aaron J Zynda, Courtney Perry, Brooke Collins, Heather A Jasper, Jonathan E French, Michael W Collins, Alicia M Trbovich, Anthony P Kontos
{"title":"中老年脑震荡后多领域评估结果的比较。","authors":"Nathan R Ramirez, Aaron J Zynda, Courtney Perry, Brooke Collins, Heather A Jasper, Jonathan E French, Michael W Collins, Alicia M Trbovich, Anthony P Kontos","doi":"10.1037/neu0001032","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This article's objective was to compare demographic/medical history and multidomain clinical assessment outcomes between older and middle-aged adults following concussion.</p><p><strong>Method: </strong>Seventy-six patients aged 50-80 years within 12 months of a concussion from a specialty clinic between October 2021 and August 2023 participated in the study. Participants were grouped into older (≥60 years) and middle-aged (50-59 years) adults. At their first clinic visit, participants completed multidomain clinical assessments comprising symptoms, cognitive, vestibular/ocular motor, psychological health, and quality of life domains.</p><p><strong>Results: </strong>Older adults (<i>n</i> = 35) had less females (40.0% vs. 68.3%, <i>p</i> = .01), anxiety history (17.1% vs. 39.0%, <i>p</i> = .036), and employed individuals (57.1% vs. 82.9%, <i>p</i> = .002) than middle-aged adults (<i>n</i> = 41). Older adults had better Neuro-Quality of Life, <i>F</i>(1, 71) = 6.8, <i>p</i> = .01, η<sub>p</sub>² = 0.09; Repeatable Battery for the Assessment of Neuropsychological Status recall, <i>F</i>(1, 71) = 12.6, <i>p</i> < .001, η<sub>p</sub>² = 0.15; fluency, <i>F</i>(1, 71) = 5.7, <i>p</i> = .02, η<sub>p</sub>² = 0.08; list recall, <i>F</i>(1, 69) = 5.2, <i>p</i> = .03, η<sub>p</sub>² = 0.07; and list recognition, <i>F</i>(1, 69) = 5.3, <i>p</i> = .03, η<sub>p</sub>² = 0.07, when controlling for sex, anxiety history, and employment status. Older adults also had lower odds of being impaired to borderline on Immediate Post-Concussion Assessment and Cognitive Testing verbal memory (<i>OR</i> = 0.05, 95% CI [0.01, 0.56], <i>p</i> = .01), visual motor speed (<i>OR</i> = 0.08, 95% CI [0.01, 0.73], <i>p</i> = .03), and reaction time (<i>OR</i> = 0.21, 95% CI [0.05, 0.89], <i>p</i> = .03), and lower odds of having moderate to severe impairment on Neuro-Quality of Life (<i>OR</i> = 0.32, 95% CI [0.11, 0.97], <i>p</i> = .04) than middle-aged adults.</p><p><strong>Conclusions: </strong>Older adults (≥60 years) exhibited fewer subjective cognitive difficulties and objective cognitive impairments compared to middle-aged adults (50-59 years) following concussion. There were no differences between groups in symptoms, vestibular/ocular motor functioning, or psychological health. Clinicians should consider these findings when evaluating and interpreting outcomes from older and middle-aged adults following concussion. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":19205,"journal":{"name":"Neuropsychology","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of multidomain assessment outcomes between older and middle-aged adults following concussion.\",\"authors\":\"Nathan R Ramirez, Aaron J Zynda, Courtney Perry, Brooke Collins, Heather A Jasper, Jonathan E French, Michael W Collins, Alicia M Trbovich, Anthony P Kontos\",\"doi\":\"10.1037/neu0001032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This article's objective was to compare demographic/medical history and multidomain clinical assessment outcomes between older and middle-aged adults following concussion.</p><p><strong>Method: </strong>Seventy-six patients aged 50-80 years within 12 months of a concussion from a specialty clinic between October 2021 and August 2023 participated in the study. Participants were grouped into older (≥60 years) and middle-aged (50-59 years) adults. At their first clinic visit, participants completed multidomain clinical assessments comprising symptoms, cognitive, vestibular/ocular motor, psychological health, and quality of life domains.</p><p><strong>Results: </strong>Older adults (<i>n</i> = 35) had less females (40.0% vs. 68.3%, <i>p</i> = .01), anxiety history (17.1% vs. 39.0%, <i>p</i> = .036), and employed individuals (57.1% vs. 82.9%, <i>p</i> = .002) than middle-aged adults (<i>n</i> = 41). Older adults had better Neuro-Quality of Life, <i>F</i>(1, 71) = 6.8, <i>p</i> = .01, η<sub>p</sub>² = 0.09; Repeatable Battery for the Assessment of Neuropsychological Status recall, <i>F</i>(1, 71) = 12.6, <i>p</i> < .001, η<sub>p</sub>² = 0.15; fluency, <i>F</i>(1, 71) = 5.7, <i>p</i> = .02, η<sub>p</sub>² = 0.08; list recall, <i>F</i>(1, 69) = 5.2, <i>p</i> = .03, η<sub>p</sub>² = 0.07; and list recognition, <i>F</i>(1, 69) = 5.3, <i>p</i> = .03, η<sub>p</sub>² = 0.07, when controlling for sex, anxiety history, and employment status. Older adults also had lower odds of being impaired to borderline on Immediate Post-Concussion Assessment and Cognitive Testing verbal memory (<i>OR</i> = 0.05, 95% CI [0.01, 0.56], <i>p</i> = .01), visual motor speed (<i>OR</i> = 0.08, 95% CI [0.01, 0.73], <i>p</i> = .03), and reaction time (<i>OR</i> = 0.21, 95% CI [0.05, 0.89], <i>p</i> = .03), and lower odds of having moderate to severe impairment on Neuro-Quality of Life (<i>OR</i> = 0.32, 95% CI [0.11, 0.97], <i>p</i> = .04) than middle-aged adults.</p><p><strong>Conclusions: </strong>Older adults (≥60 years) exhibited fewer subjective cognitive difficulties and objective cognitive impairments compared to middle-aged adults (50-59 years) following concussion. There were no differences between groups in symptoms, vestibular/ocular motor functioning, or psychological health. Clinicians should consider these findings when evaluating and interpreting outcomes from older and middle-aged adults following concussion. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":19205,\"journal\":{\"name\":\"Neuropsychology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neuropsychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/neu0001032\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neuropsychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/neu0001032","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
目的：本文的目的是比较老年人和中年人脑震荡后的人口统计学/病史和多领域临床评估结果。方法：在2021年10月至2023年8月期间，76例50-80岁的脑震荡患者在12个月内参与了这项研究。参与者分为老年人（≥60岁）和中年人（50-59岁）。在第一次就诊时，参与者完成了多领域的临床评估，包括症状、认知、前庭/眼运动、心理健康和生活质量领域。结果：老年人（n = 35）的女性（40.0%比68.3%,p = 0.01）、焦虑史（17.1%比39.0%,p = 0.036）和就业个体（57.1%比82.9%,p = 0.002）少于中年人（n = 41）。老年人神经生活质量较好，F(1,71) = 6.8, p = 0.01, ηp²= 0.09；可重复电池用于神经心理状态回忆评估，F(1,71) = 12.6, p < 0.001, ηp²= 0.15；流畅性，F(1,71) = 5.7, p = 0.02, ηp²= 0.08；召回名单,F (69) = 5.2, p = 03,ηp²= 0.07;在控制性别、焦虑史和就业状况的条件下，F(1,69) = 5.3, p = 0.03, ηp²= 0.07。老年人被受损的几率也较低临界直接后震荡上评估和认知测试口头记忆(OR = 0.05, 95% CI [0.01, 0.56], p = . 01),视觉运动速度(OR = 0.08, 95% CI [0.01, 0.73], p = 03),和反应时间(OR = 0.21, 95% CI [0.05, 0.89], p = 03),和较低的几率有中度到重度损伤Neuro-Quality生活(OR = 0.32, 95% CI [0.11, 0.97], p = .04点)比中年人。结论：与中年人（50-59岁）相比，老年人（≥60岁）在脑震荡后表现出更少的主观认知困难和客观认知障碍。两组之间在症状、前庭/眼运动功能或心理健康方面没有差异。临床医生在评估和解释老年人和中年人脑震荡后的结果时应考虑这些发现。（PsycInfo Database Record (c) 2025 APA，版权所有）。
Comparison of multidomain assessment outcomes between older and middle-aged adults following concussion.
Objective: This article's objective was to compare demographic/medical history and multidomain clinical assessment outcomes between older and middle-aged adults following concussion.
Method: Seventy-six patients aged 50-80 years within 12 months of a concussion from a specialty clinic between October 2021 and August 2023 participated in the study. Participants were grouped into older (≥60 years) and middle-aged (50-59 years) adults. At their first clinic visit, participants completed multidomain clinical assessments comprising symptoms, cognitive, vestibular/ocular motor, psychological health, and quality of life domains.
Results: Older adults (n = 35) had less females (40.0% vs. 68.3%, p = .01), anxiety history (17.1% vs. 39.0%, p = .036), and employed individuals (57.1% vs. 82.9%, p = .002) than middle-aged adults (n = 41). Older adults had better Neuro-Quality of Life, F(1, 71) = 6.8, p = .01, ηp² = 0.09; Repeatable Battery for the Assessment of Neuropsychological Status recall, F(1, 71) = 12.6, p < .001, ηp² = 0.15; fluency, F(1, 71) = 5.7, p = .02, ηp² = 0.08; list recall, F(1, 69) = 5.2, p = .03, ηp² = 0.07; and list recognition, F(1, 69) = 5.3, p = .03, ηp² = 0.07, when controlling for sex, anxiety history, and employment status. Older adults also had lower odds of being impaired to borderline on Immediate Post-Concussion Assessment and Cognitive Testing verbal memory (OR = 0.05, 95% CI [0.01, 0.56], p = .01), visual motor speed (OR = 0.08, 95% CI [0.01, 0.73], p = .03), and reaction time (OR = 0.21, 95% CI [0.05, 0.89], p = .03), and lower odds of having moderate to severe impairment on Neuro-Quality of Life (OR = 0.32, 95% CI [0.11, 0.97], p = .04) than middle-aged adults.
Conclusions: Older adults (≥60 years) exhibited fewer subjective cognitive difficulties and objective cognitive impairments compared to middle-aged adults (50-59 years) following concussion. There were no differences between groups in symptoms, vestibular/ocular motor functioning, or psychological health. Clinicians should consider these findings when evaluating and interpreting outcomes from older and middle-aged adults following concussion. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.
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