PDF(Pubmed)
Abstract：
BACKGROUND: Sustaining multiple concussions over one\'s lifetime may be associated with behavioral and mood changes beyond the acute phase of injury. The present cross-sectional study examined the relationship between concussion history, the incidence of current moderate-severe psychological distress, and lifetime adolescent hazardous gambling in high school students.
METHODS: Four-hundred fifty-nine high school students from southern Sweden (age: 16.81 ± 0.83, 58.2% male) completed a survey assessing concussion history (0,1,2…>8), psychological distress using the Kessler-6 scale, and lifetime hazardous gambling using the NODS-CLiP scale.
RESULTS: Participants who self-reported three or more concussions were more likely to endorse moderate-severe symptoms of psychological distress than those with no concussion history while controlling for covariates, OR = 2.71, 95% CI [1.19, 6.18]. In contrast, concussion history was not associated with hazardous gambling after controlling for confounding variables.
CONCLUSIONS: Self-reporting three or more concussions was associated with increased current psychological distress beyond the acute phase of injury among high school students. Adolescents who have sustained multiple concussions should undergo mental health evaluations beyond the acute phase of injury to identify and treat psychological distress, but probing for hazardous gambling may not be clinically relevant in this previously concussed adolescent population.
METHODS: Four-hundred fifty-nine high school students from southern Sweden (age: 16.81 ± 0.83, 58.2% male) completed a survey assessing concussion history (0,1,2…>8), psychological distress using the Kessler-6 scale, and lifetime hazardous gambling using the NODS-CLiP scale.
RESULTS: Participants who self-reported three or more concussions were more likely to endorse moderate-severe symptoms of psychological distress than those with no concussion history while controlling for covariates, OR = 2.71, 95% CI [1.19, 6.18]. In contrast, concussion history was not associated with hazardous gambling after controlling for confounding variables.
CONCLUSIONS: Self-reporting three or more concussions was associated with increased current psychological distress beyond the acute phase of injury among high school students. Adolescents who have sustained multiple concussions should undergo mental health evaluations beyond the acute phase of injury to identify and treat psychological distress, but probing for hazardous gambling may not be clinically relevant in this previously concussed adolescent population.
摘要：
背景：在一个人的一生中持续多次脑震荡可能与超出损伤急性期的行为和情绪变化有关。本横断面研究检查了脑震荡史之间的关系，当前中重度心理困扰的发生率，和高中生终身青少年危险赌博。
方法：来自瑞典南部的459名高中生（年龄：16.81±0.83，男性58.2％）完成了一项评估脑震荡史的调查（0,1,2…>8），使用凯斯勒-6量表的心理困扰，使用NODS-CLiP量表进行终身危险赌博。
结果：自我报告三次或更多次脑震荡的参与者比那些在控制协变量时没有脑震荡史的参与者更有可能认可中度至重度的心理困扰症状，OR=2.71，95%CI[1.19，6.18]。相比之下,在控制混杂变量后,脑震荡病史与危险赌博无关.
结论：自我报告三次或更多次脑震荡与高中生损伤急性期后的心理困扰增加有关。患有多次脑震荡的青少年应在受伤的急性期后进行心理健康评估，以识别和治疗心理困扰，但是在这个先前脑震荡的青少年人群中，对危险赌博的探测可能与临床无关。
方法：来自瑞典南部的459名高中生（年龄：16.81±0.83，男性58.2％）完成了一项评估脑震荡史的调查（0,1,2…>8），使用凯斯勒-6量表的心理困扰，使用NODS-CLiP量表进行终身危险赌博。
结果：自我报告三次或更多次脑震荡的参与者比那些在控制协变量时没有脑震荡史的参与者更有可能认可中度至重度的心理困扰症状，OR=2.71，95%CI[1.19，6.18]。相比之下,在控制混杂变量后,脑震荡病史与危险赌博无关.
结论：自我报告三次或更多次脑震荡与高中生损伤急性期后的心理困扰增加有关。患有多次脑震荡的青少年应在受伤的急性期后进行心理健康评估，以识别和治疗心理困扰，但是在这个先前脑震荡的青少年人群中，对危险赌博的探测可能与临床无关。
