■在患有运动相关脑震荡(SRC)的青少年和大学运动员中,我们试图评估长期心理症状的患病率和预测因素.
在2017年11月至2022年4月期间,对12-24岁被诊断为SRC的运动员进行了一项队列研究。运动员/代理人接受了关于心理症状的采访(即愤怒,焦虑,抑郁症,和压力)。在一个或多个PROMIS(患者报告结果测量系统)测量中得分≥75百分位的参与者被操作为具有亚临床,长期的心理症状。使用单/多变量回归。
■96名参与者(60.4%男性),平均年龄为16.6±2.6岁。从脑震荡到面谈的中位时间为286天(IQR:247-420)。共有36.5%的运动员表现出亚临床,长期的心理症状。单因素logistic回归显示了这些症状的重要预测因素:精神病史(OR=7.4295%CI1.37,40.09),物质使用(OR=4.6595%CI1.15,18.81),脑震荡后的新医疗诊断(OR=3.4395%CI1.27,9.26),健忘症(OR=3.4295%CI1.02,11.41),脑震荡后的其他骨科损伤(OR=3.1195%CI1.18,8.21),年龄(OR=1.2495%CI1.03,1.48),重返比赛天数(OR=1.0295%CI1.00,1.03),和精神病药物使用情况(OR=0.1995%CI0.05,0.74)。多变量模型显示了重要的预测因素:骨科损伤(OR=5.1795%CI1.12,24.00)和重返比赛(OR=1.0295%CI1.00,1.04)。
■大约三分之一的运动员赞同长期的心理症状。这些症状的预测因素包括骨科损伤和延迟RTP。
UNASSIGNED: In adolescent and collegiate athletes with sport-related concussion (SRC), we sought to evaluate the prevalence and predictors of long-term psychological symptoms.
UNASSIGNED: A cohort study was conducted of athletes 12-24-year-old diagnosed with SRC between November 2017 and April 2022. Athletes/proxies were interviewed on psychological symptoms (i.e. anger, anxiety, depression, and stress). Participants who scored ≥75th percentile on one or more PROMIS (Patient-Reported Outcomes Measurement System) measures were operationalized to have subclinical, long-term psychological symptoms. Uni/multivariable regressions were used.
UNASSIGNED: Of 96 participants (60.4% male), the average age was 16.6 ± 2.6 years. The median time from concussion to interview was 286 days (IQR: 247-420). A total of 36.5% athletes demonstrated subclinical, long-term psychological symptoms. Univariate logistic regression revealed significant predictors of these symptoms: history of psychiatric disorder (OR = 7.42 95% CI 1.37,40.09), substance use (OR = 4.65 95% CI 1.15,18.81), new medical diagnosis since concussion (OR = 3.43 95% CI 1.27,9.26), amnesia (OR = 3.42 95% CI 1.02,11.41), other orthopedic injuries since concussion (OR = 3.11 95% CI 1.18,8.21), age (OR = 1.24 95% CI 1.03,1.48), days to return-to-play (OR = 1.02 95% CI 1.00,1.03), and psychiatric medication use (OR = 0.19 95% CI 0.05,0.74). Multivariable model revealed significant predictors: orthopedic injuries (OR = 5.17 95% CI 1.12,24.00) and return-to-play (OR = 1.02 95% CI 1.00,1.04).
UNASSIGNED: Approximately one in three athletes endorsed long-term psychological symptoms. Predictors of these symptoms included orthopedic injuries and delayed RTP.