Sensitivity to sounds in sport-related concussed athletes: a new clinical presentation of hyperacusis.
Sensitivity to sounds in sport-related concussed athletes: a new clinical presentation of hyperacusis.
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DOI：
10.1038/s41598-018-28312-1
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发表时间：
2018-07-02
影响因子：
4.6
通讯作者：
Hébert S
中科院分区：
文献类型：
--
作者：
Assi H;Moore RD;Ellemberg D;Hébert S
对声音敏感是运动相关脑震荡的常见症状之一，但其评估很少超过一个问题。在这里，我们使用心理声学和心理测量的结果，在运动员超过急性损伤阶段的声音的敏感性。58名听力正常的大学生运动员参加了研究，他们要么经历了一次或多次与运动有关的脑震荡（N = 28），要么从未遭受过头部损伤（N = 30）。结果表明，与对照组相比，脑震荡组在听觉过敏问卷上得分更高，并且在心理声学任务中对声音表现出更大的敏感性。然而，将脑震荡组分为有声音敏感症状（N = 14）和没有声音敏感症状（N = 14）的亚组的进一步分析显示，有声音抱怨的运动员是造成这种影响的原因：具有自我报告的声音敏感度的脑震荡运动员具有较低的响度不适阈值（LDL），较高的抑郁和听觉过敏评分，并且与另一个子组相比移动了响度增长函数。一个简单的中介模型表明，低密度脂蛋白直接对听力障碍评分产生影响，也通过抑郁症状间接产生影响。因此，我们报告了一个新的临床表现的听觉过敏，并讨论了可能的机制，它可能会出现脑震荡。
Sensitivity to sounds is one frequent symptom of a sport-related concussion, but its assessment rarely goes beyond a single question. Here we examined sensitivity to sounds using psychoacoustic and psychometric outcomes in athletes beyond the acute phase of injury. Fifty-eight college athletes with normal hearing who either had incurred one or more sport-related concussions (N = 28) or who had never suffered head injury (N = 30) participated. Results indicated that the Concussed group scored higher on the Hyperacusis questionnaire and displayed greater sensitivity to sounds in psychoacoustic tasks compared to the Control group. However, further analyses that separated the Concussed group in subgroups with Sound sensitivity symptom (N = 14) and Without sound sensitivity symptom (N = 14) revealed that athletes with the sound complaint were the ones responsible for the effect: Concussed athletes with self-reported sound sensitivity had lower Loudness Discomfort Thresholds (LDLs), higher Depression and Hyperacusis scores, and shifted loudness growth functions compared to the other subgroup. A simple mediation model disclosed that LDLs exert their influence both directly on Hyperacusis scores as well as indirectly via depressive symptoms. We thus report a new clinical presentation of hyperacusis and discuss possible mechanisms by which it could arise from concussion.
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影响因子：
5
作者：
Jaramillo, Carlos A.;Eapen, Blessen C.;Pugh, Mary Jo
通讯作者：
Pugh, Mary Jo
影响因子：
--
作者：
Falkenberg, Eva-Signe;Wie, Ona Bo
通讯作者：
Wie, Ona Bo
DOI：
10.1038/npp.2017.296
发表时间：
2018-05
期刊：
Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology
影响因子：
--
作者：
Kolata SM;Nakao K;Jeevakumar V;Farmer-Alroth EL;Fujita Y;Bartley AF;Jiang SZ;Rompala GR;Sorge RE;Jimenez DV;Martinowich K;Mateo Y;Hashimoto K;Dobrunz LE;Nakazawa K
通讯作者：
Nakazawa K
影响因子：
9.9
作者：
Gothelf, D;Farber, N;Attias, J
通讯作者：
Attias, J
影响因子：
2.4
作者：
Formby, C;Sherlock, LP;Gold, SL
通讯作者：
Gold, SL