Measuring Post-concussion Symptoms in Adolescents: Feasibility of Ecological Momentary Assessment
Measuring Post-concussion Symptoms in Adolescents: Feasibility of Ecological Momentary Assessment
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DOI：
10.1093/arclin/acp087
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发表时间：
2009-12-01
影响因子：
2.6
通讯作者：
Gathje, Rebecca
中科院分区：
文献类型：
--
作者：
Lewandowski, Lawrence;Rieger, Brian;Gathje, Rebecca
虽然有大量的文献研究一般的头部创伤，但有几个领域仍未得到充分研究。值得注意的是，人们对青少年脑震荡恢复过程中一天的症状表现知之甚少。此外，个体内部症状变异性尚未得到很好的表征。这项初步研究考察了瞬间数据收集方法的可行性，以及评估对脑震荡症状的细微和动态变化的敏感性。6名青少年，其中3名患有脑震荡，3名未受伤的对照组，每天提供5次症状评分，持续5天。这种生态瞬间评估（EMA）是在个人数字助理上进行的，以捕捉在自然环境中症状报告的可变性。初步结果表明，EMA方法在自然环境（如学校和家庭）中作为一种研究工具具有很大的前景。青少年能够在日常活动中很少受到干扰的情况下完成所有任务。脑震荡学生在身体、认知和情感领域的症状评分普遍较高，症状出现的时间和日模式也较高。讨论了对未来研究和患者护理的影响。
Although there is a large literature examining head trauma in general, several areas remain understudied. Notably, little is known about symptom expression over the course of a day for adolescents recovering from concussion. Furthermore, intra-individual symptom variability has not been well characterized. This pilot study examined the feasibility of a momentary data-gathering method, as well as the sensitivity of the assessment to the subtle and dynamic changes in symptoms of concussion. Six adolescents, three of whom suffered a concussion and three non-injured controls, provided symptom ratings five times per day for 5 days. This ecological momentary assessment (EMA) was conducted on a personal digital assistant to capture variability in symptom reports while in the natural environment. Preliminary results indicated that the EMA method showed great promise as a research tool in natural settings (e. g., school and home). Adolescents were able to comply with all tasks with little interference in their daily activities. Students with concussion showed generally higher symptom ratings across physical, cognitive, and affective domains, and temporal and diurnal patterns for symptoms emerged. Implications for future research and patient care are discussed.