Prevalence and risk factors for depression, anxiety and suicidal ideation in youth with persistent post-concussive symptoms (PPCS).
Prevalence and risk factors for depression, anxiety and suicidal ideation in youth with persistent post-concussive symptoms (PPCS).
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DOI：
10.1080/02699052.2021.2008490
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发表时间：
2021-11-10
期刊：
影响因子：
1.9
通讯作者：
McCarty, Carolyn A.
中科院分区：
文献类型：
--
作者：
Chrisman, Sara P. D.;Whelan, Bridget M.;Zatzick, Douglas F.;Hilt, Robert J.;Wang, Jin;Marcynyszyn, Lyscha A.;Rivara, Frederick P.;McCarty, Carolyn A.
目的探讨持续性脑震荡后症状(PPCS)持续1个月以上的青少年情绪困扰的患病率及其危险因素。我们使用了一项针对患有PPCS的青少年的干预研究的基线数据，利用泊松回归分析了抑郁、焦虑、自残和自杀意念超过临床临界点的相关因素。预测因素包括：年龄、性别、社会经济状况、精神健康史、脑震荡症状持续时间、既往脑震荡病史、创伤史和睡眠质量。样本包括200名患有PPCS的青年(平均年龄14.7岁，白人占82%，女性占62%)。40%的人报告了临床上明显的抑郁症状，25%的人感到焦虑，14%的人有自我伤害的想法，8%的人有自杀的想法。抑郁病史与有自我伤害念头的风险增加3倍(95%CI：1.82-6.99)，自杀意念的风险增加6倍(95%CI：1.74-24.46)。更好的睡眠质量与所有结果的风险较低相关。既往脑震荡病史和PPCS持续时间与任何预后均无显著关联。自杀念头是脑震荡后常见的，抑郁史是一个强烈的危险因素。可能需要量身定做的干预措施来解决这一人群的心理健康问题。
To assess the prevalence and risk factors for emotional distress in youth with persistent post-concussive symptoms (PPCS) greater than one month. We used baseline data from an intervention study for youth with PPCS, utilizing Poisson regression to examine factors associated with exceeding clinical cut-points on measures of depression, anxiety, self-harm and suicidal ideation. Predictors included: age, sex, socioeconomic status, mental health history, duration of concussion symptoms, history of prior concussion, trauma history and sleep quality. The sample included 200 youth with PPCS, (mean 14.7 SD 1.7 years, 82% white, 62% female). Forty percent reported clinically significant depressive symptoms, 25% anxiety, 14% thoughts of self-harm and 8% thoughts of suicide. History of depression was associated with 3-fold higher risk for thoughts of self-harm (95% CI:1.82–6.99) and 6-fold higher risk for suicidal ideation (95% CI:1.74–24.46). Better sleep quality was associated with lower risk for all outcomes. History of prior concussion and duration of PPCS were not significantly associated with any outcomes. Suicidal thoughts are common post-concussion, and history of depression is a strong risk factor. Tailored interventions may be needed to address mental health in this population.
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影响因子：
4.2
作者：
Brooks, Brian L.;Plourde, Vickie;Zemek, Roger
通讯作者：
Zemek, Roger
DOI：
10.1111/jcpp.12125
发表时间：
2014
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Baum KT;Desai A;Field J;Miller LE;Rausch J;Beebe DW
通讯作者：
Beebe DW
影响因子：
8
作者：
Bryan, Mersine A.;Rowhani-Rahbar, Ali;Rivara, Frederick
通讯作者：
Rivara, Frederick
影响因子：
3.8
作者：
Burdzovic Andreas J;Brunborg GS
通讯作者：
Brunborg GS
影响因子：
3.3
作者：
Elhai, Jon D.;Layne, Christopher M.;Pynoos, Robert S.
通讯作者：
Pynoos, Robert S.