Symptom Presentation After Concussion and Pre-existing Anxiety Among Youth Athletes.
Symptom Presentation After Concussion and Pre-existing Anxiety Among Youth Athletes.
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DOI：
10.1055/a-1107-3025
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发表时间：
2020-09
影响因子：
2.5
通讯作者：
中科院分区：
文献类型：
--
作者：
我们的目的是评估自我报告的受伤前焦虑诊断对遭受脑震荡的青少年的持续症状发展、前庭症状严重程度和平衡控制的影响。我们对在儿科脑震荡专科诊所就诊的患者进行了回顾性研究。患者年龄为 18 岁或以下，在脑震荡后 10 天内接受检查，并接受护理直至完全康复。使用问卷来评估先前存在的医疗和精神状况，包括焦虑。我们的主要结果是症状恢复时间延长（定义为脑震荡后症状持续>28天）和前庭症状的严重程度。报告受伤前焦虑的患者（n = 43；中位年龄 = 14.9 岁；37% 女性）比那些没有先前存在焦虑的患者（n = 241；中位年龄 = 14.9 岁；53% 女性）更有可能在受伤后 28 天以上出现症状（76% vs. 54%；p = 0.04）。然而，在调整性别、偏头痛、抑郁症和多动症病史后，先前存在的焦虑与症状持续时间延长之间没有独立关联（调整后的优势比=2.34；95% CI=0.083-6.63；p=0.11）。先前存在的焦虑与自我报告的恶心/呕吐严重程度独立相关（β系数=0.59，95% CI=0.07-1.11）。先前存在的焦虑诊断似乎与脑震荡后的持续症状无关，尽管它可能与受伤后恶心有关。
Our purpose was to evaluate the effect of self-reported pre-injury anxiety diagnosis on persistent symptom development, vestibular symptom severity, and balance control among youth who sustained a concussion. We performed a retrospective study of patients seen at a specialty pediatric concussion clinic. Patients were 18 years of age or younger, examined within 10 days of concussion, and received care until full recovery. A questionnaire was used to assess pre-existing medical and psychiatric conditions, including anxiety. Our main outcomes were prolonged symptom recovery defined as persistent symptoms for >28 days after concussion) and severity of vestibular symptoms. Patients who reported pre-injury anxiety (n=43; median age=14.9 years; 37% female) were more likely to experience symptoms > 28 days post-injury (76% vs. 54%; p=0.04) than those without pre-existing anxiety (n=241; median age=14.9 years; 53% female). After adjusting for sex, history of migraine, depression and ADHD, however, there was no independent association between pre-existing anxiety and prolonged symptom duration (adjusted odds ratio=2.34; 95% CI=0.083–6.63; p=0.11). Pre-existing anxiety was independently associated with self-reported nausea/vomiting severity (β coefficient=0.59, 95% CI=0.07–1.11). A pre-existing anxiety diagnosis does not appear to be associated with persistent symptoms after concussion, although it may be associated with post-injury nausea.
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DOI：
10.1177/0363546514543775
发表时间：
2014-10
期刊：
The American journal of sports medicine
影响因子：
--
作者：
Mucha A;Collins MW;Elbin RJ;Furman JM;Troutman-Enseki C;DeWolf RM;Marchetti G;Kontos AP
通讯作者：
Kontos AP
影响因子：
18.4
作者：
McCrory, Paul;Meeuwisse, Willem;Vos, Pieter E.
通讯作者：
Vos, Pieter E.
影响因子：
1.9
作者：
Legarreta, Andrew D.;Brett, Benjamin L.;Zuckerman, Scott L.
通讯作者：
Zuckerman, Scott L.
影响因子：
4
作者：
Meehan, William P., III;O'Brien, Michael J.;Mannix, Rebekah
通讯作者：
Mannix, Rebekah
影响因子：
1.9
作者：
Ellis, Michael J.;Cordingley, Dean M.;Russell, Kelly
通讯作者：
Russell, Kelly