Comparison of Psychological Response between Concussion and Musculoskeletal Injury in Collegiate Athletes.
Comparison of Psychological Response between Concussion and Musculoskeletal Injury in Collegiate Athletes.
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大学运动员脑震荡和肌肉骨骼损伤的心理反应比较。
DOI：
10.1037/spy0000099
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Buckley,Thomas
中科院分区：
文献类型：
--
作者：
Turner,Samantha;Langdon,Jody;Shaver,George;Graham,Victoria;Naugle,Kelly;Buckley,Thomas
对肌肉骨骼损伤的心理反应已有详细记录；然而，关于脑震荡心理反应的研究有限。情绪状态概况（POMS）和状态特质焦虑量表（STAI）最近被用来评估脑震荡的心理恢复（CONC）。尽管一些研究表明，肌肉骨骼损伤和脑震荡的心理反应是不同的，但目前没有足够的信息表明这种差异发生在特定的临床里程碑上。本研究的目的是比较被诊断患有脑震荡的学生运动员与被诊断患有肌肉骨骼损伤且恢复时间相似的学生运动员的心理反应。招募了 15 名遭受肌肉骨骼损伤的大学运动员，并将其与之前收集的 15 名脑震荡参与者进行匹配。主要结果指标是 POMS 结构的分数：紧张-焦虑、愤怒-敌意、疲劳-惰性、抑郁-沮丧、活力-活动、困惑-困惑、总体情绪障碍和 STAI（仅状态焦虑）。运行双向多元方差分析以确定组和时间对 POMS 和 STAI 结构的影响。没有发现显着的相互作用，但后续方差分析确定了大多数 POMS 子量表的时间主要影响，两组的 POMS 分数随着时间的推移而提高。分析还表明，紧张焦虑、活力活动和 STAI 不受时间或群体的影响。这项研究的结果表明，两组人对伤害的心理反应随着时间的推移和相似的临床里程碑而有所改善，这表明运动和团队相关活动的减少可能在对脑震荡或肌肉骨骼损伤的心理反应中发挥重要作用。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）
The psychological response to musculoskeletal injuries has been well documented; however, research on the psychological response to concussion is limited. The Profile of Mood States (POMS) and the State-Trait Anxiety Inventory (STAI) have recently been used to assess the psychological recovery of concussions (CONC). Although some studies indicate that psychological response is different for musculoskeletal injuries and concussion, there is currently not enough information to indicate this difference occurs at specific clinical milestones. The purpose of this study was to compare the psychological responses of student-athletes who have been diagnosed with a concussion to those of athletes diagnosed with musculoskeletal injuries with similar recovery duration. Fifteen collegiate athletes who sustained a musculoskeletal injury were recruited and matched with 15 previously collected concussion participants. The main outcome measures were the scores of POMS constructs: tension-anxiety, anger-hostility, fatigue-inertia, depression-dejection, vigor-activity, confusion-bewilderment, and total mood disturbance and STAI (state anxiety only). Two-way MANOVAs were run to determine the effects of group and time on POMS and STAI constructs. There were no significant interactions identified, but follow-up ANOVAs identified a main effect for time for most POMS subscales, with POMS scores improving over time in both groups. Analyses also revealed that tension-anxiety, vigor-activity and the STAI were not affected by time or group. The findings of this study that both groups’ psychological response to injury improves over time and at similar clinical milestones suggests reduction in sports and team-related activities may play a substantial role in the psychological response to either concussion or musculoskeletal injury.(PsycInfo Database Record (c) 2022 APA, all rights reserved)
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