The Association Between Concussion History and Increased Symptom Severity Reporting Is Independent of Common Medical Comorbidities, Personality Factors, and Sleep Quality in Collegiate Athletes.
The Association Between Concussion History and Increased Symptom Severity Reporting Is Independent of Common Medical Comorbidities, Personality Factors, and Sleep Quality in Collegiate Athletes.
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DOI：
10.1097/htr.0000000000000724
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发表时间：
2022-07-01
期刊：
影响因子：
--
通讯作者：
Meier TB
中科院分区：
文献类型：
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作者：
Brett BL;Nelson LD;Meier TB
我们调查了脑震荡史与心理困扰和一般症状严重程度之间的关系在多大程度上独立于几种通常与症状严重程度升高相关的因素。我们还研究了症状严重程度背书是否与脑震荡损伤特异性相关，或与一般损伤反应相关。根据严格的医学/精神病学排除标准纳入大学运动员（N=106，年龄M=21.37±1.69岁，女性33）。横断面单次来访研究。完成了综合评估，包括半结构化访谈，以回顾性诊断以前的脑震荡数量。单因素预测和逐步回归模型拟合检验先前脑震荡和骨科损伤对症状严重程度的预测价值，无论是单独的还是控制混杂因素。采用简要症状量表-18全球严重程度指数（BSI-GSI）评定心理困扰；使用运动脑震荡评估工具测量脑震荡相关症状的严重程度。控制与症状结果相关的基线因素（友好性、神经质、负性情绪和睡眠质量），脑震荡病史与心理困扰（B=1.25[.55]; p= 0.025， ΔR2= 0.034）和脑震荡样症状严重程度（B= 0.22 [.08]; p= 0.005， ΔR2= 0.064）显著相关，并且在症状结果中具有统计学意义的独特方差。骨科损伤史不能单独预测心理困扰（B= - 0.06 [.53]; p=.905）或一般症状严重程度（B= 0.06 [.08]; p=.427），也不能解释脑震荡史与症状结局之间的关系。在大学年龄的运动员中，脑震荡史与症状严重程度的轻微升高有关；这种关系与医疗、生活方式（即睡眠）和个性因素无关。此外，这种关系与脑损伤（即脑震荡）有关，而不是对损伤史的一般反应。
We investigated the degree to which the association between history of concussion with psychological distress and general symptom severity is independent of several factors commonly associated with elevated symptom severity. We also examined whether symptom severity endorsement was associated with concussion injury specifically, or response to injury in general. Academic Medical Center Collegiate athletes (N=106; age M=21.37 ± 1.69 years; 33 female) were enrolled based on strict medical/psychiatric exclusion criteria. Cross-sectional single-visit study. Comprehensive assessment, including semi-structured interviews to retrospectively diagnose the number of previous concussions, were completed. Single-predictor and step-wise regression models were fit to examine the predictive value of prior concussion and orthopedic injuries on symptom severity, both individually and controlling for confounding factors. Psychological distress was operationalized as Brief Symptom Inventory-18 Global Severity Index (BSI-GSI) ratings; concussion-related symptom severity was measured using the Sport Concussion Assessment Tool. Controlling for baseline factors associated with the symptom outcomes (agreeableness, neuroticism, negative emotionality, and sleep quality), concussion history was significantly associated with psychological distress (B=1.25[.55]; p=.025, ΔR2=.034) and concussion-like symptom severity (B=.22[.08]; p=.005, ΔR2=.064), and accounted for a statistically significant amount of unique variance in symptom outcomes. Orthopedic injury history was not individually predictive of psychological distress (B= −.06[.53]; p=.905) or general symptom severity (B=.06[.08]; p=.427) and did not explain the relationship between concussion history and symptom outcomes. Concussion history is associated with subtle elevations in symptom severity in collegiate-aged, athletes; this relationship is independent of medical, lifestyle (i.e., sleep), and personality factors. Furthermore, this relationship is associated with brain injury (i.e., concussion), and is not a general response to injury history.