Concussion Risk and Recovery in Athletes With Psychostimulant-Treated Attention-Deficit/Hyperactivity Disorder: Findings From the NCAA-DOD CARE Consortium.

IF 2 3区心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Journal of Sport & Exercise Psychology Pub Date : 2023-12-07 Print Date: 2023-12-01 DOI:10.1123/jsep.2023-0038

Colt A Coffman, Brett S Gunn, Paul F Pasquina, Michael A McCrea, Thomas W McAllister, Steven P Broglio, Robert D Moore, Matthew B Pontifex

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Abstract

The aim of the present study was to examine the effects of attention-deficit/hyperactivity disorder (ADHD) -related psychostimulant use in the context of concussion risk and symptom recovery. Data were obtained from the National Collegiate Athletic Association Department of Defense Grand Alliance Concussion Assessment, Research, and Education (NCAA-DOD CARE) Consortium from 2014 to 2017. Relative to individuals without diagnosed ADHD (i.e., control), both ADHD diagnosis and the combination of ADHD diagnosis and psychostimulant use were associated with a greater risk of incurring a concussive injury. Following a concussive injury, ADHD diagnosis was associated with longer symptom recovery time relative to the control group. However, individuals with ADHD who use psychostimulants did not take longer to resolve symptoms than controls, suggesting that psychostimulants may have a positive influence on recovery. Regardless of time point, ADHD diagnosis was associated with an elevated number of concussion-related symptoms; however, this effect appears mitigated by having used ADHD-related psychostimulants.

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接受精神刺激剂治疗的注意力缺陷/多动障碍运动员的脑震荡风险和恢复情况：NCAA-DOD CARE 联合会的研究结果。

本研究旨在考察与注意力缺陷/多动症（ADHD）相关的精神刺激剂的使用对脑震荡风险和症状恢复的影响。数据来自美国国家大学生体育协会国防部大联盟脑震荡评估、研究和教育（NCAA-DOD CARE）联盟2014年至2017年的数据。与未确诊为多动症的个体（即对照组）相比，确诊为多动症以及同时确诊为多动症和服用精神兴奋剂的个体发生脑震荡损伤的风险更大。与对照组相比，多动症诊断与脑震荡受伤后症状恢复时间更长有关。然而，与对照组相比，使用精神刺激剂的多动症患者并没有花费更长的时间来缓解症状，这表明精神刺激剂可能对患者的恢复有积极影响。无论在哪个时间点，多动症诊断都与脑震荡相关症状的增加有关；但是，使用与多动症相关的精神兴奋剂似乎会减轻这种影响。

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来源期刊

Journal of Sport & Exercise Psychology 医学-心理学

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Sport & Exercise Psychology (JSEP) is a peer-reviewed publication designed to stimulate and communicate research theory in all areas of sport and exercise psychology. JSEP emphasizes original research reports that advance our understanding of human behavior as it relates to sport and exercise. Comprehensive reviews employing both qualitative and quantitative methods are also encouraged, as well as brief reports of soundly designed research studies that are of special interest or importance. Areas of interest include research in social, clinical, developmental, and experimental psychology, as well as psychobiology and personality. Moreover, the terms sport and exercise may pertain to either the independent or dependent variables. Generally speaking, work on motor control processes, studies of sport as a social institution, or broader social issues are beyond the scope of JSEP. A wide variety of methods are acceptable for studying sport and exercise psychology topics.