Psychological resilience, emotional symptoms, and recovery duration in adolescent sport-related concussion.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology: Child Pub Date : 2024-02-17 DOI:10.1080/21622965.2024.2317307
Julia C Nahman, Cody Staples, Lauren N Irwin Harper, Luis Ahumada, Mohamed Rehman, Sarah Irani, P Patrick Mularoni, Danielle M Ransom
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Abstract

Objective: This study aimed to explore the relation between resilience, emotional changes following injury, and recovery duration in sport-related concussion.

Methods: Thirty-one high school student-athletes (ages 14-18) with sports-related injuries (concussion, n = 17 orthopedic injury, n = 14) were recruited from a pediatric sports medicine clinic. Participants completed self-report resilience ratings and self- and parent-reported post-concussion symptoms as part of a neuropsychological test battery. Hierarchical regression analyses examined predictors of recovery duration, including: (1) injury group and sex, (2) self- and parent-reported emotional symptom changes, and (3) resilience score.

Results: Injury group and sex alone were not predictors of recovery duration (p = .60). When parent and patient reported emotional response to injury were added to the analysis, 35% of the variance in length of recovery was explained, making the model statistically significant (F (2.26) = 3.57, p = .019). Including resilience did not reach statistical significance (p = .443). Post hoc analysis revealed parent-report of emotional changes was significantly associated with recovery duration t(31) = 3.16, p < .01), while self-report was not (p = .54).

Conclusions: Parent-reported emotional change plays a pivotal role in predicting recovery length among adolescents recovering from sport-related concussion and orthopedic injury. These pilot findings highlight the significance of caregiver input in the clinical exam and emphasize the potential for acute interventions supporting psychological resources to enhance recovery outcomes across adolescent sport-related injuries.

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青少年运动相关脑震荡的心理复原力、情绪症状和康复持续时间。
目的:本研究旨在探讨运动相关脑震荡患者的恢复能力、受伤后的情绪变化和康复时间之间的关系:本研究旨在探讨运动相关脑震荡患者的恢复能力、受伤后的情绪变化和恢复时间之间的关系:从儿科运动医学诊所招募了 31 名患有运动相关损伤(脑震荡,17 人,骨科损伤,14 人)的高中学生运动员(14-18 岁)。作为神经心理测试的一部分,参与者完成了自我报告的复原力评分以及自我和家长报告的脑震荡后症状。层次回归分析研究了康复持续时间的预测因素,包括:(1) 受伤组别和性别,(2) 自我和家长报告的情绪症状变化,以及 (3) 复原力评分:结果:受伤组别和性别本身并不能预测康复持续时间(p = .60)。在分析中加入家长和患者报告的受伤情绪反应后,35%的康复时间差异得到了解释,使模型具有统计学意义(F (2.26) = 3.57, p = .019)。将复原力纳入模型则没有统计学意义(p = .443)。事后分析显示,家长报告的情绪变化与康复持续时间显著相关(t(31) = 3.16,p < .01),而自我报告与之无关(p = .54):结论:家长报告的情绪变化在预测运动相关脑震荡和矫形损伤后青少年的康复时间方面起着关键作用。这些试点研究结果突出了护理人员在临床检查中的重要性,并强调了支持心理资源的急性干预措施在提高青少年运动相关损伤恢复效果方面的潜力。
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来源期刊
Applied Neuropsychology: Child
Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.00
自引率
5.90%
发文量
47
期刊介绍: Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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