运动脑震荡评估工具:用于检测脑震荡后症状加重的多维症状模型。

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-10-01 Epub Date: 2024-02-18 DOI:10.1080/13854046.2024.2315735
Eric O Ingram, Justin E Karr
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引用次数: 0

摘要

目标: 研究脑震荡后症状的四因素模型(即认知、身体、情感和睡眠唤醒)是否有助于识别未反映出持续问题的学生运动员:调查脑震荡后症状的四因素模型(即认知、躯体、情感和睡眠唤醒)是否有助于识别症状总分无法反映的持续性问题的学生运动员。方法:来自脑震荡评估研究与教育联盟的大学生运动员(32,066 人)在基线和两次伤后随访(即开始 RTP 和 6 个月)时完成了运动脑震荡评估工具第 3 版症状评估。采用确证因子分析来比较脑震荡后症状的单因子和四因子模型。使用 Mann-Whitney U 检验比较了不同分层(如性别、既往脑震荡情况和既往病症数量)的正常参考数据,并记录了分量表和总分的升高率(即≥84 百分位数)。结果受伤前后的四因素模型拟合良好(CFIs > .95)。分量表和总分的症状严重程度与女性性别(psr范围:.07至.14)和更多的原有病症(psη2范围:.01至.04)有关,而更多的先前脑震荡仅与症状总分有关(psη2结论:运动相关脑震荡后,四因素症状模型可用于评估大学生运动员的持续症状。识别特定领域升高的运动员可帮助临床医生确定需要进一步评估的领域,并在某些情况下制定个性化的康复计划。
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The Sport Concussion Assessment Tool: A multidimensional symptom model for detecting elevated post-concussion symptoms.

Objective: Investigate whether a four-factor model of post-concussion symptoms (i.e. cognitive, physical, affective, and sleep-arousal) aids in identifying student-athletes with persistent concerns not reflected by a total symptom score. Method: Collegiate student-athletes (N = 32,066) from the Concussion Assessment Research and Education consortium completed the Sport Concussion Assessment Tool, 3rd edition Symptom Evaluation at baseline and two post-injury follow-ups (i.e. beginning RTP and 6-month). Confirmatory factor analysis was used to compare a one- and four-factor model of post-concussion symptoms. Normative reference data were compared across stratifications (e.g. sex, prior concussions, and number of pre-existing conditions) using Mann-Whitney U tests, and elevation rates (i.e. 84th percentile) for subscales and the total score were recorded. Results: The four-factor model fit well before and after injury (CFIs > .95). Greater symptom severity on the subscale and total scores was associated with female sex (ps<.001, r range: .07 to .14) and more pre-existing conditions (ps<.001, η2 range: .01 to .04), while having more prior concussions was only related to total symptom scores (ps<.001, η2<.01). After a concussion, a sizeable portion of student-athletes (i.e., RTP = 11.8%; 6-month = 8.3%) had subscale elevations despite no total score elevation. Physical subscale elevations at RTP were the most common (i.e., 11.9%), driven by head and neck pain. Conclusion: After a sport-related concussion, a four-factor symptom model can be used to assess persistent symptoms in collegiate student-athletes. Identifying athletes with domain-specific elevations may help clinicians identify areas for further assessment and, in some cases, personalized rehabilitation plans.

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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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