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首页> 外文期刊>Journal of athletic training >A Longitudinal Pilot Study of Depressive Symptoms in Concussed and Injured/Nonconcussed National Collegiate Athletic Association Division I Student-Athletes
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A Longitudinal Pilot Study of Depressive Symptoms in Concussed and Injured/Nonconcussed National Collegiate Athletic Association Division I Student-Athletes

机译：在国家大学体育总会第一分会的脑震荡和受伤/非震荡中抑郁症状的纵向试验研究

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Context: Depression, which affects millions of Americans each year, among them collegiate student-athletes, can be caused by a wide range of circumstances, including sport-related injuries. Objective: To longitudinally examine the extent to which National Collegiate Athletic Association Division I student-athletes demonstrated postinjury depressive symptoms. Design: Descriptive epidemiologic study. Setting: National Collegiate Athletic Association Division I collegiate athletics. Patients or Other Participants: Concussed, injuredonconcussed, and healthy Division I collegiate student-athletes (aged 18–22 years) competing in men's basketball, football, and wrestling and women's basketball, soccer, and volleyball. Main Outcome Measure(s): Participants completed the Center for Epidemiologic Studies Depression Scale at baseline and at 1 week, 1 month, and 3 months postinjury. We measured differences in depressive scores among concussed, injuredonconcussed, and healthy participants. Longitudinal changes in postconcussion depressive symptoms were also examined. Results: No differences in baseline depressive symptoms among subgroups were noted. After an increase between baseline and 1 week (4.3, 95% confidence interval [CI] = 0.41, 8.16, P = .02), depressive symptoms in the concussion group decreased between 1 week and 1 month (?2.7, 95% CI = ?4.96, ?0.47, P = .01) and between 1 week and 3 months (?4.0, 95% CI = ?6.50, ?1.49, P = .004). The injuredonconcussed group showed differences between baseline and 1 week (4.6, 95% CI = 1.08, 8.17, P = .009) and between baseline and 1 month (3.2, 95% CI = ?0.05, 6.30, P = .03). No significant differences were present in depressive symptoms between concussed participants and injuredonconcussed participants at any of the postinjury time points. Conclusions: Depression may present as a postinjury sequela in Division I collegiate athletes. Athletes who sustain a concussion or other injury resulting in time lost from practice or competition need to be observed carefully for signs and symptoms that may indicate depression. Tools such as the Center for Epidemiologic Studies Depression Scale can be valuable in helping clinicians to recognize and manage depressive symptoms in these individuals.
机译：背景信息：抑郁症每年都会影响数百万的美国人，其中包括大学生运动，可能是由多种情况造成的，包括与运动有关的伤害。目的：纵向研究美国大学体育协会第一分会学生运动员表现出的损伤后抑郁症状的程度。设计：描述性流行病学研究。地点：美国大学体育协会我是大学体育学院。患者或其他参与者：处于脑震荡，受伤/无脑震荡和健康的I类大学学生运动员（年龄在18-22岁之间）参加男子篮球，足球和摔跤比赛以及女子篮球，足球和排球比赛。主要指标：参与者在基线以及受伤后1周，1个月和3个月时完成了流行病学研究中心的抑郁量表。我们测量了脑震荡，受伤/非脑震荡和健康参与者的抑郁评分差异。脑震荡后抑郁症状的纵向变化也进行了检查。结果：各亚组之间的基线抑郁症状无差异。在基线和1周之间增加（4.3，95％置信区间[CI] = 0.41、8.16，P = .02）之后，脑震荡组的抑郁症状在1周和1个月之间下降（？2.7，95％） CI = 4.96，0.47，P = 0.01）和1周至3个月之间（4.0，95％CI = 6.50，1.49，P = 0.004）。受伤/非脑震荡组在基线和1周之间（4.6，95 ％CI = 1.08，8.17，P = .009）和基线与1个月之间（3.2，95 ％CI = 0.05，6.30，P = .03）。在受伤后的任何时间点，脑震荡参与者和受伤/非脑震荡参与者之间的抑郁症状均无显着差异。结论：抑郁症可能是我部大学运动员受伤后的后遗症。需要仔细观察遭受脑震荡或其他伤害导致因练习或比赛而浪费时间的运动员，以寻找可能表示沮丧的体征和症状。流行病学研究中心抑郁量表之类的工具对于帮助临床医生识别和管理这些人的抑郁症状可能很有价值。

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