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首页> 外文期刊>Journal of Sports Medicine >Interaction between Age, Sex, and Mental Health Status as Precipitating Factors for Symptom Presentation in Concussed Individuals
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Interaction between Age, Sex, and Mental Health Status as Precipitating Factors for Symptom Presentation in Concussed Individuals

机译：年龄，性别和心理健康状况之间的相互作用作为展示个人症状展示的因素

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摘要

Concussions are among the most common neurological conditions, with emergency departments and sports injury clinics seeing hundreds of patients each year. The consideration of risk factors such as age, sex, and comorbid conditions are very important when looking at individual physiological and psychological outcomes after a concussion. The purpose of this study was to look at four comorbid conditions (depression, anxiety, behavioural disorder, or learning disability) and identify any interactions with age and sex in symptom presentation after suffering a concussion. A total of 4,865 participants from the CCMI (Complete Concussion Management Inc.) dataset were used with 1,577 self-identified with a diagnosis of anxiety, depression, a behavioural disorder, or a learning disability. Fixed-factor analyses of variance were used with age and sex as fixed, grouping factors and symptom total and severity as dependent measures. For the individuals who did not have one of the 4 mental health conditions (3,288 control participants), symptom total and symptom severity increased with age (p0.05), and females showed more symptoms and a higher symptom severity than males across all ages (p0.05). A diagnosis of anxiety or depression exacerbated total symptoms and symptom severity from 25–50% above control levels in the 19 and under age groups, while depression or anxiety exacerbated total symptoms and severity by 10–15% in males more than females over 20. A diagnosis of a behavioural disorder or a learning disability exacerbated symptom severity by approximately 50% above control levels in 13–19–year-old females and in males of 30 years and older. This study highlights how the presence of a mental health condition may alter concussion symptom presentation dependent on age and sex. The identification of risk factors and how they may interact can be of great value to health care providers who manage concussion symptoms and recovery.
机译：脑震荡是最常见的神经系统条件，急诊部门和运动损伤诊所每年都看到数百名患者。在脑震荡后观察个人生理和心理结果时，危险因素的审议非常重要。本研究的目的是看四种合并症条件（抑郁，焦虑，行为障碍或学习障碍），并在遭受脑震荡后识别与症状呈现的年龄和性别相互作用。 CCMI共有4,865名参与者（完整的呼声管理公司）数据集使用1,577人自我鉴定，诊断焦虑，抑郁，行为障碍或学习残疾。差异的固定因子分析与年龄和性别一起使用，作为固定的，分组因子和症状作为依赖措施。对于没有4个心理健康状况（3,288名控制参与者）之一的个人，症状总和症状严重程度随着年龄的增长而增加（P <0.05），并且女性在所有年龄段的男性上显示出更多的症状和更高的症状严重程度（ P <0.05）。焦虑或抑郁症的诊断加剧了总症状和症状严重程度在19岁及以下的年龄组中的25-50％，而抑郁或焦虑会使总症状和严重程度在20多个女性中加剧10-15％。诊断行为障碍或学习障碍加剧了症状严重程度，在13-19岁的女性和30岁及以上的男性中高于控制水平的50％。本研究突出了心理健康状况的存在可能会依赖年龄和性别来改变脑震荡症状介绍。识别风险因素以及它们如何互动对于管理脑震荡症状和恢复的医疗保健提供者来说可能具有很大的价值。

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