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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >The relationship between psychological distress and baseline sports-related concussion testing.
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The relationship between psychological distress and baseline sports-related concussion testing.

机译：心理困扰与基线体育相关脑震荡测试之间的关系。

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OBJECTIVE: This study examined the effect of psychological distress on neurocognitive performance measured during baseline concussion testing. DESIGN: Archival data were utilized to examine correlations between personality testing and computerized baseline concussion testing. Significantly correlated personality measures were entered into linear regression analyses, predicting baseline concussion testing performance. Suicidal ideation was examined categorically. SETTING: Athletes underwent testing and screening at a university athletic training facility. PARTICIPANTS: Participants included 47 collegiate football players 17 to 19 years old, the majority of whom were in their first year of college. INTERVENTIONS: Participants were administered the Concussion Resolution Index (CRI), an internet-based neurocognitive test designed to monitor and manage both at-risk and concussed athletes. Participants took the Personality Assessment Inventory (PAI), a self-administered inventory designed to measure clinical syndromes, treatment considerations, and interpersonal style. MAIN OUTCOME MEASURES: Scales and subscales from the PAI were utilized to determine the influence psychological distress had on the CRI indices: simple reaction time, complex reaction time, and processing speed. RESULTS: Analyses revealed several significant correlations among aspects of somatic concern, depression, anxiety, substance abuse, and suicidal ideation and CRI performance, each with at least a moderate effect. When entered into a linear regression, the block of combined psychological symptoms accounted for a significant amount of baseline CRI performance, with moderate to large effects (r = 0.23-0.30). When examined categorically, participants with suicidal ideation showed significantly slower simple reaction time and complex reaction time, with a similar trend on processing speed. CONCLUSIONS: Given the possibility of obscured concussion deficits after injury, implications for premature return to play, and the need to target psychological distress outright, these findings heighten the clinical importance of screening for psychological distress during baseline and post-injury concussion evaluations.
机译：目的：本研究探讨了心理困扰对基线脑震荡测试中测得的神经认知性能的影响。设计：利用档案数据检查人格测试和计算机基线脑震荡测试之间的相关性。将显着相关的人格测度输入到线性回归分析中，以预测基线脑震荡测试的性能。对自杀意念进行了分类研究。地点：运动员在大学运动训练场进行了测试和检查。参与者：参与者包括47名17至19岁的大学橄榄球运动员，其中大多数人都在大学一年级。干预措施：对参与者进行了脑震荡解决指数（CRI），这是一种基于互联网的神经认知测验，旨在监控和管理处于危险状态和受到冲击的运动员。参与者采用了人格评估量表（PAI），这是一种自我管理的量表，旨在衡量临床症状，治疗注意事项和人际关系风格。主要观察指标：利用PAI量表和分量表确定心理困扰对CRI指标的影响：简单反应时间，复杂反应时间和处理速度。结果：分析显示，躯体关注，抑郁，焦虑，药物滥用，自杀意念和CRI表现之间存在若干显着相关性，每个方面至少具有中等程度的影响。当进行线性回归时，组合的心理症状占基线CRI表现的显着量，且影响中等至较大（r = 0.23-0.30）。当进行分类检查时，具有自杀意念的参与者显示出简单的反应时间和复杂的反应时间明显变慢，处理速度的趋势相似。结论：考虑到受伤​​后脑震荡不足的可能性，过早恢复比赛的影响以及直接针对心理困扰的需要，这些发现提高了在基线和损伤后脑震荡评估中筛查心理困扰的临床重要性。

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