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Differences in Postinjury Psychological Symptoms Between Collegiate Athletes With Concussions and Orthopedic Injuries

机译:脑脑脑筋膜脑卒中与矫形伤害的职业运动员心理症状的差异

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Objective: To describe the differences in postinjury psychological symptoms among Division I collegiate student athletes who sustained concussions versus orthopedic injures and to examine the effects of injury type on postinjury psychological symptoms during the course of recovery. Design: A prospective cohort study with repeated measures. Setting: Two Big 10 Conference universities. Participants: Student athletes who were at least 18 years old and participated in one of 9 National Collegiate Athletic Association (NCAA) Division I-sponsored sports during the 2007 to 2011 seasons. Main Outcome Measures: Baseline depressive symptoms and anxiety were measured at enrollment. On identification of an eligible injury, follow-up surveys were conducted among injured athletes at multiple intervals until the injured athlete returned to play. Depressive symptoms, anxiety, fear of return-to-play, and fear of reinjury were measured at the postinjury follow-ups. Results: The concussion group had significantly lower scores of fear of return-to-play (B= -0.94,P= 0.0278) and fear of reinjury (B= -1.11,P= 0.0152) compared with the orthopedic injury group. The concussion group scored higher on depressive symptoms than the orthopedic injury group at 1 month after injury (P= 0.0264), although both groups scored similarly at baseline (P= 0.9729) and at 1 week after injury (P= 0.1475). Conclusions: Patterns of psychological disturbance differ after concussions and orthopedic injures. Further research is warranted to identify the factors contributing to these differences and to develop effective intervention programs to prevent these symptoms.
机译:目的:介绍我司科学生运动员之间持续脑震荡与骨科损伤的疗效和探讨恢复过程中Postinjury心理症状的影响的差异。设计:重复措施的预期队列研究。环境:两个大型大型大学大学。参与者:学生运动员至少18岁,并参加了9届全国大学运动会(NCAA)司I-Suponsoration Sports中的一项,在2007年到2011年赛季。主要观察措施:在注册时测量基线抑郁症状和焦虑。在鉴定符合条件的伤害方面,在受伤运动员中进行后续调查,直到受伤的运动员返回发挥作用。在PostInjury随访中衡量了抑郁症状,焦虑,害怕回归和恐惧的恐惧。结果:与骨科损伤组相比,脑震荡集团担心恐惧的恐惧得分显着降低(B = -0.94,P = 0.0278),并害怕重新损伤(B = -1.11,P = 0.0152)。脑肠组在损伤后1个月的抑郁症状较高(P = 0.0264),尽管两组在基线(P = 0.9729)和损伤后1周(P = 0.1475)相似。结论:脑震荡和骨科损伤后心理干扰模式不同。有必要进一步研究,以确定有助于这些差异的因素,并制定有效的干预计划,以防止这些症状。

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