Impact of Sex and Pubertal Development on Anxiety in Adolescents After Concussion

被引:1
|
作者
Gomes, Dean [1 ]
Eagle, Shawn [1 ]
Mehmel, Bindal [1 ]
Albrecht, Ted [1 ]
Versace, Amelia [2 ]
Santos, Joao Paulo Lima [2 ]
Trbovich, Alicia [1 ]
Stiffler, Richelle [2 ]
Martinez, Laramie [2 ]
Holland, Cyndi L. [1 ]
Zynda, Aaron J. [1 ]
Collins, Michael W. [1 ]
Kontos, Anthony P. [1 ,3 ]
机构
[1] Univ Pittsburgh, Dept Orthopaed Surg, UPMC Sports Med Concuss Program, Pittsburgh, PA USA
[2] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[3] UPMC Rooney Sports Complex, 3200 S Water St, Pittsburgh, PA 15213 USA
关键词
adolescent; anxiety; concussion; pubertal development; SPORT-RELATED CONCUSSION; CEREBRAL-BLOOD-FLOW; HIGH-SCHOOL; GENDER-DIFFERENCES; PSYCHOMETRIC PROPERTIES; DISORDERS; SYMPTOMS; RECOVERY; EXERCISE; DEPRESSION;
D O I
10.1089/neu.2023.0132
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Concussion often results in psychological symptoms, including anxiety. Post-concussion anxiety has been well documented, although much of this research has focused on collegiate athletes. The purpose of this study was to compare (1) anxiety symptoms in concussed and healthy controls over time and (2) to explore sex differences in post-concussion anxiety within the context of pubertal development. Participants (N = 126, mean age = 15.1 years old), including concussed (n = 86) and healthy adolescents (n = 40), completed the Pubertal Development Scale (PDS) and the Screen for Child Anxiety and Related Disorders (SCARED-C). The concussed groups completed SCARED-C at three visits (<= 10 days, 4 weeks, 3 months). Results of an analysis of covariance (ANCOVA) and multi-variate analysis of covariance (MANCOVA) found concussed adolescents reported higher SCARED-C total, generalized, and panic anxiety scores than healthy controls, after controlling for sex, age, and PDS score (PDSS). A three-way mixed ANCOVA examined the effects of sex, PDSS, time, and their interaction on SCARED-C total score in concussed adolescents while controlling for age. There was a significant three-way interaction between sex, age, and PDSS on SCARED-C total score while controlling for age. Overall, we observed increased anxiety in concussed adolescents, compared with controls, as well as greater post-concussion anxiety reported by females compared with males, including within PDSS groups. Concussion providers should be prepared to receive training to administer well-validated measures of psychopathology and should consider that female adolescents, compared with males, regardless of pubertal development, may be at greater risk for post-concussion anxiety.
引用
收藏
页码:2385 / 2394
页数:10
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