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诊断术语与接触性运动运动员对轻度创伤性脑损伤预后的期望无关。

Diagnostic terminology is not associated with contact-sport players' expectations of outcome from mild traumatic brain injury.

作者信息

Edmed Shannon L, Sullivan Karen A

机构信息

Clinical Neuropsychology Research Group, School of Psychology and Counselling and.

出版信息

Brain Inj. 2015;29(5):623-32. doi: 10.3109/02699052.2014.998709. Epub 2015 Jan 27.

Abstract

PRIMARY OBJECTIVE

To investigate the influence of the diagnostic terms 'concussion' and 'mild traumatic brain injury' (mTBI) on contact-sport players' injury perceptions and expected symptoms from a sport-related mTBI. It was hypothesized that contact-sport players would hold more negative injury perceptions and expect greater symptom disturbance from a sport-related injury that was diagnosed as an 'mTBI' compared to 'concussion' or an undiagnosed injury.

METHODS AND PROCEDURES

One hundred and twenty-two contact-sport players were randomly allocated to one of three conditions in which they read a sport-related mTBI vignette that varied only according to whether the person depicted in the vignette was diagnosed with concussion (n = 40), mTBI (n = 41) or received no diagnosis (control condition; n = 41). After reading the vignette, participants rated their injury perceptions (perceived undesirability, chronicity and consequences) and expectations of post-concussion syndrome (PCS) and post-traumatic stress disorder (PTSD) symptoms 6 months post-injury.

MAIN OUTCOMES

There were no significant differences in contact-sport players' injury perceptions or symptom expectations from a sport-related mTBI when it was diagnosed as an mTBI, concussion or when no diagnosis was given.

CONCLUSIONS

Diagnostic terminology does not appear to have a potent influence on symptom expectation and injury perceptions in contact-sport players.

摘要

主要目的

探讨诊断术语“脑震荡”和“轻度创伤性脑损伤”(mTBI)对接触性运动运动员对与运动相关的mTBI的损伤认知及预期症状的影响。研究假设为,与被诊断为“脑震荡”或未被诊断的损伤相比,接触性运动运动员对被诊断为“mTBI”的与运动相关损伤会持有更负面的损伤认知,并预期会出现更严重的症状困扰。

方法与步骤

122名接触性运动运动员被随机分配到三种情况之一,他们阅读一篇与运动相关的mTBI短文,该短文仅根据短文中所描述的人是否被诊断为脑震荡(n = 40)、mTBI(n = 41)或未被诊断(对照情况;n = 41)而有所不同。阅读短文后,参与者对他们的损伤认知(感知到的不良性、慢性和后果)以及受伤后6个月的脑震荡后综合征(PCS)和创伤后应激障碍(PTSD)症状的预期进行评分。

主要结果

当与运动相关的mTBI被诊断为mTBI、脑震荡或未被诊断时,接触性运动运动员对其损伤认知或症状预期没有显著差异。

结论

诊断术语似乎对接触性运动运动员 的症状预期和损伤认知没有显著影响。

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