Department of Health Education and Promotion, East Carolina University, Greenville, North Carolina, USA.
J Dual Diagn. 2022 Oct-Dec;18(4):220-227. doi: 10.1080/15504263.2018.1473906. Epub 2018 Sep 5.
In clinical and athlete populations, research has found that experiencing a concussion (or traumatic brain injury) is correlated with experiencing other psychiatric conditions, including depression and alcohol problems. However, less is known about concussion comorbidity in other population segments. The purpose of this study is to examine the relationships between concussions and depression symptoms, anxiety symptoms, and hazardous drinking among a large sample of college students ( = 1776) enrolled in a mandatory health course. This study used an online health survey to examine concussion frequency (informal and formal diagnoses), sports-related concussions, depression symptoms, anxiety symptoms, and hazardous drinking in the sample. Bivariate and multivariate analyses were conducted to examine comorbid relationships between concussion frequency and the dependent variables of interest (anxiety symptoms, depression symptoms, and hazardous drinking). We found that 691 (39.1%) participants indicated having at least one concussion. Analyses indicated that concussion frequency scores of both formal or informal diagnoses were significantly associated with scores of depression symptoms, anxiety symptoms, and hazardous drinking. When examining concussion frequency scores of only formal diagnoses, only hazardous drinking evidenced a statistically significant relationship. In addition, participants who had a sports concussion had significantly higher concussion frequency scores and hazardous drinking scores than those who have had a concussion that was not sport-related. The comorbid concussion relationships found in this study are consistent with those observed in clinical and athlete populations. It is important for college health professionals to be aware that concussion comorbidity is not limited to the athlete population and can impact the entire student body.
在临床和运动员群体中，研究发现经历脑震荡（或创伤性脑损伤）与经历其他精神疾病有关，包括抑郁和酗酒问题。然而，对于其他人群中脑震荡的合并症了解较少。本研究的目的是在一个参加必修健康课程的大学生样本（n=1776）中，检查脑震荡与抑郁症状、焦虑症状和危险饮酒之间的关系。本研究使用在线健康调查来检查样本中的脑震荡频率（非正式和正式诊断）、与运动相关的脑震荡、抑郁症状、焦虑症状和危险饮酒。进行了双变量和多变量分析，以检查脑震荡频率与感兴趣的因变量（焦虑症状、抑郁症状和危险饮酒）之间的合并症关系。我们发现，691 名（39.1%）参与者表示至少有一次脑震荡。分析表明，正式或非正式诊断的脑震荡频率得分与抑郁症状、焦虑症状和危险饮酒得分显著相关。当仅检查正式诊断的脑震荡频率得分时，仅危险饮酒表现出统计学上显著的关系。此外，有运动性脑震荡的参与者的脑震荡频率得分和危险饮酒得分显著高于非运动相关脑震荡的参与者。本研究中发现的合并症脑震荡关系与在临床和运动员群体中观察到的关系一致。重要的是，大学健康专业人员应该意识到，脑震荡合并症不仅限于运动员群体，还会影响整个学生群体。
