Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, New York, USA.
Department of Psychology, Syracuse University, Syracuse, New York, USA.
J Int Neuropsychol Soc. 2019 Sep;25(8):777-786. doi: 10.1017/S1355617719000468. Epub 2019 May 28.
The purpose of this study was to compare adolescent students with and without concussion on a battery of academic, neurocognitive, and socioemotional measures and assess the aftereffects of concussion across domains of functioning.
Twenty-four adolescents (ages 13-17) reporting postconcussion symptoms were compared to 24 controls matched for age and gender across a battery of tests and surveys.
After correcting for multiple comparisons, there were no significant differences on any neuropsychological measures. Similarly, there were no significant group differences on academic measures of vocabulary, word recognition, or reading comprehension. Self-reported concussion symptoms were much greater for students with concussion, as were self-reports of anxiety, depression, and somatization symptoms. Parents also rated those with concussion as having greater depression and somatization symptoms, but not to a degree that survived Bonferroni correction. Lastly, those with concussion reported a significantly greater number of school problems and academic concerns.
Results indicated that adolescents who reported postconcussion symptoms do not perform differently from peers on most neurocognitive and academic tasks, yet they showed considerably more worry, somatization, academic concerns, and feelings of inadequacy than matched controls. The findings suggest that interventions to address psychological and academic stress may be indicated for adolescents symptomatic from concussion.
本研究旨在比较患有和未患有脑震荡的青少年在一系列学业、神经认知和社会情感测试上的表现，并评估脑震荡对不同功能领域的后续影响。
对 24 名（年龄 13-17 岁）报告有脑震荡后症状的青少年与 24 名在测试和问卷调查中按年龄和性别匹配的对照组进行比较。
经多次比较校正后，在任何神经心理学测试上均无显著差异。同样，在学业词汇、单词识别或阅读理解等方面也没有显著的组间差异。有脑震荡的学生报告的脑震荡症状更严重，焦虑、抑郁和躯体化症状的自我报告也更严重。父母还报告那些有脑震荡的学生有更严重的抑郁和躯体化症状，但未通过 Bonferroni 校正。最后，那些有脑震荡的学生报告了更多的学校问题和学业困扰。
研究结果表明，报告有脑震荡后症状的青少年在大多数神经认知和学业任务上与同龄人表现无差异，但他们比匹配对照组表现出更多的担忧、躯体化、学业困扰和不适应感。这些发现表明，对于有脑震荡后症状的青少年，可能需要进行干预以解决心理和学业压力问题。
