Neuropsychology Section, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Michigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
Curr Psychiatry Rep. 2021 Mar 2;23(4):15. doi: 10.1007/s11920-021-01232-0.
Sport-related concussion (SRC) is a significant public health problem. Understanding the behavioral and personal factors that influence risk and incidence of SRC is critically important for appropriate care and management. Sensation-seeking and impulsivity have been posited to be two such factors that may be significantly associated with SRC. We performed a focused review of recent evidence of the relationships between sensation-seeking and impulsivity in athletes with SRC.
While the research is relatively limited, extant findings demonstrate a significant relationship between sensation-seeking and contact sport participation and risk of prior and future SRC. Impulsivity appears to be common among athletes competing in high contact sports and may contribute to neural and functional brain changes following SRC; however, causal relationships between impulsivity, contact sport participation, and SRC have not been demonstrated. Both sensation-seeking and impulsivity are significantly associated with SRC in collegiate athletes. Interventions designed to ameliorate high levels of these constructs may prove to be beneficial avenues to reducing SRC risk and improving patient care and outcomes.
运动相关性脑震荡(SRC)是一个重大的公共卫生问题。了解影响 SRC 风险和发生率的行为和个人因素对于适当的护理和管理至关重要。寻求刺激和冲动性被认为是可能与 SRC 显著相关的两个因素。我们对 SRC 运动员中寻求刺激和冲动之间关系的最新证据进行了重点回顾。
虽然研究相对有限,但现有研究结果表明,寻求刺激和参与接触性运动与先前和未来 SRC 的风险之间存在显著关系。冲动性似乎在从事高接触性运动的运动员中很常见,并且可能导致 SRC 后神经和功能大脑的变化;然而,冲动性、接触性运动参与和 SRC 之间的因果关系尚未得到证明。寻求刺激和冲动性都与大学生运动员的 SRC 显著相关。旨在减轻这些结构高水平的干预措施可能被证明是减少 SRC 风险和改善患者护理和结果的有益途径。