Burns Karlee, Kerod Karly, McDevitt Jane
Department of Kinesiology, Temple University, Philadelphia, Pennsylvania, India.
Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, Pennsylvania, United States.
J Clin Transl Res. 2022 May 25;8(3):181-184. eCollection 2022 Jun 29.
Mental health concerns, particularly anxiety and depression, are leading causes of disability in young adults. Identifying pre-existing conditions that place individuals at-risk for mental health disability may enable health-care providers to increase patient outcomes with early interventions and condition management.
Student-athletes were grouped by self-reported mental health disability status during pre-season baseline physicals. During the pre-season baseline assessment, student athletes completed the post-concussion symptom scale, hospital anxiety and disability scale, short-form 12 survey, and health history questionnaire. A logistic regression was performed to examine the predictive value of previous concussion history, anxiety, and/or depression mental health disability status.
Student-athletes with a previous concussion had a 46% higher risk for mental health disability. Higher PROM anxiety and depression scores were associated with a 1.29- and 1.19-times higher risk of mental health disability, respectively.
The previous concussion history placed collegiate student-athletes at higher risk for mental health disability. Further, student-athletes that had higher anxiety and depression PROM scores were more likely to have self-reported diagnosed mental health disability. Health-care professionals working with collegiate student-athletes can identify pre-existing conditions that may put a student-athlete at higher risk for mental health disability.
The present study identifies previous concussion history and prior mental health diagnoses places individuals at higher risk for the future mental health disability. Identification of these individuals during routine health screenings may improve overall health outcomes.
心理健康问题，尤其是焦虑和抑郁，是导致年轻人残疾的主要原因。识别那些使个体面临心理健康残疾风险的既有状况，可能会使医疗保健提供者通过早期干预和病情管理来提高患者的治疗效果。
在季前基线体检期间，学生运动员按自我报告的心理健康残疾状况进行分组。在季前基线评估中，学生运动员完成了脑震荡后症状量表、医院焦虑和残疾量表、简短健康调查问卷12项以及健康史问卷。进行了逻辑回归分析，以检验既往脑震荡史、焦虑和/或抑郁心理健康残疾状况的预测价值。
有既往脑震荡史的学生运动员出现心理健康残疾的风险高46%。患者报告结局（PROM）中的焦虑和抑郁得分较高，分别与心理健康残疾风险高1.29倍和1.19倍相关。
既往脑震荡史使大学生运动员面临更高的心理健康残疾风险。此外，PROM焦虑和抑郁得分较高的学生运动员更有可能自我报告被诊断为心理健康残疾。与大学生运动员合作的医疗保健专业人员可以识别那些可能使学生运动员面临更高心理健康残疾风险的既有状况。
本研究表明，既往脑震荡史和既往心理健康诊断会使个体未来面临更高的心理健康残疾风险。在常规健康筛查中识别出这些个体可能会改善总体健康结局。
