Department of Psychology, York University, Toronto, ON, Canada.
Clin J Sport Med. 2023 Mar 1;33(2):145-150. doi: 10.1097/JSM.0000000000001110. Epub 2022 Nov 22.
This study examined the relationship between mild traumatic brain injury (mTBI) history, mental health, and sex with single and polysubstance use in university athletes.
Observational study.
University in Ontario, Canada.
Participants were identified from a dataset of 416 university athletes ages 18 to 21. Participants were classified based on their substance use habits and, 153 met criteria for the nonsubstance group, 195 for the alcohol use (AU) only group, and 64 polysubstance use group [ie, a combined substance use (AU+) group].
Athletes received baseline assessments and completed self-reported questions regarding alcohol, cannabis, or other recreational substance use, the Patient Health Questionnaire-9, self-reported mTBI history, and self-reported anxiety, and/or panic disorder endorsement information.
Comparison of mTBI history and mental health status between individuals in the alcohol only or polysubstance use group.
Mild traumatic brain injury history was a significant predictor of AU ( P < 0.001) and AU+ ( P < 0.001). Anxiety endorsement was also a significant predictor of polysubstance use ( P < 0.001) and there was a small but nonsignificant association of polysubstance use in men ( P = 0.057).
University athletes who experience mTBI are more likely to engage in single or polysubstance use and athletes who experience anxiety are more likely to engage in polysubstance use. Consideration of mTBI history and mental health may inform clinical concussion management for identifying potential high-risk behavior such as polysubstance use in university athletes and tailoring intervention strategies (eg, incorporating education about substance use).
本研究考察了轻度创伤性脑损伤（mTBI）史、心理健康状况以及性别与大学生运动员单一和多种物质使用的关系。
观察性研究。
加拿大安大略省的一所大学。
从一个年龄在 18 至 21 岁的 416 名大学生运动员的数据集中确定了参与者。参与者根据其物质使用习惯进行分类，其中 153 名符合非物质组标准，195 名符合仅酒精使用（AU）组标准，64 名符合多种物质使用组[即联合物质使用（AU+）组]。
运动员接受基线评估，并完成关于酒精、大麻或其他娱乐性物质使用、患者健康问卷-9、自我报告的 mTBI 史以及自我报告的焦虑和/或惊恐障碍的自我报告问题。
比较仅酒精或多种物质使用组个体的 mTBI 史和心理健康状况。
mTBI 史是 AU（P < 0.001）和 AU+（P < 0.001）的显著预测因子。焦虑的认可也是多种物质使用的显著预测因子（P < 0.001），男性中存在较小但无统计学意义的多种物质使用关联（P = 0.057）。
经历 mTBI 的大学生运动员更有可能使用单一或多种物质，经历焦虑的运动员更有可能使用多种物质。考虑 mTBI 史和心理健康状况可能有助于识别潜在的高风险行为，如大学生运动员的多种物质使用，并制定干预策略（例如，纳入有关物质使用的教育），从而为临床脑震荡管理提供信息。
