Michigan State University, East Lansing.
A.T. Still University, Mesa, AZ.
J Athl Train. 2023 Sep 1;58(9):759-766. doi: 10.4085/1062-6050-0526.22.
Injury or illness can affect individual perceptions of health status and health-related quality of life (HRQOL). Concussion can result in different symptoms, impairments, and functional limitations that have been found to lower HRQOL. Furthermore, concussion is known to influence the emotional and behavioral dyscontrol domains of HRQOL in pediatric populations; however, this has yet to be explored in other populations.
To compare individuals with and those without a concussion history and (1) HRQOL and (2) the emotional and behavioral dyscontrol domains of HRQOL in college students.
Cross-sectional study.
University laboratory setting.
Of a total of 252 participants (155 women; age = 19.95 ± 1.53 years), 76 (30.2%) had a history of concussion and 176 (69.8%) did not. For participants with a history of concussion, the mean time since injury was 5.29 ± 2.77 years.
MAIN OUTCOME MEASURE(S): The Patient-Reported Outcome Measures Information System (PROMIS) Global Health, version 1.1, and Quality of Life in Neurological Disorders Emotional and Behavioral Dyscontrol Short Form (Neuro-QOL).
No differences were seen between median scores in individuals with and those without a history of concussion in the PROMIS Physical Health (13.0 versus 14.0; P = .24), PROMIS Mental Health (12.0 versus 12.0; P = .99), and Neuro-QOL (16.0 versus 16.0; P = .47) scores. Additionally, when gender was controlled, the associations between a history of concussion and PROMIS Physical Health score (odds ratio [OR] = 1.04; 95% CI = 0.43, 2.52), PROMIS Mental Health score (OR = 0.66; 95% CI = 0.13, 3.25), and Neuro-QOL score (OR = 1.16; 95% CI = 0.66, 2.04) were not significant.
Preliminary findings suggested that the emotional and behavioral dyscontrol domains were not influenced by a concussion history of > 1 year in college-aged participants. Future researchers should continue to explore specific HRQOL domains affected by concussion as well as the influences of prior mental health conditions and behavioral dysfunction after a subsequent injury.
受伤或患病会影响个人对健康状况和健康相关生活质量（HRQOL）的感知。脑震荡会导致不同的症状、损伤和功能障碍，这些都会降低 HRQOL。此外，已知脑震荡会影响儿科人群的 HRQOL 的情绪和行为控制障碍领域；然而，这尚未在其他人群中得到探索。
比较有和无脑震荡史的个体，并比较（1）大学生的 HRQOL 和（2）HRQOL 的情绪和行为控制障碍领域。
横断面研究。
大学实验室环境。
共有 252 名参与者（155 名女性；年龄=19.95±1.53 岁），76 名（30.2%）有脑震荡史，176 名（69.8%）没有。对于有脑震荡史的参与者，受伤后平均时间为 5.29±2.77 年。
患者报告的结果测量信息系统（PROMIS）全球健康，版本 1.1，以及神经学疾病生活质量情绪和行为控制障碍简表（Neuro-QOL）。
在有和无脑震荡史的个体中，PROMIS 身体健康（13.0 与 14.0；P=0.24）、PROMIS 心理健康（12.0 与 12.0；P=0.99）和 Neuro-QOL（16.0 与 16.0；P=0.47）评分中位数无差异。此外，当控制性别时，脑震荡史与 PROMIS 身体健康评分（比值比[OR] = 1.04；95%CI = 0.43，2.52）、PROMIS 心理健康评分（OR = 0.66；95%CI = 0.13，3.25）和 Neuro-QOL 评分（OR = 1.16；95%CI = 0.66，2.04）之间的关联无统计学意义。
初步结果表明，在大学生参与者中，>1 年的脑震荡史不会影响情绪和行为控制障碍领域。未来的研究人员应继续探索特定的 HRQOL 领域受脑震荡影响，以及先前的心理健康状况和随后受伤后的行为功能障碍的影响。
