Fogarty Kate, Song Jihee, Counts Tara, Grajo Nicolette, Pracht Dale, Diehl David
Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL, 32611, USA.
Florida Department of Children and Families, Tallahassee, FL, 32404, USA.
Child Psychiatry Hum Dev. 2024 Oct 29. doi: 10.1007/s10578-024-01780-5.
Sports-related concussions (SRC) pose risks to young people's physical and mental health. During the COVID-19 pandemic, we studied linkages between youths' SRC experiences and internalizing problems (depression, self-harm, and suicidality) among a representative sample in Southeastern state (n = 4,668 total, n = 547 reported SRC experience). Logistic regressions indicated significant associations between youths' SRC experiences and depression (AOR = 1.32, p < .05), suicidality (e.g., attempted suicide AOR = 2.68, p < .001), and self-harm (AOR = 1.97, p < .001) while controlling for being bullied or teased, gender, age, race, and COVID-19's mental health impact. Contrary to prior findings: (1) SRC associations with self-harm and suicide attempts were consistent across genders; and (2) African American students with SRC were significantly more likely to experience depression, self-harm, suicide planning, and attempts than peers without SRC. Results indicated mental health resilience post-concussion for Latinx youth. Implications advocate population-specific health promotion measures that address vulnerabilities and protective factors while emphasizing SRC education for parents, coaches, and young athletes for timely psychological evaluation and support.
与运动相关的脑震荡（SRC）对年轻人的身心健康构成风险。在新冠疫情期间，我们在东南部一个州的代表性样本（共4668人，547人报告有SRC经历）中研究了青少年的SRC经历与内化问题（抑郁、自我伤害和自杀倾向）之间的联系。逻辑回归表明，在控制了被欺负或被取笑、性别、年龄、种族以及新冠疫情对心理健康的影响后，青少年的SRC经历与抑郁（优势比[AOR]=1.32，p<0.05）、自杀倾向（例如自杀未遂AOR=2.68，p<0.001）和自我伤害（AOR=1.97，p<0.001）之间存在显著关联。与先前的研究结果相反：（1）SRC与自我伤害和自杀未遂的关联在不同性别中是一致的；（2）有SRC经历的非裔美国学生比没有SRC经历的同龄人更有可能出现抑郁、自我伤害、自杀计划和自杀未遂。结果表明拉丁裔青少年在脑震荡后具有心理健康恢复力。研究结果提倡采取针对特定人群的健康促进措施，解决脆弱性和保护因素，同时强调对家长、教练和年轻运动员进行SRC教育，以便及时进行心理评估和提供支持。
