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Updated: May 14, 2025
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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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Changes in Coping Skills Throughout Concussion Recovery in College-Aged Individuals
Lilian A Klein1, Aaron J Zynda2, Megan Loftin3
1Michigan State University kleinli3@msu.edu @_LilianKlein.
Journal of Athletic Training
|May 13, 2025
Summary
College students with concussions showed impaired concentration skills acutely, which improved by full medical clearance. Other coping skills remained unaffected during concussion recovery, suggesting targeted interventions may be beneficial.
Area of Science:
- Sports Medicine
- Neuroscience
- Psychology
Background:
- Psychosocial factors significantly influence concussion recovery, impacting stress response and adherence to rehabilitation.
- Coping skills are hypothesized to play a crucial role in post-concussion recovery, yet evidence in college-aged individuals is limited.
Purpose of the Study:
- To compare changes in coping skills from acute to full medical clearance (FMC) in college students with and without concussions.
- To investigate the association between coping skills and concussion recovery outcomes.
Main Methods:
- A prospective cohort study involving 96 college-aged individuals (64 with concussion, 32 controls).
- The Athletic Coping Skills Inventory (ACSI-28) was administered at acute and FMC visits.
- Statistical analyses included 2x2 mixed ANOVA and multiple linear regressions.
Main Results:
- The concussion group exhibited significantly lower concentration skills at the acute visit compared to controls.
- Both groups showed significant increases in overall coping skills from the acute to FMC visit.
- No significant associations were found between ACSI-28 scores and concussion recovery outcomes.
Conclusions:
- Concentration skills are impaired in the acute phase of concussion recovery but improve by FMC in college students.
- Other coping skills measured by the ACSI-28 are not significantly affected throughout concussion recovery.
- Findings suggest that concentration may be a key area for intervention in concussion recovery.
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