焦虑和脑震荡症状之间的关系在参加一项空气运动随机对照试验的青少年中
Bernadette A D'Alonzo1,2, Douglas J Wiebe1,2, Christina L Master3,4,5
1Department of Biostatistics Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
NeuroRehabilitation
|August 28, 2023
概括
在青少年体育相关脑震荡 (SRC) 后的焦虑症状并没有延迟症状的缓解,但随着时间的推移与更高的症状得分有关. 运动类型没有改变这种关系.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 青少年健康 青少年健康
背景情况:
- 焦虑是运动相关脑震荡 (SRC) 后经常被忽视的情感症状.
- 未经治疗的焦虑可能会导致SRC的恢复时间延长.
- 了解焦虑的作用对于有效的青少年脑震荡管理至关重要.
研究的目的:
- 调查焦虑对SRC治疗青少年 (13-18岁) 临床康复的影响.
- 分析焦虑程度与症状解决时间之间的关系.
- 评估焦虑分数与康复期间症状严重程度之间的关联.
主要方法:
- 患有SRC的青少年被随机分配到有氧运动或拉伸组进行4周的干预.
- 生存分析评估了初始焦虑分数 (PROMIS焦虑) 和症状解决时间之间的联系.
- 线性混合模型评估了每周焦虑得分和症状严重程度 (PCSI) 之间的关系.
主要成果:
- 较高的初始焦虑评分与症状缓解的延迟没有显著关联 (p=0.62).
- 焦虑得分的每一个单位增加与症状严重程度得分的1.52个单位增加相关 (p<0.01).
- 焦虑和症状严重程度之间的关联无论干预组 (有氧运动与拉伸) 是否持续存在.
结论:
- 在青少年中,初始焦虑水平似乎不会显著延迟SRC后的症状解决.
- 在康复过程中,焦虑得分与较高的症状负担有显著的关联.
- 这些发现强调了在SRC恢复期间监测和管理焦虑的重要性,无论运动干预如何.
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