创伤性脑病综合征的症状在社区居住的成年人中很常见
Douglas P Terry1, Anthony E Bishay2, Grant H Rigney3
1Department of Neurological Surgery, Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Suite 4340, 1500 21St Ave South, Nashville, TN, 37206, USA. Douglas.terry@vumc.org.
Sports medicine (Auckland, N.Z.)
|April 30, 2024
概括
许多没有头部冲击史的成年人表现出创伤性脑病综合征 (TES) 的症状. 心理健康,而不是体育史,似乎与这些TES特征有关,强调需要精细的诊断标准.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 精神病学是一个精神病学.
背景情况:
- 创伤性脑病综合征 (TES) 标准是基于重复的头部冲击,但研究不足.
- 本研究调查了健康成年人中拟议的核心TES临床特征的流行率.
研究的目的:
- 在一般成年人群中确定创伤性脑病综合征 (TES) 的核心临床特征的患病率.
- 探索重复的头部冲击 (特别是体育运动) 与TES特征之间的关联.
- 确定TES特征的其他潜在预测因素,如心理健康和睡眠.
主要方法:
- 这是一项通过ResearchMatch对1100名成年人进行的横截面调查.
- 根据2021年共识标准评估TES核心临床特征 (情节性记忆,执行功能,神经行为失调).
- 评估重复的头部冲击史,脑震荡史,心理健康,睡眠和慢性疼痛.
主要成果:
- 34.6%的参与者报告了至少一个渐进的核心TES特征.
- 接触性体育运动的重要历史与认可TES特征 (36.4%与32.8%) 没有关联.
- 当前的抑郁/焦虑,先前的精神疾病,睡眠问题和年轻的年龄是TES状态的重要预测因素.
- 在以前没有经历过神经创伤的个体中,31.0%的人支持TES特征,73.5%的焦虑/抑郁症患者报告特征,而没有这种特征的人则为20.2%.
结论:
- 相当多的成年人,特别是那些有心理健康症状的成年人,表现出核心的TES特征,而没有体育方面的头部冲击史.
- 与体育相关的重复头部冲击与TES特征无关;其他健康因素更具预测性.
- 研究结果强调需要在不同人群中验证和完善TES诊断标准,包括那些没有大量神经创伤暴露的人群.
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