检查抑郁症在运动相关脑震荡后基于表现和自我报告的认知功能之间的关系中的作用
McKenna S Sakamoto1, Garrett A Thomas1, Megan L Bradson1
1Department of Psychology, The Pennsylvania State University, University Park, PA 16802, USA.
概括
抑郁症影响运动员在脑震荡后如何感知他们的认知. 高抑郁症症状恶化了自我报告的认知问题,尤其是记忆力缺陷,这表明抑郁症管理是恢复的关键.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 心理学 心理学 心理学
背景情况:
- 与运动有关的脑震荡在大学运动员中很常见.
- 脑震荡后经常报告认知症状和抑郁症状.
- 客观认知表现,主观认知投诉和抑郁症之间的相互作用仍未得到充分探索.
研究的目的:
- 研究神经心理测试表现,自我报告的认知症状和大学运动员脑震荡后抑郁症状之间的关系.
- 为了确定抑郁症状是否适度或调解客观认知功能和主观认知投诉之间的联系.
主要方法:
- 110名体育相关脑震荡的大学运动员完成了神经心理测试,脑震荡后症状量表和贝克抑郁 inventory-fast屏幕.
- 层次线性回归分析通过神经心理表现和抑郁症状评估了自我报告认知的适度.
- 使用PROCESS宏观来检查间接影响,进行了调解分析.
主要成果:
- 抑郁症状显著缓解了记忆复合分数和自我报告的认知功能障碍之间的关系 (p=0.047).
- 记忆复合分数较低的运动员在经历较高的抑郁症状时报告了更多的认知功能障碍 (p<0.001).
- 抑郁症状部分介导了记忆表现和认知症状报告之间的关联 (间接效应 = -0.26).
结论:
- 抑郁症状在脑震荡后的记忆表现和认知症状报告之间的关系中起到缓和和部分调解作用.
- 患有高度抑郁症状和认知功能障碍的运动员在回归比赛的决定中需要进行彻底的评估.
- 针对抑郁症可能是运动员经历脑震荡后认知功能障碍的关键治疗策略.
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