在前职业足球运动员中感知慢性创伤性脑病和自杀倾向
Rachel Grashow1,2, Douglas P Terry3, Grant L Iverson4,5,6,7
1Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts.
JAMA neurology
|September 23, 2024
概括
大约三分之一的前职业美国式足球运动员认为他们患有CTE. 感知到的CTE与增加的自杀倾向和认知问题有关,突出了全面健康评估的必要性.
科学领域:
- 神经学 神经学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 美国式足球 (ASF) 的参与与慢性创伤性脑病变神经病理变化 (CTE-NC) 有关.
- CTE-NC是一种死后诊断,但活着的前球员可能会觉得他们患有CTE.
- 活着的前ASF玩家中感知到的CTE和自杀倾向的患病率和相关值在很大程度上是未知的.
研究的目的:
- 确定活着的前职业ASF球员中认为自己患有CTE的比例.
- 为了确定与感知到的CTE相关的临床相关性.
- 检查那些被认为是CTE的人中自杀倾向的流行率和相关性.
主要方法:
- 在哈佛大学的足球运动员健康研究中,使用了2017-2020年间进行的调查进行的横截面研究.
- 包括前职业ASF球员 (1960-2020年合同).
- 分析了人口统计数据,足球暴露,健康问题和自杀倾向与感知的CTE相关.
主要成果:
- 在1980年的参与者中,有34.4%的人报告感知到CTE.
- 感知到的CTE与主观认知困难,低丸激素,头痛,脑震荡史,抑郁症状,疼痛和年轻年龄有关.
- 25.4%的感知CTE患者报告有自杀倾向,而没有CTE患者则为5.0%;感知CTE的自杀倾向风险翻了一番 (OR2.06).
结论:
- 感知CTE影响了前职业ASF球员的很大一部分.
- 感知到的CTE与增加自杀倾向和健康问题有关,特别是认知障碍.
- 感知到的CTE可能是自杀倾向的危险因素,需要进行彻底的医学和行为评估.
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