ABSTRACT

Purpose: To determine the contributions of anxiety, depressive, and concussion symptoms and sleep quality to self-perceived recovery in adolescents with concussion.

Method: Adolescents aged 12–20 (n = 298) completed anxiety, depression, concussion symptoms, and sleep measures at an initial concussion clinic visit and three-month follow-up. At follow-up, they reported self-perceived recovery as percent back to normal.

Results: Injury-related factors alone did not predict self-perceived recovery (R²_Adj =.017, p =.074). More concurrent physical, mental health, and sleep symptoms explained 18.8% additional variance in poorer self-perceived recovery (R²_Adj Change =.188, p <.05). Physical symptoms (B_stand = −.292) and anxiety (B_stand = −.260) accounted for the most variance in self-perceived recovery.

Conclusion: Post-concussive symptoms, in particular anxiety and self-reported physical symptoms, seem to characterize protracted recovery. Self-perceived recovery as an outcome measure may provide a more holistic understanding of adolescents’ experiences after concussion.

摘要

目的：确定焦虑，抑郁和脑震荡症状以及睡眠质量对脑震荡青少年自我感觉恢复的影响。

方法：在初次脑震荡诊所就诊和三个月的随访中，年龄在12至20岁（n = 298）的青少年完成了焦虑，抑郁，脑震荡症状和睡眠措施。随访时，他们报告自我恢复的百分比为恢复正常的百分比。

结果：仅与伤害有关的因素并不能预测自我感知的恢复（R ² _Adj  = .017，p = .074）。同时出现的更多身体，心理健康和睡眠症状可以解释较差的自我感知恢复中的其他方差（R ²_调整变化= .188，p <.05）。身体症状（B _Stand  = −.292）和焦虑症（B _stand  = −.260）是自我感知恢复的最大差异。

结论：脑震荡后的症状，尤其是焦虑和自我报告的身体症状，似乎是长期恢复的特征。自我感知的恢复作为结果指标可能会提供对脑震荡后青少年经历的更全面的了解。