Abstract

The purpose of this study was to compare athletes with high and low resilience scores on concussion outcomes, and identify significant predictors associated with protracted recovery (>30 days). Forty-five adolescent and young adult athletes (28 males; aged 15.13 ± 2.74; range of 11–22) were diagnosed with an SRC within 14 days of injury (M = 4.9 days) and grouped as high or low resilience based on score on the Connor-Davidson Resilience Scale-10 (CD-RISC-10). Primary dependent measures included days to full clearance, Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Depression Anxiety and Stress Scale–21 (DASS-21), and Vestibular/Ocular Motor Screening (VOMS). The low resilience group (n = 22) had a longer recovery (36.0 ± 27.6 vs 17.8 ± 11.2 days), endorsed more mood symptoms (PCSS Affective cluster; 3.8 ± 0.8 vs 0.9 ± 0.7), and were more likely to have VOMS scores above cut off (p = 0.01–0.02), compared to those with high psychological resilience (n = 23). Logistic regression found low resilience scores was the only significant predictor for protracted recovery among injury characteristics and risk factors. Psychological resilience is a critical factor associated with recovery time following sport-related concussions. Low resilience was also associated with other poor clinical outcomes, greater subjective symptom report, more severe vestibular dysfunction, and elevated levels of mood symptoms following injury.

摘要

本研究的目的是比较具有高和低弹性分数的运动员在脑震荡结果上的表现，并确定与长期恢复（>30 天）相关的重要预测因素。45 名青少年和年轻成年运动员（28 名男性；年龄 15.13 ± 2.74；范围为 11-22）在受伤后 14 天内（M = 4.9 天）被诊断出患有 SRC，并根据评分分为高弹性或低弹性Connor-Davidson Resilience Scale-10 (CD-RISC-10)。主要依赖测量包括完全清除天数、脑震荡后立即评估和认知测试 (ImPACT)、抑郁焦虑和压力量表-21 (DASS-21) 和前庭/眼球运动筛查 (VOMS)。低弹性组（n = 22) 恢复时间更长（36.0 ± 27.6 vs 17.8 ± 11.2 天），支持更多情绪症状（PCSS 情感集群；3.8 ± 0.8 vs 0.9 ± 0.7），并且更有可能 VOMS 评分高于截止值（p  = 0.01-0.02），与那些具有高心理弹性的人（n  = 23）相比。逻辑回归发现低弹性分数是损伤特征和风险因素中长期恢复的唯一重要预测因子。心理弹性是与运动相关脑震荡后恢复时间相关的关键因素。低弹性还与其他不良的临床结果、更多的主观症状报告、更严重的前庭功能障碍以及受伤后情绪症状水平升高有关。