The underreporting of self-reported symptoms following sports-related concussion
Deutscher übersetzter Titel: | Mangelnde Selbstangabe von Symptomen nach sportbedingter Gehirnerschütterung |
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Autor: | Meier, Timothy B.; Brummel, Bradley J.; Singh, Rashmi; Nerio, Christopher J.; Polanski, David W.; Bellgowan, Patrick S.F. |
Erschienen in: | Journal of science and medicine in sport |
Veröffentlicht: | 18 (2015), 5, S. 507-511, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1440-2440, 1878-1861 |
DOI: | 10.1016/j.jsams.2014.07.008 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201511008842 |
Quelle: | BISp |
Abstract
Objectives: This cohort study was conducted to examine patterns of symptom reporting in concussed athletes in two different testing environments. Design: A prospective cohort study was conducted with repeated measures. Methods: Self-reported symptoms collected by team athletic trainers using the ImPACT Post-Concussion Scale (PCS) were compared to symptoms collected in a confidential setting using structured interviews for depression and anxiety. Ratings were scaled to match scoring of the PCS and categorized into symptom-domains. Scores collected 2 days post-concussion were compared across different rating scales. Confidential self-report scores approximately 9 days post-concussion in cleared athletes were compared to PCS scores collected during return-to-play decisions. Finally, confidential self-report scores collected 9 days post-concussion were compared between cleared and not cleared athletes. Results: Athletes self-reported significantly fewer symptoms to team athletic trainers using the ImPACT test compared to self-reported symptoms collected in a confidential setting during the acute phase of concussion using standard psychiatric interviews. Athletes cleared to play continued to underreport symptoms 9 days post-concussion, particularly psychiatric symptoms. Finally, cleared athletes self-reported similar magnitude of symptoms than non-cleared athletes 9 days post-concussion in confidential research setting. Conclusions: The systematic underreporting of post-concussion symptoms may represent motivated behavior or differences in self-reporting data acquisition. By underreporting symptoms, many cleared athletes are still symptomatic over 1-week post-concussion. This study highlights the need for objective measures for somatic and psychiatric symptoms. Verf.-Referat