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Concussion history associated with adolescent psychological distress but not hazardous gambling: a cross-sectional study

Andersson, Mitchell LU orcid ; Kapetanovic, Sabina ; Håkansson, Anders C LU and Claesdotter-Knutsson, Emma LU (2024) In BMC psychology 12(1).
Abstract
Background
Sustaining multiple concussions over one’s lifetime may be associated with behavioral and mood changes beyond the acute phase of injury. The present cross-sectional study examined the relationship between concussion history, the incidence of current moderate-severe psychological distress, and lifetime adolescent hazardous gambling in high school students.

Methods
Four-hundred fifty-nine high school students from southern Sweden (age: 16.81 ± 0.83, 58.2% male) completed a survey assessing concussion history (0,1,2…>8), psychological distress using the Kessler-6 scale, and lifetime hazardous gambling using the NODS-CLiP scale.

Results
Participants who self-reported three or more concussions were... (More)
Background
Sustaining multiple concussions over one’s lifetime may be associated with behavioral and mood changes beyond the acute phase of injury. The present cross-sectional study examined the relationship between concussion history, the incidence of current moderate-severe psychological distress, and lifetime adolescent hazardous gambling in high school students.

Methods
Four-hundred fifty-nine high school students from southern Sweden (age: 16.81 ± 0.83, 58.2% male) completed a survey assessing concussion history (0,1,2…>8), psychological distress using the Kessler-6 scale, and lifetime hazardous gambling using the NODS-CLiP scale.

Results
Participants who self-reported three or more concussions were more likely to endorse moderate-severe symptoms of psychological distress than those with no concussion history while controlling for covariates, OR = 2.71, 95% CI [1.19, 6.18]. In contrast, concussion history was not associated with hazardous gambling after controlling for confounding variables.

Conclusions
Self-reporting three or more concussions was associated with increased current psychological distress beyond the acute phase of injury among high school students. Adolescents who have sustained multiple concussions should undergo mental health evaluations beyond the acute phase of injury to identify and treat psychological distress, but probing for hazardous gambling may not be clinically relevant in this previously concussed adolescent population.

Peer Review reports (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC psychology
volume
12
issue
1
article number
329
publisher
BioMed Central (BMC)
external identifiers
  • pmid:38840182
  • scopus:85195348311
ISSN
2050-7283
DOI
10.1186/s40359-024-01830-6
language
English
LU publication?
yes
id
e0ec7c0d-70ab-4361-beff-2026135a15f4
date added to LUP
2024-06-12 11:06:49
date last changed
2024-06-13 04:00:09
@article{e0ec7c0d-70ab-4361-beff-2026135a15f4,
  abstract     = {{Background<br/>Sustaining multiple concussions over one’s lifetime may be associated with behavioral and mood changes beyond the acute phase of injury. The present cross-sectional study examined the relationship between concussion history, the incidence of current moderate-severe psychological distress, and lifetime adolescent hazardous gambling in high school students.<br/><br/>Methods<br/>Four-hundred fifty-nine high school students from southern Sweden (age: 16.81 ± 0.83, 58.2% male) completed a survey assessing concussion history (0,1,2…&gt;8), psychological distress using the Kessler-6 scale, and lifetime hazardous gambling using the NODS-CLiP scale.<br/><br/>Results<br/>Participants who self-reported three or more concussions were more likely to endorse moderate-severe symptoms of psychological distress than those with no concussion history while controlling for covariates, OR = 2.71, 95% CI [1.19, 6.18]. In contrast, concussion history was not associated with hazardous gambling after controlling for confounding variables.<br/><br/>Conclusions<br/>Self-reporting three or more concussions was associated with increased current psychological distress beyond the acute phase of injury among high school students. Adolescents who have sustained multiple concussions should undergo mental health evaluations beyond the acute phase of injury to identify and treat psychological distress, but probing for hazardous gambling may not be clinically relevant in this previously concussed adolescent population.<br/><br/>Peer Review reports}},
  author       = {{Andersson, Mitchell and Kapetanovic, Sabina and Håkansson, Anders C and Claesdotter-Knutsson, Emma}},
  issn         = {{2050-7283}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC psychology}},
  title        = {{Concussion history associated with adolescent psychological distress but not hazardous gambling: a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1186/s40359-024-01830-6}},
  doi          = {{10.1186/s40359-024-01830-6}},
  volume       = {{12}},
  year         = {{2024}},
}