Sex and Age Differences in Depression and Baseline Sport-Related Concussion Neurocognitive Performance and Symptoms

Covassin, Tracey; Elbin, R.J.; Larson, Elizabeth; Kontos, Anthony P.

doi:10.1097/jsm.0b013e31823403d2

Cited by 191 publications

(148 citation statements)

References 22 publications

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“…Despite the fact that Covassin et al 13 found no differences between age groups and a number of conflicting results, we based our hypothesis on the most recent CIS consensus statement that regarded age as a predictor of a protracted recovery. We hypothesized that younger athletes, compared with older athletes, would: 1) endorse more symptoms postconcussion, 2) endorse increased symptom severity postconcussion, and 3) experience increased average time to return to symptom baseline as measured by the Total Symptom Scale (TSS).…”

Section: ©Aans 2013mentioning

confidence: 99%

“…23 Controversy exists regarding the relationship between age and symptoms of concussion. Covassin et al 13 tested 837 college and 779 high school athletes and found that high school athletes reported more baseline somatic/migraine symptoms than college athletes, whereas college athletes reported more emotional and sleep symptoms than high school athletes. 13 All participants with a history of TBI were excluded, and return to baseline symptoms after SRC was not investigated.…”

Section: ©Aans 2013mentioning

confidence: 99%

“…Covassin et al 13 tested 837 college and 779 high school athletes and found that high school athletes reported more baseline somatic/migraine symptoms than college athletes, whereas college athletes reported more emotional and sleep symptoms than high school athletes. 13 All participants with a history of TBI were excluded, and return to baseline symptoms after SRC was not investigated. In a separate, prospective study investigating the effect of age on symptom recovery after SRC, Covassin and colleagues 12 evaluated 150 high school and 72 college athletes who sustained concussions.…”

Section: ©Aans 2013mentioning

confidence: 99%

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Does age affect symptom recovery after sports-related concussion? A study of high school and college athletes

Lee

Odom

Zuckerman

et al. 2013

PED

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Object Sport-related concussions (SRCs) in high school and college athletes represent a significant public health concern. Research suggests that younger athletes fare worse symptomatically than older athletes after an SRC. Using reliable change index (RCI) methodology, the authors conducted a study to determine if there are age-related differences in number, severity, and resolution of postconcussion symptoms. Methods Between 2009 and 2011, baseline measures of neurocognitive functions and symptoms in high school and college athletes were entered into a regional database. Seven hundred forty of these athletes later sustained an SRC. Ninety-two athletes in the 13- to 16-year-old group and 92 athletes in the 18- to 22-year-old group were matched for number of prior concussions, sex, biopsychosocial variables, and days to first postconcussion testing and symptom assessment. A nonparametric Mann-Whitney U-test was used to compare the severity of each of 22 symptoms comprising the Total Symptom Scale (TSS) at baseline and first postconcussion test. To obtain a family-wise p value of 0.05 for each test, the significance level for each symptom comparison was set at an alpha of 0.05/22 = 0.0023. The number of days to return to baseline TSS score was compared using the RCI methodology, set at the 80% confidence interval, equal to a change in raw score of 9.18 points on the TSS. Results There was no statistically significant difference in symptom presence, symptom severity, and total symptoms between the age groups at baseline or at postconcussion testing. There was no statistically significant difference in return to baseline symptom scores between the age groups. Conclusions Using RCI methodology, there was no statistically significant difference between younger and older athletes in return to baseline symptoms postconcussion.

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Section: ©Aans 2013mentioning

confidence: 99%

Section: ©Aans 2013mentioning

confidence: 99%

Section: ©Aans 2013mentioning

confidence: 99%

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Does age affect symptom recovery after sports-related concussion? A study of high school and college athletes

Lee

Odom

Zuckerman

et al. 2013

PED

View full text Add to dashboard Cite

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“…Conversely, when investigating actual reporting behavior, found gender differences in the reporting of actual symptoms in a mixed high-school (n=150)/college athlete (n=72) cohort, with female athletes reporting more symptoms than male athletes at baseline and up to 14 days post concussion. A larger study by Covassin, Elbin III, et al (2012) involving athletes in high school (n=779) and college (n=837) observed no differences in concussion symptom reporting between genders. Similarly, Llewellyn, Burdette, Joyner, and Buckley (2014) reported no differences between gender in reporting of concussion symptoms.…”

Section: Influence Of Gender On Continuing To Play And/or Not Reportmentioning

confidence: 99%

“…A growing body of research has investigated differences in concussion and related outcomes between males and females (Colvin et al, 2009;Covassin, Elbin III, Larson, & Kontos, 2012;Covassin, Elbin, Harris, Parker, & Kontos, 2012;Covassin, Swanik, & Sachs, 2003). As a result Corvassin and colleagues Covassin et al, 2003) have proposed that women are at higher risk for concussion than men.…”

Section: Influence Of Gender On Continuing To Play And/or Not Reportmentioning

confidence: 99%

Do as I say: contradicting beliefs and attitudes towards sports concussion in Australia

Pearce

Young

Parrington

et al. 2016

Journal of Sports Sciences

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The objective of this study was to explore beliefs and attitudes of students studying exercise science in Australia towards sports concussion. A secondary objective explored differences between gender and previous experience of concussion. Three hundred and twelve participants (m = 217; f = 95) responded to a series of statements ranging across a number of areas including personal attitudes and beliefs towards concussion: if they would risk playing with a concussion; their views on elite/professional athletes who continue to play after a concussion; and attitudes towards rehabilitation. Overall, attitudes revealed that it was not safe to play with a concussion, and it was believed that those who have had repeated concussions would be likely to suffer problems later in life. However, responses also indicated that they would risk playing with a concussion, and admired elite athletes who continued to play. When controlling for gender and previous concussions, males and those who sustained a previous concussion/s were more likely to continue playing. Conversely, females were more likely to complete rehabilitation prior to returning to sport. This study demonstrates in an Australian student cohort studying for a career in exercise and sports science, disparity between beliefs and attitudes regarding sports concussion.3

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Functional Magnetic Resonance Imaging in Mild Traumatic Brain Injury

Mayer

Bellgowan

2014

Concussions in Athletics

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Sex and Age Differences in Depression and Baseline Sport-Related Concussion Neurocognitive Performance and Symptoms

Cited by 191 publications

References 22 publications

Does age affect symptom recovery after sports-related concussion? A study of high school and college athletes

Does age affect symptom recovery after sports-related concussion? A study of high school and college athletes

Do as I say: contradicting beliefs and attitudes towards sports concussion in Australia

Functional Magnetic Resonance Imaging in Mild Traumatic Brain Injury

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