Psychosocial factors associated with time to recovery following concussion in adolescent ice hockey players
department or school: Medicine, Faculty of
department or school: Other UBC
department or school: Non UBC
department or school: Pediatrics, Department of
data provider: DSpace
identifier citation: Luszawski, C., et al. Psychosocial Factors Associated With Time to Recovery After Concussion in Adolescent Ice Hockey Players. Clinical Journal of Sport Medicine 34(3):p 256-265, May 2024
contributor: B.C. Injury Research and Prevention Unit
contributor: Children's Hospital (Vancouver, B.C.)
creator: Luszawski, Caroline A.
creator: Plourde, Vickie
creator: Sick, Stacy R.
creator: Galarneau, Jean-Michel
creator: Eliason, Paul H.
creator: Brooks, Brian L.
creator: Mrazik, Martin
creator: Debert, Chantel T.
creator: Lebrun, Constance
creator: Babul, Shelina
creator: Hagel, Brent E.
creator: Dukelow, Sean P.
creator: Schneider, Kathryn J.
creator: Emery, Carolyn A.
creator: Yeates, Keith Owen
issued: 2025-05-31T07:00:00Z
issued: 2024-05
description: Objective: To investigate the association between psychosocial factors and physician clearance to return to play (RTP) in youth ice hockey players following sport-related concussion. Design: Prospective cohort study, Safe-to-Play (2013-2018). Setting: Youth hockey leagues in Alberta and British Columbia, Canada. Participants: 353 ice hockey players (aged 11-18 years) who sustained a total of 397 physician63 diagnosed concussions. Independent Variables: Psychosocial variables. Main Outcome Measures: Players and parents completed psychosocial questionnaires preinjury. Players with a suspected concussion were referred for a study physician visit, during which they completed the Sport Concussion Assessment Tool (SCAT3/SCAT5) and single question ratings of distress and expectations of recovery. Time to recovery (TTR) was measured as days between concussion and physician clearance to RTP. Accelerated failure time models estimated the association of psychosocial factors associated with TTR, summarized with time ratios (TR). Covariates included age, sex, body checking policy, days from concussion to initial physician visit, and symptom severity at initial physician visit. Results: Self-report of increased peer-related problems on the Strengths and Difficulties Questionnaire (TR, 1.10 [95% CI, 1.02-1.19]), higher ratings of distress about concussion outcomes by participants (TR, 1.06 [95% CI, 1.01-1.11]) and parents (TR, 1.05 [95% CI, 1.01- 1.09]), and higher parent ratings of distress about their child’s well-being at the time of injury (TR, 1.06 [95% CI, 1.02-1.09]), were associated with longer recovery. Conclusions: Greater pre-existing peer-related problems and acute distress about concussion outcomes and youth well-being predicted longer TTR. Treatment targeting these psychosocial factors following concussion may promote recovery.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/88265
note: This is a non-final version of an article published in final form in Luszawski, Caroline A. MSc*,†; Plourde, Vickie PhD‡,§,¶; Sick, Stacy R. BSc, CAT(C)║; Galarneau, Jean-Michel PhD║; Eliason, Paul H. PhD║; Brooks, Brian L. PhD*,†,**,††; Mrazik, Martin PhD‡‡; Debert, Chantel T. MD, MSc§§,¶¶; Lebrun, Constance MDCM║║; Babul, Shelina PhD***; Hagel, Brent E. PhD†,║,†††; Dukelow, Sean P. MD, PhD§§,¶¶,‡‡‡; Schneider, Kathryn J. PhD†,║,¶¶,§§§; Emery, Carolyn A. PhD†,║,¶¶,†††; Yeates, Keith Owen PhD*,†,¶¶. Psychosocial Factors Associated With Time to Recovery After Concussion in Adolescent Ice Hockey Players. Clinical Journal of Sport Medicine 34(3):p 256-265, May 2024. | DOI: 10.1097/JSM.0000000000001187 Psychosocial Factors Associated with Time to Recovery Following Concussion in Adolescent 1 Ice Hockey Players 2 3 Caroline A Luszawski, MSc1,2, Vickie Plourde, PhD3-5, Stacy R Sick, BSc, CAT(C)6, Jean-Michel 4 Galarneau, PhD6, Paul H Eliason, PhD6, Brian L Brooks, PhD1,2,7,8, Martin Mrazik, PhD9, Chantel T 5 Debert, MD, MSc10,11, Constance Lebrun, MDCM12, Shelina Babul, PhD13, Brent E Hagel, 6 PhD2,6,14, Sean P Dukelow MD PhD10,11,15, Kathryn J Schneider, PhD2,6,11,16, Carolyn A Emery 7 PhD,2,6,11,17, Keith Owen Yeates, PhD1,2,11 8 9 1University of Calgary Department of Psychology, Alberta, Canada 10 2Alberta Children’s Hospital Research Institute, Alberta, Canada 11 3School of Psychology, Université de Moncton, New Brunswick, Canada 12 4Centre de formation médicale du Nouveau-Brunswick, Université de Sherbrooke, New 13 Brunswick, Canada 14 5Faculté Saint-Jean, University of Alberta, Alberta, Canada 15 6Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Alberta, 16 Canada 17 7Alberta Children’s Hospital, Neurosciences Program, Alberta, Canada 18 8University of Calgary, Departments of Pediatrics and Clinical Neurosciences 19 9Department of Educational Psychology, University of Alberta 20 10Department of Clinical Neurosciences, Universit…
has type: Article
has type: Postprint
is shown at: 10.14288/1.0442430
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher DOI: 10.1097/JSM.0000000000001187
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Faculty
scholar level: Researcher
scholar level: Postdoctoral
scholar level: Graduate
subject: concussion
subject: psychosocial
subject: recovery
subject: child
subject: adolescent
subject: brain injury
subject: Children and youth (0-19)
subject: Concussion/traumatic brain injury
type: Text
identifier URI: http://hdl.handle.net/2429/88265