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Psychosocial factors associated with time to recovery following concussion in adolescent ice hockey players Luszawski, Caroline A.; Plourde, Vickie; Sick, Stacy R.; Galarneau, Jean-Michel; Eliason, Paul H.; Brooks, Brian L.; Mrazik, Martin; Debert, Chantel T.; Lebrun, Constance; Babul, Shelina; Hagel, Brent E.; Dukelow, Sean P.; Schneider, Kathryn J.; Emery, Carolyn A.; Yeates, Keith Owen
Abstract
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.
Item Metadata
| Title |
Psychosocial factors associated with time to recovery following concussion in adolescent ice hockey players
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| Creator | |
| Contributor | |
| Date Issued |
2024-05
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| 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.
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| Subject | |
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| Type | |
| Language |
eng
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| Date Available |
2025-05-31
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| Provider |
Vancouver : University of British Columbia Library
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| Rights |
Attribution-NonCommercial-NoDerivatives 4.0 International
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| DOI |
10.14288/1.0442430
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| URI | |
| Affiliation | |
| 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
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| Publisher DOI |
10.1097/JSM.0000000000001187
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| Peer Review Status |
Reviewed
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| Scholarly Level |
Faculty; Researcher; Postdoctoral; Graduate
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| Rights URI | |
| Aggregated Source Repository |
DSpace
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Rights
Attribution-NonCommercial-NoDerivatives 4.0 International