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Second Round Abstract Submissions
7) Recovery
7.19 Psychosocial targets for concussion recovery in youth ice hockey players: the influence of peers, distress, and well-being
  1. Caroline A Luszawski1,2,
  2. Vickie Plourde3,4,5,
  3. Stacy R Sick6,7,
  4. Jean-Michel Galarneau6,7,
  5. Martin Mrazik8,
  6. Brian L Brooks2,9,10,
  7. Chantel T Debert11,12,
  8. Sean Dukelow12,13,
  9. Kathryn J Schneider2,6,7,12,14,
  10. Keith Owen Yeates1,2,15,
  11. Carolyn A Emery6,7,16
  1. 1University of Calgary Department of Psychology, Calgary, Canada
  2. 2Alberta Children’s Hospital Research Institute, Calgary, Canada
  3. 3School of Psychology, Université de Moncton, Moncton, Canada
  4. 4Centre de formation médicale du Nouveau-Brunswick, Université de Sherbrooke, Sherbrooke, Canada
  5. 5Faculté Saint-Jean, University of Alberta, Edmonton, Canada
  6. 6Sport Injury Prevention Research Centre University of Calgary, Calgary, Canada
  7. 7University of Calgary Faculty of Kinesiology, Calgary, Canada
  8. 8Department of Educational Psychology, University of Alberta, Edmonton, Canada
  9. 9Neurosciences Program, Alberta Children’s Hospital, Calgary, Canada
  10. 10Departments of Pediatrics, Clinical Neurosciences, and Psychology, University of Calgary, Calgary, Canada
  11. 11Department of Clinical Neurosciences, University of Calgary, Calgary, Canada
  12. 12Hotchkiss Brain Institute, Calgary, Canada
  13. 13Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
  14. 14Sport Medicine Centre University of Calgary, Calgary, Canada
  15. 15Departments of Pediatrics and Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
  16. 16Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada

Abstract

Objective To investigate the association of baseline psychosocial factors (quality of life, emotional adjustment, resilience, perfectionism, parental involvement) and initial post-concussion assessment (acute distress and recovery expectations) with time to recovery (TTR) in youth ice hockey players.

Design Planned sub-study within a longitudinal cohort study, Safe-to-Play (2013–2018).

Setting Ice rinks and sport medicine centres.

Participants 350 ice hockey players (aged 11–18 years; 87% males) with physician diagnosed concussion.

Interventions (or Assessment of Risk Factors) Players and parents completed preseason baseline questionnaires [Pediatric Quality of Life, Strengths and Difficulties (SDQ), Connor-Davidson Resilience Scale 10, Sport Multidimensional Perfectionism Scale, Parent Involvement in Sport Questionnaire]. Study physicians assessed players with suspected concussion within seven days of injury and ratings of distress, recovery expectations, and Sport Concussion Assessment Tool (SCAT3/SCAT5) were completed.

Outcome Measures TTR defined as time between concussion and physician clearance to return to play (recovery).

Main Results Several factors were associated with longer recovery. More self-reported SDQ peer problems [time ratio (TR)=1.10, 95% confidence interval (CI); 1.02–1.19] accounted for 8.47% of the explained variability. Higher self- (TR=1.06, 95% CI; 1.01–1.11) and parent-reported distress (TR=1.05, 95% CI; 1.01–1.09) about concussion outcomes accounted for 9.66% and 7.71% of explained variability, respectively. Higher parent-rated distress regarding child’s well-being at time of concussion (TR=1.06, 95% CI; 1.02–1.09) accounted for 8.90% of explained variability – these measures were all associated with longer recovery.

Conclusions Greater peer-problems, distress about concussion outcomes, and well-being were associated with longer TTR in youth ice hockey players following concussion. Targeting psychosocial factors for intervention may promote recovery.

https://doi.org/10.1136/bjsports-2023-concussion.312

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