Mild Traumatic Brain Injury and Attention-Deficit Hyperactivity Disorder in Young Student Athletes

被引：54
|
作者：
Biederman, Joseph [1 ,2 ]
Feinberg, Leah [1 ]
Chan, James [1 ]
Adeyemo, Bamidele O. [2 ,3 ]
Woodworth, K. Yvonne [1 ]
Panis, Walter [4 ]
McGrath, Neal [5 ]
Bhatnagar, Saurabha [2 ,4 ]
Spencer, Thomas J. [1 ,2 ]
Uchida, Mai [1 ,2 ]
Kenworthy, Tara [1 ]
Grossman, Rebecca [1 ]
Zafonte, Ross [2 ,4 ]
Faraone, Stephen V. [6 ,7 ,8 ]
机构：
[1] Massachusetts Gen Hosp, Clin & Res Programs Pediat Psychopharmacol & Adul, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Emory Univ, Sch Med, Dept Phys Med & Rehabil, Atlanta, GA USA
[4] Massachusetts Gen Hosp, Spaulding Rehabil Hospital, Dept Phys Med & Rehabil, Charlestown, MA USA
[5] Sports Concuss New England, Brookline, MA USA
[6] SUNY Upstate Med Univ, Dept Neurosci, Syracuse, NY 13210 USA
[7] SUNY Upstate Med Univ, Dept Physiol, Syracuse, NY 13210 USA
[8] Univ Bergen, KG Jebsen Ctr Res Neuropsychiat Disorders, Bergen, Norway
来源：
JOURNAL OF NERVOUS AND MENTAL DISEASE | 2015年 / 203卷 / 11期
关键词：
Traumatic brain injury; mild; attention-deficit hyperactivity disorder; student athlete; DEFICIT/HYPERACTIVITY DISORDER; RECURRENT CONCUSSION; HEAD-INJURY; CHILDREN; IMPACT; ENCEPHALOPATHY; ADOLESCENTS; RECOVERY; ADULTS; ADHD;
D O I：
10.1097/NMD.0000000000000375
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A recent meta-analysis documented a significant statistical association between mild traumatic brain injury (mTBI) and attention deficit hyperactivity disorder (ADHD) (Adeyemo et al., 2014), but the direction of this effect was unclear. In this study, we hypothesized that ADHD would be an antecedent risk factor for mTBI. Participants were student athletes ages 12 to 25 who had sustained a mTBI and Controls of similar age and sex selected from studies of youth with and without ADHD. Subjects were assessed for symptoms of ADHD, concussion severity, and cognitive function. mTBI subjects had a significantly higher rate of ADHD than Controls, and in all cases the age of onset of ADHD was before mTBI onset. mTBI+ADHD subjects also had more severe concussion symptoms (fatigue and poor concentration) than mTBI-ADHD subjects. These results support ADHD as an antecedent risk factor for mTBI in student athletes and that its presence complicates the course of mTBI.
引用
收藏
页码：813 / 819
页数：7
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