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    Temporal Changes in Depression and Neurocognitive Performance in Collegiate Student-Athletes: A Repeated Measures Evaluation Pre- and Post-Concussion Injury

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    Genre
    Thesis/Dissertation
    Date
    2014
    Author
    McGuire, Lindsey C.
    Advisor
    Sachs, Michael L.
    Committee member
    Tierney, Ryan T.
    Ingram, Yvette M.
    DuCette, Joseph P.
    Department
    Kinesiology
    Subject
    Kinesiology
    Mental Health
    Medicine
    Concussion
    Depression
    Sports Medicine
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/3261
    
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    DOI
    http://dx.doi.org/10.34944/dspace/3243
    Abstract
    The study had three purposes: 1.) examine the temporal change in depression symptoms among collegiate student-athletes throughout a fall athletic season, 2.) identify the course of depression in student-athletes pre- and post-concussion injury, and 3.) examine the relationship between neurocognitive performance and depression at baseline and post-concussion injury. Depression symptoms were measured every two weeks, beginning at pre-season baseline, until the end of the athletic season using the Patient Health Questionnaire-9 (PHQ-9). The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) exam was used to measure neurocognitive performance at baseline and post-concussion. A total of 593 (92.1%) participants were used in the depression analyses. On average, nearly a third of the athletes endorsed minimal levels of depression symptoms across the fall athletic season. Across the entire athletic season, 3.7% of student-athletes had their PHQ-9s red-flag for moderate to severe depression symptoms. Significant differences were found in depression symptoms across time, and by sex. At pre-season baseline, higher depression symptoms were significantly correlated with decreased scores on Visual Memory, Visual Motor Speed, and Total Symptom Score, and increased Reaction Time. A total of 27 concussed athletes were used in the concussion and depression analyses. No significant differences were found between depression symptoms pre-concussion and any of the post-concussion time intervals. At 1 week post-concussion, elevated depression symptoms were significantly correlated with slower Reaction Time and higher Total Symptom Scores at 1 week post-concussion, and increased Impulse Control and Total Symptom Scores at 3-5 months post-concussion. These results demonstrate the need to evaluate depression symptoms at pre-season baseline, across the athletic season, and post-concussion in collegiate student-athletes.
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