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The Long-Term Mental Health Consequences in Women Following a Concussion.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Long-Term Mental Health Consequences in Women Following a Concussion./
Author:	Vartananian, Tina.
other author:	James, Jade
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	75 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-08, Section: B.
Contained By:	Dissertations Abstracts International85-08B.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30992065
ISBN:	9798381698695

The Long-Term Mental Health Consequences in Women Following a Concussion.
Vartananian, Tina.

The Long-Term Mental Health Consequences in Women Following a Concussion. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 75 p.

Source: Dissertations Abstracts International, Volume: 85-08, Section: B.

Thesis (D.P.T.)--Azusa Pacific University, 2024.

Background. There is growing clinical interest and awareness regarding long-term mental health issues in females who have experienced a concussion, as learning about this topic has the potential to aid in injury prevention and interventions in this population. Although there is an abundance of research on concussions, research on concussions in the female population is severely limited. The purpose of the systematic review (SR) was to examine the long-term effects concussions have on mental health, including decreased quality of life (QOL) in regard to depression, anxiety, and poor sleep. We hypothesized that there would be residual symptoms of mental health issues after the acute phases of a concussion. The purpose of the critically appraised topic (CAT) was to examine the relationship between the use of hormonal contraceptives (HC) versus non-HC and its effects on the recovery rate and susceptibility to concussions in the female population.{A0}Methods. Four researchers used five electronic databases to perform an extensive systematic search from August to November 2023. The SR and the CAT consisted of seven and three studies, respectively, that met all inclusion and exclusion criteria. Exclusion criteria for the SR included any articles written before 2018, not scholarly and peer-reviewed, not in English, male populations, subjects not between the ages of 18-64, not full text, acute concussions, and non-human subjects. The exclusion criteria for the CAT included any articles written before 2018, not in English, and not scholarly and peer-reviewed. The SR studies looked at research evaluating the mental health effects on women post-concussion, while the CAT studies looked at the effects of HC on concussion occurrence and recovery. All studies for the SR and CAT were independently appraised using the National Institutes of Health-National Heart, Lung, and Blood{A0}Institute (NIH-NHLBI) quality of evidence tool, along with the Oxford Centre for Evidence-Based Medicine (OCEBM) to determine the level of evidence. Results. In the SR, it was determined that women have a higher likelihood of developing mental health conditions such as post-traumatic stress disorder (p < .001), anxiety (p < .001), attention deficit hyperactivity disorder (ADHD) (p < .001), poorer sleep quality (p < .001), and burnout symptoms (p < .001) following a concussion. In the CAT, no significant difference was found in the length of recovery (LOR) between HC users and non-HC users following a concussion. However, females who were currently not on HC were determined to have increased symptom severity post-concussion. Conclusions. Evidence from the SR revealed that concussions or mild traumatic brain injuries (mTBI) have the potential to negatively impact the mental health of females in the long term. There were limited data available on the female population, and many outcome measures provided did not separate data by sex and were subjective in nature. However, from the research available on the topic, it was determined that females have an increased likelihood of developing some sort of mental health illness following a concussion. These included increased symptoms of anxiety, depression, ADHD, PTSD, burnout, and poor sleep quality. The CAT showed that women on HC have a decrease in estrogen and progesterone levels during a 9-day window from the late luteal phase to the first few days of menstruation. Due to this decrease in hormone levels, females were found to be more susceptible to concussions during this timeframe. Additional articles yielded conflicting results, with no significant difference in length of recovery following a concussion between non-HC users and HC users; however, non-HC users did have increased symptom severity following a concussion compared to HC users. Limitations for this{A0}study included small sample sizes and subjective reporting of menstrual cycles and outcome measures such as hormone dosage and levels of hormones present in the female's bloodstream were not measured.{A0}

ISBN: 9798381698695Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Concussions

The Long-Term Mental Health Consequences in Women Following a Concussion.
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500 $a Source: Dissertations Abstracts International, Volume: 85-08, Section: B.
500 $a Advisor: Harper, Brent.
502 $a Thesis (D.P.T.)--Azusa Pacific University, 2024.
520 $a Background. There is growing clinical interest and awareness regarding long-term mental health issues in females who have experienced a concussion, as learning about this topic has the potential to aid in injury prevention and interventions in this population. Although there is an abundance of research on concussions, research on concussions in the female population is severely limited. The purpose of the systematic review (SR) was to examine the long-term effects concussions have on mental health, including decreased quality of life (QOL) in regard to depression, anxiety, and poor sleep. We hypothesized that there would be residual symptoms of mental health issues after the acute phases of a concussion. The purpose of the critically appraised topic (CAT) was to examine the relationship between the use of hormonal contraceptives (HC) versus non-HC and its effects on the recovery rate and susceptibility to concussions in the female population.{A0}Methods. Four researchers used five electronic databases to perform an extensive systematic search from August to November 2023. The SR and the CAT consisted of seven and three studies, respectively, that met all inclusion and exclusion criteria. Exclusion criteria for the SR included any articles written before 2018, not scholarly and peer-reviewed, not in English, male populations, subjects not between the ages of 18-64, not full text, acute concussions, and non-human subjects. The exclusion criteria for the CAT included any articles written before 2018, not in English, and not scholarly and peer-reviewed. The SR studies looked at research evaluating the mental health effects on women post-concussion, while the CAT studies looked at the effects of HC on concussion occurrence and recovery. All studies for the SR and CAT were independently appraised using the National Institutes of Health-National Heart, Lung, and Blood{A0}Institute (NIH-NHLBI) quality of evidence tool, along with the Oxford Centre for Evidence-Based Medicine (OCEBM) to determine the level of evidence. Results. In the SR, it was determined that women have a higher likelihood of developing mental health conditions such as post-traumatic stress disorder (p < .001), anxiety (p < .001), attention deficit hyperactivity disorder (ADHD) (p < .001), poorer sleep quality (p < .001), and burnout symptoms (p < .001) following a concussion. In the CAT, no significant difference was found in the length of recovery (LOR) between HC users and non-HC users following a concussion. However, females who were currently not on HC were determined to have increased symptom severity post-concussion. Conclusions. Evidence from the SR revealed that concussions or mild traumatic brain injuries (mTBI) have the potential to negatively impact the mental health of females in the long term. There were limited data available on the female population, and many outcome measures provided did not separate data by sex and were subjective in nature. However, from the research available on the topic, it was determined that females have an increased likelihood of developing some sort of mental health illness following a concussion. These included increased symptoms of anxiety, depression, ADHD, PTSD, burnout, and poor sleep quality. The CAT showed that women on HC have a decrease in estrogen and progesterone levels during a 9-day window from the late luteal phase to the first few days of menstruation. Due to this decrease in hormone levels, females were found to be more susceptible to concussions during this timeframe. Additional articles yielded conflicting results, with no significant difference in length of recovery following a concussion between non-HC users and HC users; however, non-HC users did have increased symptom severity following a concussion compared to HC users. Limitations for this{A0}study included small sample sizes and subjective reporting of menstrual cycles and outcome measures such as hormone dosage and levels of hormones present in the female's bloodstream were not measured.{A0}
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650 4 $a Clinical psychology. $3 524863
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653 $a Female population
653 $a Hormone levels
653 $a Mild traumatic brain injury
653 $a Depression
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700 1 0 $a Rivera, Yvonne $e joint author $3 3771228
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