scholarly journals The Influence of Self-Reported Tobacco Use on Baseline Concussion Assessments

2019 ◽  
Vol 185 (3-4) ◽  
pp. e431-e437 ◽  
Author(s):  
Sean P Roach ◽  
Megan N Houston ◽  
Karen Y Peck ◽  
Steven J Svoboda ◽  
Tim F Kelly ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Symptom Severity ◽  
Impulse Control ◽  
Scoring System ◽  
Brief Symptom Inventory ◽  
Symptom Inventory ◽  
Assessment Scores ◽  
Severity Scores ◽  
The Impact ◽  
Balance Error

Abstract Introduction Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affect these scores. The objective of this study was to compare baseline concussion assessment scores between service academy cadets who use and do not use tobacco. Methods Cadets completed a standard battery of concussion baseline assessments per standard of care and were classified into two groups: tobacco users (n = 1,232) and nonusers (n = 5,922). Dependent variables included scores on the Balance Error Scoring System, Standardized Assessment of Concussion, Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Brief Symptom Inventory-18, and Brief Sensation Seeking Scale (BSSS). Separate Mann–Whitney U-tests were used to compare all baseline assessment scores between groups with an adjusted P-value < 0.004. Results Cadets that used tobacco performed significantly worse on the impulse control (P < 0.001) section of the ImPACT, reported greater ImPACT symptom severity scores (P < 0.001), and were more likely to take risks as measured by the BSSS (P < 0.001). No differences were detected for Balance Error Scoring System, Standardized Assessment of Concussion, Brief Symptom Inventory-18, and Sport Concussion Assessment Tool-3 symptom scores, verbal memory, visual memory, visual-motor speed, or reaction time on the ImPACT (P > 0.004). Conclusions Tobacco users performed significantly worse than tobacco nonusers on the impulse control section of the ImPACT, reported greater symptom severity scores on the ImPACT, and were more likely to take risks as measured by the BSSS. Despite statistical significance, these results should be interpreted with caution, as the overall effect sizes were very small. Future research should examine the influence of tobacco use on recovery post-concussion.

scholarly journals Descriptive Values for Dancers on Baseline Concussion Tools

2017 ◽  
Vol 52 (11) ◽  
pp. 1035-1040 ◽  
Author(s):  
Lauren McIntyre ◽  
Marc Campo
Keyword(s):  
Symptom Severity ◽  
Scoring System ◽  
Assessment Tool ◽  
Standardized Assessment ◽  
Normative Values ◽  
Professional Status ◽  
Individualized Care ◽  
Severity Scores ◽  
Balance Error Scoring System ◽  
Balance Error

Context: Capturing baseline data before a concussion can be a valuable tool in individualized care. However, not all athletes, including dancers, have access to baseline testing. When baseline examinations were not performed, clinicians consult normative values. Dancers are unique athletes; therefore, describing values specific to dancers may assist those working with these athletes in making more informed decisions.Objective: To describe values for key concussion measures of dancers. Our secondary aim was to examine whether differences existed between sexes and professional status. Finally, we explored factors that may affect dancers' scores.Design: Cross-sectional study.Setting: Professional dance companies and a collegiate dance conservatory.Patients or Other Participants: A total of 238 dancers (university = 153, professional = 85; women = 171; men = 67; age = 21.1 ± 4.8 years).Main Outcome Measure(s): We calculated the total symptom severity from the Sport Concussion Assessment Tool–3rd edition; the Standardized Assessment of Concussion score; the modified Balance Error Scoring System score; and the King-Devick score for each participant. Group differences were analyzed with Mann-Whitney or t tests, depending on the data distribution. We used bivariate correlations to explore the effects of other potential influencing factors.Results: Participants demonstrated the following baseline outcomes: symptom severity = 16.6 ± 12.8; Standardized Assessment of Concussion = 27.5 ± 1.8; modified Balance Error Scoring System = 3.2 ± 3.1 errors; and King-Devick = 41.5 ± 8.2 seconds. A Mann-Whitney test revealed differences in King-Devick scores between female (40.8 ± 8.0 seconds) and male (43.4 ± 8.4 seconds) dancers (P = .04). An independent-samples t test also demonstrated a difference in modified Balance Error Scoring System scores between female (2.95 ± 3.1 errors) and male (3.8 ± 3.1 errors) dancers (P = .02). Age, hours of sleep, height, and history of concussion, depression, or injury did not display moderate or strong associations with any of the outcome measures.Conclusions: Dancers' symptom severity scores appeared to be higher than the values reported for other athletes. Additional studies are needed to establish normative values and develop a model for predicting baseline scores.

The impact of interpersonal violence in youth sport on adult psychopathology

2017 ◽  
Vol 41 (S1) ◽  
pp. S748-S748
Author(s):  
T. Vertommen ◽  
J. Kampen ◽  
N. Schipper-van Veldhoven ◽  
K. Uzieblo ◽  
F. Van Den Eede
Keyword(s):  
Sexual Violence ◽  
Interpersonal Violence ◽  
Child Protection ◽  
Mental Health Problems ◽  
Physical Violence ◽  
Youth Sport ◽  
Brief Symptom Inventory ◽  
Psychological Violence ◽  
Symptom Inventory ◽  
The Impact

IntroductionA recent cohort study in the Netherlands and Belgium showed that 38% of children experienced psychological violence, 11% physical violence, and 14% sexual violence in sport (Vertommen et al., 2016). This study aims to explore the long-term consequences on anxiety, depression and somatic complaints in adults who experienced psychological, physical or sexual violence in the specific context of organized youth sport.MethodsA web survey in a representative sample of adults, prescreened on having participated in organized sport before the age of 18 (n = 4043) was conducted. In this sample, depression, anxiety and somatic problems were assessed using the brief symptom inventory. A generalized linear model was used to quantify the impact of experiencing severe interpersonal violence in sport on psychopathology.ResultsAll three types of severe interpersonal violence (psychological, physical and sexual) were significantly associated with the total score and the subscales of the brief symptom inventory. The effect remains significant after controlling for socio-demographics, as well as disability, sexual orientation, adverse childhood experiences outside sport, recent trauma and family history of psychological problems.ConclusionsExperiencing interpersonal violence against in youth sport is associated with mental health problems in adulthood. This is an important finding to consider in child protection policy in sport.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Patterns of Symptom Report on the Brief Symptom Inventory

1986 ◽  
Vol 58 (2) ◽  
pp. 427-431 ◽  
Author(s):  
William D. Wood
Keyword(s):  
Symptom Severity ◽  
Strong Relationship ◽  
Brief Symptom Inventory ◽  
Low Grade ◽  
Depression And Anxiety ◽  
Symptom Report ◽  
Symptom Dimensions ◽  
Symptom Inventory ◽  
Global Indices ◽  
The Relationship

Three global indices of symptomatology summarize results of the Brief Symptom Inventory. This study attended to the relationship between global indices of symptom enumeration and symptom severity. Among profiles of 850 adult outpatients, a strong relationship existed between style of reporting symptoms, emphasizing number or intensity, and prominence of certain symptom dimensions. Patients reporting numerous low-grade symptoms were high on Somatization and Phobic Anxiety. Those with more intense focal symptoms were high on Depression and Anxiety. An explanation of results is offered by referring to features likely common among associated symptom dimensions.

scholarly journals A Pharmacist–Physician Collaboration to Optimize Benzodiazepine Use for Anxiety and Sleep Symptom Control in Primary Care

2016 ◽  
Vol 30 (4) ◽  
pp. 425-433 ◽  
Author(s):  
Shannon M. L. Furbish ◽  
Miranda E. Kroehl ◽  
Danielle F. Loeb ◽  
Huong Mindy Lam ◽  
Carmen L. Lewis ◽  
...  
Keyword(s):  
Primary Care ◽  
Symptom Severity ◽  
Primary Care Providers ◽  
Generalized Anxiety ◽  
Preliminary Results ◽  
Clinical Pharmacists ◽  
Severity Scores ◽  
Benzodiazepine Use ◽  
Collaborative Team ◽  
The Impact

Introduction: Benzodiazepines are prescribed inappropriately in up to 40% of outpatients. The purpose of this study is to describe a collaborative team-based care model in which clinical pharmacists work with primary care providers (PCPs) to improve the safe use of benzodiazepines for anxiety and sleep disorders and to assess the preliminary results of the impact of the clinical service on patient outcomes. Methods: Adult patients were eligible if they received care from the academic primary care clinic, were prescribed a benzodiazepine chronically, and were not pregnant or managed by psychiatry. Outcomes included baseline PCP confidence and knowledge of appropriate benzodiazepine use, patient symptom severity, and medication changes. Results: Twenty-five of 57 PCPs responded to the survey. PCPs reported greater confidence in diagnosing and treating generalized anxiety and panic disorders than sleep disorder and had variable knowledge of appropriate benzodiazepine prescribing. Twenty-nine patients had at least 1 visit. Over 44 total patient visits, 59% resulted in the addition or optimization of a nonbenzodiazepine medication and 46% resulted in the discontinuation or optimization of a benzodiazepine. Generalized anxiety symptom severity scores significantly improved (−2.0; 95% confidence interval (CI): −3.57 to −0.43). Conclusion: Collaborative team-based models that include clinical pharmacists in primary care can assist in optimizing high-risk benzodiazepine use. Although these findings suggest improvements in safe medication use and symptoms, additional studies are needed to confirm these preliminary results.

scholarly journals IMPACT Measures Tool: Scoring Guidebook

2021 ◽  
Author(s):  
Carly Champagne ◽  
Alison Mattek ◽  
Grace Lin ◽  
Philip Fisher ◽  
Tyson Barker
Keyword(s):  
Scoring System ◽  
Cultural Relevance ◽  
Assessment Scores ◽  
System P ◽  
The Impact

This document outlines how the four categories– cost, usability, cultural relevance (CR), and technical merit (TM)— assessment scores were calculated for the IMPACT Measures Tool. In our ongoing refinement of the IMPACT scoring system, we are continuously researching the information provided by measure developers so as to incorporate these details into how a measure is scored by our system.

scholarly journals Influence of Self-reported Fatigue and Sex on Baseline Concussion Assessment Scores

2019 ◽  
Vol 7 (1) ◽  
pp. 232596711881751 ◽  
Author(s):  
Patricia R. Combs ◽  
Cassie B. Ford ◽  
Kody R. Campbell ◽  
Kevin A. Carneiro ◽  
Jason P. Mihalik
Keyword(s):  
Symptom Severity ◽  
Female Athletes ◽  
Vital Signs ◽  
Current Data ◽  
Neurological Deficits ◽  
Test Accuracy ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Assessment Scores ◽  
Severity Scores

Background: Baseline concussion assessments are advocated to provide an objective preinjury point of comparison for determining the extent of postconcussion neurological deficits and to assist with return-to-activity decision making. Many factors, including testing environment, proctor availability, and testing group size, can influence test accuracy and validity; however, it is unknown how self-reported fatigue affects test scores. Purpose: To investigate the influence of self-reported fatigue and patient sex on baseline concussion assessment scores. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Participants included 494 healthy Division I college student-athletes (221 women, 273 men; mean ± SD age, 20.0 ± 1.3 years). During preseason baseline testing, participants were asked to rate their fatigue on a scale from 0 to 100 based on how they normally feel and function each day (0, completely exhausted; 100, completely awake and alert). Each participant then completed a multimodal baseline concussion assessment, including a graded symptom checklist (number of symptoms endorsed and total symptom severity score), Standardized Assessment of Concussion (SAC), Balance Error Scoring System (BESS), and CNS Vital Signs computerized neurocognitive testing. Multiple linear regressions tested whether self-reported fatigue and sex predicted baseline concussion examination scores. Results: Athletes with higher self-reported fatigue levels (ß = –0.014, P < .01) and female athletes (ß = –0.216, P < .01) reported more total symptoms. Being male (ß = 0.856, P < .01) increased the likelihood of endorsing zero symptoms versus any symptoms by a factor of 2.40. Women also had significantly higher SAC scores (ß = 0.569, P < .001), BESS scores (ß = –2.747, P < .001), and CNS Vital Signs summary scores (ß = 4.506, P < .001). SAC, BESS, and CNS Vital Signs scores were not predicted by fatigue level ( P > .05). Conclusion: Female athletes and fatigued athletes endorsed more symptoms and higher symptom severity at baseline. Using total symptom endorsement and total symptom severity scores as part of the postinjury management is a common practice. The current data suggest that levels of reported exhaustion can influence concussion assessment scores meant to represent a healthy baseline and likely would interfere with postinjury assessment scores.

A Comparison of Symptom Scores and Radiographic Staging Systems in Chronic Rhinosinusitis

2005 ◽  
Vol 19 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Neil Bhattacharyya
Keyword(s):  
Ct Scan ◽  
Chronic Rhinosinusitis ◽  
Symptom Severity ◽  
Pearson Correlation ◽  
Nasal Symptom ◽  
Small Range ◽  
Symptom Inventory ◽  
Severity Scores ◽  
Staging Systems ◽  
Symptom Scores

Background The aim of this study was to determine if one of the popular computed tomography (CT) scan staging systems exhibits better correlation with sinonasal symptom severity in chronic rhinosinusitis (CRS). Methods Adult patients meeting diagnostic criteria for CRS were prospectively studied with the Rhinosinusitis Symptom Inventory and their paranasal sinus CT scan was staged according to the Kennedy, Harvard, and Lund staging systems. From the Rhinosinusitis Symptom Inventory, Likert symptom severity scores were obtained and the nasal, facial, oropharyngeal, systemic, and total symptom scores were computed. Correlation analysis was conducted between symptom scores and CT scan stage for each of the three staging systems. Results Two hundred patients met inclusion criteria (mean age, 41.1 years; 42% men). The mean Lund score for the entire cohort was 10.0 (SD, 5.3). The Kennedy stage distributions were 40, 42, 84, and 34 patients for stages 1–4, respectively. The Harvard stage distributions were 17, 53, 85, and 45 patients for stages 1–4, respectively. All three staging systems exhibited statistically significant Pearson correlation (all p < 0.001) for the nasal symptom domain (nasal obstruction, rhinorrhea, and hyposmia), although the magnitude of the correlation coefficient generally was small (range of Pearson's r, 0.242–0.345). The Kennedy and Harvard systems exhibited significant but negative correlation with the oropharyngeal symptom domain. All three staging systems failed to significantly correlate CT stage with facial symptoms, systemic symptoms, and total symptom scores. Conclusion The Lund staging system exhibited the best correlation between nasal symptom scores and CT stage in CRS, but the degree of correlation remained small. All three systems were lacking in staging value for nonnasal sinonasal symptoms.

Age Affects Presenting Symptoms of Achalasia and Outcomes after Myotomy

2005 ◽  
Vol 71 (5) ◽  
pp. 424-429 ◽  
Author(s):  
Steven Rakita ◽  
Mark Bloomston ◽  
Desiree Villadolid ◽  
Donald Thometz ◽  
Brian Boe ◽  
...  
Keyword(s):  
Chest Pain ◽  
Symptom Severity ◽  
Older Patients ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Outcome Data ◽  
Duration Of Symptoms ◽  
Presenting Symptoms ◽  
Severity Scores ◽  
The Impact

Older patients with achalasia presumably have had a longer, more indolent course than younger patients. This study was undertaken to determine the impact of patient age and duration of symptoms on symptom severity and outcome after Heller myotomy. Two hundred sixty-two patients (142 men and 120 women), of average age 49 years ± 17.7 (SD), have undergone laparoscopic Heller myotomy. Patients scored their symptoms using a Likert scale and subjectively rated their overall outcome. Data are presented as median, mean ± SD, when appropriate. Follow-up is 25 months, 32 months ± 28.7. Symptom severity scores improved after myotomy ( P < 0.001 for all, paired Student's t test). Before myotomy, older patients had less dysphagia, regurgitation, choking, and chest pain ( P < 0.05). Duration of preoperative symptoms did not correlate with frequency of symptoms. After myotomy, older patients had lower scores for dysphagia, chest pain, choking, and heartburn ( P < 0.01); patients with prolonged durations of symptoms had lower dysphagia and choking scores. Neither age nor duration of symptoms had a significant effect on overall subjective outcomes. All patients should expect significant reductions in symptoms of achalasia following myotomy. Age and duration of symptoms impact symptoms before and after myotomy, but neither seem to impact subjective measure of outcome.

Trauma Pervasively Elevates Brief Symptom Inventory Profiles in Inpatient Women

1998 ◽  
Vol 83 (2) ◽  
pp. 499-513 ◽  
Author(s):  
Jon G. Allen ◽  
Lolafaye Coyne ◽  
Janis Huntoon
Keyword(s):  
Posttraumatic Stress ◽  
Childhood Trauma ◽  
Brief Symptom Inventory ◽  
Simple Relationship ◽  
Obsessive Compulsive ◽  
Childhood Trauma Questionnaire ◽  
Symptom Inventory ◽  
Millon Clinical Multiaxial Inventory ◽  
The Individual ◽  
The Impact

The Brief Symptom Inventory was administered to 228 women ( M age: 37) consecutively admitted to specialized inpatient treatment for trauma-related disorders. Subsamples of patients were administered different posttraumatic stress disorder scales, the Impact of Events Scale–Revised, the Posttraumatic Stress Diagnostic Scale, and the PTSD scale of the Millon Clinical Multiaxial Inventory–Ill, as well as a measure of child abuse and neglect, the Childhood Trauma Questionnaire. In this severely traumatized group, every scale of the Brief Symptom Inventory was significantly more elevated than the inpatient female norms, with the five most highly elevated scales being Depression, Obsessive-Compulsive, Anxiety, Interpersonal Sensitivity, and Psychoticism. Different indicators of trauma (Childhood Trauma Questionnaire, PTSD scales, and PTSD diagnosis) show different patterns of relationships with the individual scales of the Brief Symptom Inventory. There is no simple relationship between trauma and BSI symptoms, but clinicians should consider severe interpersonal trauma to be one pathway to pervasively elevated profiles of the Brief Symptom Inventory.

scholarly journals SCAT5 vs. SCAT3 Symptom Reporting Differences and Convergent Validity in Collegiate Athletes

2019 ◽  
Vol 35 (3) ◽  
pp. 291-301 ◽  
Author(s):  
Breton M Asken ◽  
Zachary M Houck ◽  
Russell M Bauer ◽  
James R Clugston
Keyword(s):  
Symptom Severity ◽  
Convergent Validity ◽  
Assessment Tool ◽  
Rank Order ◽  
Collegiate Athletes ◽  
Brief Symptom Inventory ◽  
Targeted Interventions ◽  
Adjustment Difficulties ◽  
Symptom Evaluation ◽  
Severity Scores

Abstract Objective The Sport Concussion Assessment Tool (SCAT), fifth Edition, Symptom Evaluation (S5SE) differs from previous versions by having examinees report trait (i.e. “typical” feelings) as opposed to state (i.e., “how you feel right now”) concussion-like symptoms at baseline. This study assessed differences among, and convergent validity of, scores on the S5SE, SCAT3 Symptom Evaluation (S3SE), and the Brief Symptom Inventory (BSI-18). Methods A total of 113 University of Florida varsity athletes completed symptom questionnaires on the same day in a counterbalanced administration. The final sample consisted of 94 participants (mean age ± SD = 18.4 ± 0.8 years, 57% male, 65% white) from 17 sports. We assessed convergent validity using Spearman rank-order correlations. Within-participant differences were analyzed with Wilcoxon Signed-Rank tests. We qualitatively described free-response answers to the S5SE question that asks, “if not feeling 100%, why?”. Results S5SE total severity score demonstrated adequate convergent validity with both the S3SE (rho = .407, p &lt; .001) and BSI-18 (rho = .432, p &lt; .001). Domain-specific analyses indicated variable convergent validity (rho &lt; 0.4 to rho &gt; 0.6). Severity scores did not differ between the S3SE and S5SE (p = .500), but 24.5% of participants reported S3SE &gt; S5SE and 34.0% S5SE &gt; S3SE. Three themes emerged from qualitative examination of reasons for “not feeling 100%”: (1) tiredness/sleep, (2) adjustment difficulties, and (3) academic/athletic stress. Conclusions Adequate convergent validity exists between SCAT5 and SCAT3 symptom severity in collegiate athletes. However, most examinees report different baseline symptom severity when asked to describe their trait (S5SE) versus state symptoms (S3SE). Clinicians should consider using the new SCAT5 Symptom Evaluation as a screening tool for identifying otherwise healthy or “undiagnosed” individuals who would benefit from targeted interventions.

Sign in / Sign up

Export Citation Format

Share Document