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  • 标题:Scale for retrospective assessment of immediate concussion symptoms
  • 作者:Zack Zdenek Cernovsky ; Paul Victor Fayez Istasy ; Yves Bureau
  • 期刊名称:Mental Illness
  • 印刷版ISSN:2036-7465
  • 电子版ISSN:2036-7465
  • 出版年度:2018
  • 卷号:10
  • 期号:2
  • DOI:10.4081/mi.2018.7901
  • 语种:English
  • 出版社:PAGEPress Publications
  • 摘要:The retrospective diagnosis of concussion is often missed by clinicians. We present a brief scale for retrospective assessment of the immediate concussion symptoms (ICS) to facilitate the diagnosis of patients without visible head injury or full loss of consciousness. We administered the scale to 90 survivors of car accidents (mean age 42.0, SD=13.6; 33 males, 57 females) at 2 to 33 months after their accident. Our scale consists of 6 items and these were endorsed by the following % of our respondents: feeling dazed (64.4% of our 90 respondents), stunned (73.3%), confused (70.0%), disoriented (62.2%), dizzy (57.8%), and loss of consciousness (22.2%). The statistical properties of the scale are satisfactory (Cronbach alpha = 0.74). The scale correlates with post-accident insomnia (r=0.28), depression (r=0.29), and also with Rivermead measure of the chronic post-concussion syndrome (r=0.34). The ICS scale could be used as a starting point in longitudinal research with brain imaging procedures to evaluate the stages of recovery from the initial concussion. Attached are the English, Spanish, French, German, Italian, Russian, and Czech versions of our scale.
  • 关键词:concussion;post-concussion syndrome;Rivermead scale;traumatic brain injury
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