| Literature DB >> 33265913 |
Spencer W Liebel1,2, Kathryn L Van Pelt3, Gian-Gabriel P Garcia4, Lauren L Czerniak4, Michael A McCrea5, Thomas W McAllister6, Steven P Broglio2.
Abstract
Sensation-seeking, or the need for novel and exciting experiences, is thought to play a role in sport-related concussion (SRC), yet much remains unknown regarding these relationships and, more importantly, how sensation-seeking influences SRC risk. The current study assessed sensation-seeking, sport contact level, and SRC history and incidence in a large sample of NCAA collegiate athletes. Data included a full study sample of 22,374 baseline evaluations and a sub-sample of 2037 incident SRC. Independent samples t-test, analysis of covariance, and hierarchical logistic regression were constructed to address study hypotheses. Results showed that (1) among participants without SRC, sensation-seeking scores were higher in athletes playing contact sports compared to those playing limited- or non-contact sports (p < 0.001, R2 = 0.007, η2p = 0.003); (2) in the full study sample, a one-point increase in sensation-seeking scores resulted in a 21% greater risk of prior SRC (OR = 1.212; 95% CI: 1.154-1.272), and in the incident SRC sub-sample, a 28% greater risk of prior SRC (OR = 1.278; 95% CI: 1.104-1.480); (3) a one-point increase in sensation-seeking scores resulted in a 12% greater risk of incident SRC among the full study sample; and (4) sensation-seeking did not vary as a function of incident SRC (p = 0.281, η2p = 0.000). Our findings demonstrate the potential usefulness of considering sensation-seeking in SRC management.Entities:
Keywords: college athletes; concussion; concussion management and care; sensation-seeking
Year: 2020 PMID: 33265913 PMCID: PMC7729784 DOI: 10.3390/ijms21239097
Source DB: PubMed Journal: Int J Mol Sci ISSN: 1422-0067 Impact factor: 5.923
Participant BSSS-8 scores for each demographic category.
| Full Study Sample | Incident SRC Sub-Sample | |
|---|---|---|
| ( | ( | |
| Overall | 3.08 (0.71) | 3.12 (0.71) |
| Male | 3.12 (0.72) * | 3.15 (0.71) * |
| Female | 3.02 (0.69) * | 3.08 (0.71) * |
| Sport contact level: | ||
| Contact sport | 3.07 (0.72) | 3.12 (0.72) |
| Limited contact sport | 3.07 (0.69) | 3.10 (0.68) |
| Non-contact sport | 3.09 (0.70) | 3.12 (0.70) |
| Prior concussions: | ||
| 0 | 3.06 (0.71) | 3.07 (0.72) |
| 1 | 3.13 (0.71) | 3.20 (0.69) |
| 2 | 3.18 (0.68) | 3.16 (0.71) |
| 3 | 3.19 (0.68) | 3.19 (0.69) |
| ≥4 | 3.33 (0.77) | 3.12 (0.71) |
Note. Values presented as Mean (Standard Deviation). * Denotes significant between-groups mean differences.
(a) Hierarchical logistic regression model of sensation-seeking behavior scores predicting prior SRC history in the full study sample. (b) Hierarchical logistic regression model of sensation-seeking behavior scores predicting prior SRC history in the incident SRC sub-sample. (c) Hierarchical logistic regression model of sensation-seeking behavior scores predicting incident SRC in the full study sample.
| (a) |
| SE ( | Wald | OR | CI (95%) |
|---|---|---|---|---|---|
| Step 1 | |||||
| Participant Sex | 0.136 | 0.037 | 13.405 *** | 1.145 | 1.065, 1.232 |
| Sport Contact Level | −0.545 | 0.025 | 480.102 *** | 0.580 | 0.553, 0.609 |
| Step 2 | |||||
| Participant Sex | 0.156 | 0.37 | 17.535 *** | 1.168 | 1.086, 1257 |
| Sport Contact Level | −0.552 | 0.025 | 491.925 *** | 0.576 | 0.548, 0.605 |
| BSSS-8 Total Scores | 0.192 | 0.025 | 59.660 *** | 1.212 | 1.154, 1.272 |
| ( |
|
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|
|
|
| Step 1 | |||||
| Participant Sex | 0.182 | 0.115 | 2.491 | 1.199 | 0.957, 1.502 |
| Sport Contact Level | −0.445 | 0.088 | 25.799 *** | 0.641 | 0.540, 0.761 |
| Step 2 | |||||
| Participant Sex | 0.201 | 0.115 | 3.040 | 1.223 | 0.975, 1.534 |
| Sport Contact Level | −0.451 | 0.088 | 26.481 *** | 0.637 | 0.536, 0.756 |
| BSSS-8 Total Scores | 0.245 | 0.075 | 10.733 *** | 1.278 | 1.104, 1.480 |
| ( |
|
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|
|
|
| Step 1 | |||||
| Participant Sex | 0.215 | 0.056 | 14.477 *** | 1.239 | 1.110, 1.384 |
| Sport Contact Level | −0.643 | 0.042 | 235.066 *** | 0.526 | 0.484, 0.571 |
| Years Played | 0.007 | 0.007 | 0.952 | 1.007 | 0.993, 1.020 |
| Step 2 | |||||
| Participant Sex | 0.225 | 0.056 | 15.829 *** | 1.252 | 1.121, 1.398 |
| Sport Contact Level | −0.646 | 0.042 | 237.160 *** | 0.524 | 0.483, 0.569 |
| Years Played | 0.007 | 0.007 | 1.003 | 1.007 | 0.994, 1.020 |
| BSSS-8 Total Scores | 0.112 | 0.038 | 8.845 ** | 1.119 | 1.039, 1.204 |
Note. ** p < 0.01, *** p < 0.001. BSSS-8 = Brief Sensation Seeking Scale-8; Years Played = number of years participants reported playing their sport; OR = odds ratio.
Descriptive statistics of participants at first baseline evaluation.
| Full Study Sample | Incident SRC Sub-Sample | |||
|---|---|---|---|---|
|
| Percent |
| Percent | |
| Male | 12,610 | 56.40% | 1203 | 59.10% |
| Female | 9763 | 43.60% | 834 | 40.90% |
| Age, | 19.12 (1.37) | 18.94 (1.21) | ||
| Sport contact level: | ||||
| Contact sport | 10,607 | 47.40% | 1394 | 68.40% |
| Limited contact sport | 6861 | 30.70% | 434 | 21.30% |
| Non-contact sport | 4906 | 21.90% | 209 | 10.30% |
| Prior concussions: | ||||
| 0 | 16,751 | 74.90% | 1195 | 58.70% |
| 1 | 4106 | 18.40% | 582 | 28.60% |
| 2 | 983 | 4.40% | 158 | 7.80% |
| 3 | 277 | 1.20% | 61 | 3.00% |
| ≥4 | 110 | ~0.50% | 28 | ~1.30% |
| Unknown | 148 | 0.70% | 13 | 0.60% |
Note. Prior concussions = number of self-reported concussions sustained prior to study participation.