Léveillé, E; Guay, S; Blais, C; Scherzer, P; De Beaumont, L
Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes Journal Article
In: Journal of the International Neuropsychological Society, vol. 23, no. 1, pp. 65–77, 2017.
Abstract | Links | BibTeX | Tags: Anxiety, Concussion, depression, Emotional facial expression, Gender Differences, Sport
@article{Leveille2017,
title = {Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes},
author = {L\'{e}veill\'{e}, E and Guay, S and Blais, C and Scherzer, P and {De Beaumont}, L},
doi = {10.1017/S1355617716001004},
year = {2017},
date = {2017-01-01},
journal = {Journal of the International Neuropsychological Society},
volume = {23},
number = {1},
pages = {65--77},
abstract = {Objectives: Concussion is defined as a complex pathophysiological process affecting the brain. Although the cumulative and long-term effects of multiple concussions are now well documented on cognitive and motor function, little is known about their effects on emotion recognition. Recent studies have suggested that concussion can result in emotional sequelae, particularly in females and multi-concussed athletes. The objective of this study was to investigate sex-related differences in emotion recognition in asymptomatic male and female multi-concussed athletes. Methods: We tested 28 control athletes (15 males) and 22 multi-concussed athletes (10 males) more than a year since the last concussion. Participants completed the Post-Concussion Symptom Scale, the Beck Depression Inventory-II, the Beck Anxiety Inventory, a neuropsychological test battery and a morphed emotion recognition task. Pictures of a male face expressing basic emotions (anger, disgust, fear, happiness, sadness, surprise) morphed with another emotion were randomly presented. After each face presentation, participants were asked to indicate the emotion expressed by the face. Results: Results revealed significant sex by group interactions in accuracy and intensity threshold for negative emotions, together with significant main effects of emotion and group. Conclusions: Male concussed athletes were significantly impaired in recognizing negative emotions and needed more emotional intensity to correctly identify these emotions, compared to same-sex controls. In contrast, female concussed athletes performed similarly to same-sex controls. These findings suggest that sex significantly modulates concussion effects on emotional facial expression recognition. © 2016 The International Neuropsychological Society.},
keywords = {Anxiety, Concussion, depression, Emotional facial expression, Gender Differences, Sport},
pubstate = {published},
tppubtype = {article}
}
Brown, D A; Elsass, J A; Miller, A J; Reed, L E; Reneker, J C
Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis Journal Article
In: Sports Medicine, vol. 45, pp. 1027–1040, 2015.
Abstract | BibTeX | Tags: Gender Differences
@article{Brown2015,
title = {Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis},
author = {Brown, D A and Elsass, J A and Miller, A J and Reed, L E and Reneker, J C},
year = {2015},
date = {2015-01-01},
journal = {Sports Medicine},
volume = {45},
pages = {1027--1040},
address = {Brown,Dana A. Division of Health Sciences, Physical Therapy Program, Walsh University, 2020 E Maple Street, North Canton, OH, 44720, USA.},
abstract = {BACKGROUND: Concussion literature and treatment guidelines are inconclusive regarding the role of sex in symptom reporting at baseline and post-concussion. Although empirical evidence is lacking, it is generally regarded that females have a more severe symptomatic presentation than males at all time-points on the concussion spectrum. OBJECTIVES: Our objective was to determine whether differences exist between males and females at baseline (pre-season/before concussion) or post-concussion for self-reported (1) prevalence of individual symptoms and (2) total symptom scores in high school and college athletes. DESIGN: Systematic review and meta-analysis of observational cohort studies; level of evidence, 1. METHODS: A computerized search of the PubMed, SPORTDiscus, CINAHL, and Scopus databases was performed. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Criteria for inclusion were (1) self-report of symptoms at any time within the concussion spectrum, including baseline and after concussion, (2) study sample included high school and/or collegiate athletes aged 12-26 years, (3) concussions occurred during participation in sport, and (4) symptom reporting was separated by sex. The Quality Assessment Tool for Cohort Studies, Q-Coh, was utilized for quality assessment. RESULTS: Twenty-one studies met the criteria for inclusion: seventeen had good quality and four, acceptable quality. At baseline, females had significantly higher odds than males of reporting the individual symptoms of vision/hearing problems, headache/migraine, difficulty concentrating, energy/sleep disturbances, and emotional disturbances. Post-concussion, only one symptom demonstrated significant differences between males and females, with females demonstrating lower odds of reporting confusion than males. Statistically, at baseline and post-concussion, females had significantly higher total symptom scores on the Post-Concussion Scale (PCS) and the Sport Concussion Assessment Tool 2 (SCAT2), but when the standard mean difference was interpreted after back-transformation, these results were clinically insignificant. CONCLUSIONS: The symptomatic presentation of males and females, most notably the prevalence of specific symptoms, is very divergent. Females had higher total symptom scores at baseline and post-concussion, however, clinically this cannot be interpreted as a meaningful difference. It is possible that these differences can be explained by normal hormonal changes associated with the menstrual cycle. The implications of these findings are that symptomatic presentation during an individual female's menstrual cycle needs to be taken into consideration post-concussion when making return-to-play decisions, as returning to a completely asymptomatic level may not be a reasonable expectation.},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Arnold, C
Concussions in women Journal Article
In: Lancet Neurology, vol. 13, pp. 136–137, 2014.
BibTeX | Tags: Gender Differences
@article{Arnold2014,
title = {Concussions in women},
author = {Arnold, C},
year = {2014},
date = {2014-01-01},
journal = {Lancet Neurology},
volume = {13},
pages = {136--137},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Reider, Bruce
Sex in sports medicine Journal Article
In: American Journal of Sports Medicine, vol. 40, pp. 1231–1233, 2012.
BibTeX | Tags: Gender Differences
@article{Reider2012a,
title = {Sex in sports medicine},
author = {Reider, Bruce},
year = {2012},
date = {2012-01-01},
journal = {American Journal of Sports Medicine},
volume = {40},
pages = {1231--1233},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Keightley, Michelle L; Yule, Ashley; Garland, Kimberley; Reed, Nicholas; McAuliffe, Jim; Garton, Janice; Green, Stephanie; Taha, Tim
Sports-related mild traumatic brain injury in female youths Journal Article
In: BMJ Case Reports, 2010.
Abstract | BibTeX | Tags: Gender Differences
@article{Keightley2010a,
title = {Sports-related mild traumatic brain injury in female youths},
author = {Keightley, Michelle L and Yule, Ashley and Garland, Kimberley and Reed, Nicholas and McAuliffe, Jim and Garton, Janice and Green, Stephanie and Taha, Tim},
year = {2010},
date = {2010-01-01},
journal = {BMJ Case Reports},
address = {Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.},
abstract = {Sports-related concussion or mild-traumatic brain injury (mTBI) is common in children who participate in organised sports. We describe two case studies involving 14-year-old girls who each sustained a mTBI during ice hockey competition. Neurocognitive functioning post-injury is compared to baseline pre-injury assessment on the same measures. Results from Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Conners' Continuous Performance Test II (CPT-II) and the Attention Network Test (ANT) revealed decreased performance in attention, memory functioning and reaction time. Furthermore, some measures had not returned to baseline at midseason testing sessions approximately 30-40 days post-injury. The results are discussed with respect to the difference in recovery profiles and the need for thorough and ongoing evaluation following mTBI in the paediatric population, and for girls in particular.},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Léveillé, E; Guay, S; Blais, C; Scherzer, P; De Beaumont, L
Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes Journal Article
In: Journal of the International Neuropsychological Society, vol. 23, no. 1, pp. 65–77, 2017.
@article{Leveille2017,
title = {Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes},
author = {L\'{e}veill\'{e}, E and Guay, S and Blais, C and Scherzer, P and {De Beaumont}, L},
doi = {10.1017/S1355617716001004},
year = {2017},
date = {2017-01-01},
journal = {Journal of the International Neuropsychological Society},
volume = {23},
number = {1},
pages = {65--77},
abstract = {Objectives: Concussion is defined as a complex pathophysiological process affecting the brain. Although the cumulative and long-term effects of multiple concussions are now well documented on cognitive and motor function, little is known about their effects on emotion recognition. Recent studies have suggested that concussion can result in emotional sequelae, particularly in females and multi-concussed athletes. The objective of this study was to investigate sex-related differences in emotion recognition in asymptomatic male and female multi-concussed athletes. Methods: We tested 28 control athletes (15 males) and 22 multi-concussed athletes (10 males) more than a year since the last concussion. Participants completed the Post-Concussion Symptom Scale, the Beck Depression Inventory-II, the Beck Anxiety Inventory, a neuropsychological test battery and a morphed emotion recognition task. Pictures of a male face expressing basic emotions (anger, disgust, fear, happiness, sadness, surprise) morphed with another emotion were randomly presented. After each face presentation, participants were asked to indicate the emotion expressed by the face. Results: Results revealed significant sex by group interactions in accuracy and intensity threshold for negative emotions, together with significant main effects of emotion and group. Conclusions: Male concussed athletes were significantly impaired in recognizing negative emotions and needed more emotional intensity to correctly identify these emotions, compared to same-sex controls. In contrast, female concussed athletes performed similarly to same-sex controls. These findings suggest that sex significantly modulates concussion effects on emotional facial expression recognition. © 2016 The International Neuropsychological Society.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Brown, D A; Elsass, J A; Miller, A J; Reed, L E; Reneker, J C
Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis Journal Article
In: Sports Medicine, vol. 45, pp. 1027–1040, 2015.
@article{Brown2015,
title = {Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis},
author = {Brown, D A and Elsass, J A and Miller, A J and Reed, L E and Reneker, J C},
year = {2015},
date = {2015-01-01},
journal = {Sports Medicine},
volume = {45},
pages = {1027--1040},
address = {Brown,Dana A. Division of Health Sciences, Physical Therapy Program, Walsh University, 2020 E Maple Street, North Canton, OH, 44720, USA.},
abstract = {BACKGROUND: Concussion literature and treatment guidelines are inconclusive regarding the role of sex in symptom reporting at baseline and post-concussion. Although empirical evidence is lacking, it is generally regarded that females have a more severe symptomatic presentation than males at all time-points on the concussion spectrum. OBJECTIVES: Our objective was to determine whether differences exist between males and females at baseline (pre-season/before concussion) or post-concussion for self-reported (1) prevalence of individual symptoms and (2) total symptom scores in high school and college athletes. DESIGN: Systematic review and meta-analysis of observational cohort studies; level of evidence, 1. METHODS: A computerized search of the PubMed, SPORTDiscus, CINAHL, and Scopus databases was performed. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Criteria for inclusion were (1) self-report of symptoms at any time within the concussion spectrum, including baseline and after concussion, (2) study sample included high school and/or collegiate athletes aged 12-26 years, (3) concussions occurred during participation in sport, and (4) symptom reporting was separated by sex. The Quality Assessment Tool for Cohort Studies, Q-Coh, was utilized for quality assessment. RESULTS: Twenty-one studies met the criteria for inclusion: seventeen had good quality and four, acceptable quality. At baseline, females had significantly higher odds than males of reporting the individual symptoms of vision/hearing problems, headache/migraine, difficulty concentrating, energy/sleep disturbances, and emotional disturbances. Post-concussion, only one symptom demonstrated significant differences between males and females, with females demonstrating lower odds of reporting confusion than males. Statistically, at baseline and post-concussion, females had significantly higher total symptom scores on the Post-Concussion Scale (PCS) and the Sport Concussion Assessment Tool 2 (SCAT2), but when the standard mean difference was interpreted after back-transformation, these results were clinically insignificant. CONCLUSIONS: The symptomatic presentation of males and females, most notably the prevalence of specific symptoms, is very divergent. Females had higher total symptom scores at baseline and post-concussion, however, clinically this cannot be interpreted as a meaningful difference. It is possible that these differences can be explained by normal hormonal changes associated with the menstrual cycle. The implications of these findings are that symptomatic presentation during an individual female's menstrual cycle needs to be taken into consideration post-concussion when making return-to-play decisions, as returning to a completely asymptomatic level may not be a reasonable expectation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Arnold, C
Concussions in women Journal Article
In: Lancet Neurology, vol. 13, pp. 136–137, 2014.
@article{Arnold2014,
title = {Concussions in women},
author = {Arnold, C},
year = {2014},
date = {2014-01-01},
journal = {Lancet Neurology},
volume = {13},
pages = {136--137},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Reider, Bruce
Sex in sports medicine Journal Article
In: American Journal of Sports Medicine, vol. 40, pp. 1231–1233, 2012.
@article{Reider2012a,
title = {Sex in sports medicine},
author = {Reider, Bruce},
year = {2012},
date = {2012-01-01},
journal = {American Journal of Sports Medicine},
volume = {40},
pages = {1231--1233},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Keightley, Michelle L; Yule, Ashley; Garland, Kimberley; Reed, Nicholas; McAuliffe, Jim; Garton, Janice; Green, Stephanie; Taha, Tim
Sports-related mild traumatic brain injury in female youths Journal Article
In: BMJ Case Reports, 2010.
@article{Keightley2010a,
title = {Sports-related mild traumatic brain injury in female youths},
author = {Keightley, Michelle L and Yule, Ashley and Garland, Kimberley and Reed, Nicholas and McAuliffe, Jim and Garton, Janice and Green, Stephanie and Taha, Tim},
year = {2010},
date = {2010-01-01},
journal = {BMJ Case Reports},
address = {Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.},
abstract = {Sports-related concussion or mild-traumatic brain injury (mTBI) is common in children who participate in organised sports. We describe two case studies involving 14-year-old girls who each sustained a mTBI during ice hockey competition. Neurocognitive functioning post-injury is compared to baseline pre-injury assessment on the same measures. Results from Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Conners' Continuous Performance Test II (CPT-II) and the Attention Network Test (ANT) revealed decreased performance in attention, memory functioning and reaction time. Furthermore, some measures had not returned to baseline at midseason testing sessions approximately 30-40 days post-injury. The results are discussed with respect to the difference in recovery profiles and the need for thorough and ongoing evaluation following mTBI in the paediatric population, and for girls in particular.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Léveillé, E; Guay, S; Blais, C; Scherzer, P; De Beaumont, L
Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes Journal Article
In: Journal of the International Neuropsychological Society, vol. 23, no. 1, pp. 65–77, 2017.
Abstract | Links | BibTeX | Tags: Anxiety, Concussion, depression, Emotional facial expression, Gender Differences, Sport
@article{Leveille2017,
title = {Sex-Related Differences in Emotion Recognition in Multi-concussed Athletes},
author = {L\'{e}veill\'{e}, E and Guay, S and Blais, C and Scherzer, P and {De Beaumont}, L},
doi = {10.1017/S1355617716001004},
year = {2017},
date = {2017-01-01},
journal = {Journal of the International Neuropsychological Society},
volume = {23},
number = {1},
pages = {65--77},
abstract = {Objectives: Concussion is defined as a complex pathophysiological process affecting the brain. Although the cumulative and long-term effects of multiple concussions are now well documented on cognitive and motor function, little is known about their effects on emotion recognition. Recent studies have suggested that concussion can result in emotional sequelae, particularly in females and multi-concussed athletes. The objective of this study was to investigate sex-related differences in emotion recognition in asymptomatic male and female multi-concussed athletes. Methods: We tested 28 control athletes (15 males) and 22 multi-concussed athletes (10 males) more than a year since the last concussion. Participants completed the Post-Concussion Symptom Scale, the Beck Depression Inventory-II, the Beck Anxiety Inventory, a neuropsychological test battery and a morphed emotion recognition task. Pictures of a male face expressing basic emotions (anger, disgust, fear, happiness, sadness, surprise) morphed with another emotion were randomly presented. After each face presentation, participants were asked to indicate the emotion expressed by the face. Results: Results revealed significant sex by group interactions in accuracy and intensity threshold for negative emotions, together with significant main effects of emotion and group. Conclusions: Male concussed athletes were significantly impaired in recognizing negative emotions and needed more emotional intensity to correctly identify these emotions, compared to same-sex controls. In contrast, female concussed athletes performed similarly to same-sex controls. These findings suggest that sex significantly modulates concussion effects on emotional facial expression recognition. © 2016 The International Neuropsychological Society.},
keywords = {Anxiety, Concussion, depression, Emotional facial expression, Gender Differences, Sport},
pubstate = {published},
tppubtype = {article}
}
Brown, D A; Elsass, J A; Miller, A J; Reed, L E; Reneker, J C
Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis Journal Article
In: Sports Medicine, vol. 45, pp. 1027–1040, 2015.
Abstract | BibTeX | Tags: Gender Differences
@article{Brown2015,
title = {Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis},
author = {Brown, D A and Elsass, J A and Miller, A J and Reed, L E and Reneker, J C},
year = {2015},
date = {2015-01-01},
journal = {Sports Medicine},
volume = {45},
pages = {1027--1040},
address = {Brown,Dana A. Division of Health Sciences, Physical Therapy Program, Walsh University, 2020 E Maple Street, North Canton, OH, 44720, USA.},
abstract = {BACKGROUND: Concussion literature and treatment guidelines are inconclusive regarding the role of sex in symptom reporting at baseline and post-concussion. Although empirical evidence is lacking, it is generally regarded that females have a more severe symptomatic presentation than males at all time-points on the concussion spectrum. OBJECTIVES: Our objective was to determine whether differences exist between males and females at baseline (pre-season/before concussion) or post-concussion for self-reported (1) prevalence of individual symptoms and (2) total symptom scores in high school and college athletes. DESIGN: Systematic review and meta-analysis of observational cohort studies; level of evidence, 1. METHODS: A computerized search of the PubMed, SPORTDiscus, CINAHL, and Scopus databases was performed. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Criteria for inclusion were (1) self-report of symptoms at any time within the concussion spectrum, including baseline and after concussion, (2) study sample included high school and/or collegiate athletes aged 12-26 years, (3) concussions occurred during participation in sport, and (4) symptom reporting was separated by sex. The Quality Assessment Tool for Cohort Studies, Q-Coh, was utilized for quality assessment. RESULTS: Twenty-one studies met the criteria for inclusion: seventeen had good quality and four, acceptable quality. At baseline, females had significantly higher odds than males of reporting the individual symptoms of vision/hearing problems, headache/migraine, difficulty concentrating, energy/sleep disturbances, and emotional disturbances. Post-concussion, only one symptom demonstrated significant differences between males and females, with females demonstrating lower odds of reporting confusion than males. Statistically, at baseline and post-concussion, females had significantly higher total symptom scores on the Post-Concussion Scale (PCS) and the Sport Concussion Assessment Tool 2 (SCAT2), but when the standard mean difference was interpreted after back-transformation, these results were clinically insignificant. CONCLUSIONS: The symptomatic presentation of males and females, most notably the prevalence of specific symptoms, is very divergent. Females had higher total symptom scores at baseline and post-concussion, however, clinically this cannot be interpreted as a meaningful difference. It is possible that these differences can be explained by normal hormonal changes associated with the menstrual cycle. The implications of these findings are that symptomatic presentation during an individual female's menstrual cycle needs to be taken into consideration post-concussion when making return-to-play decisions, as returning to a completely asymptomatic level may not be a reasonable expectation.},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Arnold, C
Concussions in women Journal Article
In: Lancet Neurology, vol. 13, pp. 136–137, 2014.
BibTeX | Tags: Gender Differences
@article{Arnold2014,
title = {Concussions in women},
author = {Arnold, C},
year = {2014},
date = {2014-01-01},
journal = {Lancet Neurology},
volume = {13},
pages = {136--137},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Reider, Bruce
Sex in sports medicine Journal Article
In: American Journal of Sports Medicine, vol. 40, pp. 1231–1233, 2012.
BibTeX | Tags: Gender Differences
@article{Reider2012a,
title = {Sex in sports medicine},
author = {Reider, Bruce},
year = {2012},
date = {2012-01-01},
journal = {American Journal of Sports Medicine},
volume = {40},
pages = {1231--1233},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}
Keightley, Michelle L; Yule, Ashley; Garland, Kimberley; Reed, Nicholas; McAuliffe, Jim; Garton, Janice; Green, Stephanie; Taha, Tim
Sports-related mild traumatic brain injury in female youths Journal Article
In: BMJ Case Reports, 2010.
Abstract | BibTeX | Tags: Gender Differences
@article{Keightley2010a,
title = {Sports-related mild traumatic brain injury in female youths},
author = {Keightley, Michelle L and Yule, Ashley and Garland, Kimberley and Reed, Nicholas and McAuliffe, Jim and Garton, Janice and Green, Stephanie and Taha, Tim},
year = {2010},
date = {2010-01-01},
journal = {BMJ Case Reports},
address = {Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.},
abstract = {Sports-related concussion or mild-traumatic brain injury (mTBI) is common in children who participate in organised sports. We describe two case studies involving 14-year-old girls who each sustained a mTBI during ice hockey competition. Neurocognitive functioning post-injury is compared to baseline pre-injury assessment on the same measures. Results from Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Conners' Continuous Performance Test II (CPT-II) and the Attention Network Test (ANT) revealed decreased performance in attention, memory functioning and reaction time. Furthermore, some measures had not returned to baseline at midseason testing sessions approximately 30-40 days post-injury. The results are discussed with respect to the difference in recovery profiles and the need for thorough and ongoing evaluation following mTBI in the paediatric population, and for girls in particular.},
keywords = {Gender Differences},
pubstate = {published},
tppubtype = {article}
}