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The Psychosocial Impact of Sports-Related Concussion in Elite Youth Ice Hockey Players Open Access


Other title
Psychosocial Outcome of Concussion
Sport Related Concussion
Pediatric Concussion
Type of item
Degree grantor
University of Alberta
Author or creator
Jubinville, Andrea L.
Supervisor and department
Mrazik, Martin (Educational Psychology)
Buck, George (Educational Psychology)
Examining committee member and department
Rogers, Todd (Educational Psychology)
Buck, George (Educational Psychology)
Alfano, Dennis (Psychology)
Mrazik, Martin (Educational Psychology)
Pei, Jacqueline (Educational Psychology)
Emery, Carolyn (Kinesiology)
Department of Educational Psychology
School and Clinical Child Psychology
Date accepted
Graduation date
Doctor of Philosophy
Degree level
Concussion can have adverse long term effects in the cognitive and behavioral development of children and adolescents. Research continues to highlight the fact that children and adolescents are more susceptible to concussion and take longer to recover from this injury. At present, there is a paucity of research evaluating the long-term effects of concussion in children and adolescents. The purpose of this study was to examine the social, emotional, and behavioral functioning of elite youth ice hockey players at baseline and post-concussion. Participants included 76 elite youth ice hockey players between 13-17 years from Calgary and Edmonton, Alberta. Control participants were matched to injured players at the time of injury. Participants completed the Behavior Assessment Scale for Children, Self Report Questionnaire (BASC-2, Adolescent Form) at baseline and 7 days and 3 months post-concussion. The results of the first analysis which examined group changes in psychological functioning using a 2 x 3 (group-by-occasion) fixed effect ANOVA with repeated measures on the second factor showed no significant findings. Athletes in the concussed group were similar to the athletes in the non-injured control group on the 5 composites and 16 subscales of the BASC-2. Results examining change at the individual level using the Reliable Change Index (RCI) showed slightly more concussed athletes (15.8%) with both reliable worsening and clinically meaningful scores on the BASC-2 compared to control participants (10.5%) at 7-10 days post injury. However, at 3 months post injury, there was no difference, as 15.8% of concussed athletes and 15.8% of control participants showed both reliable worsening and clinically meaningful scores on the BASC-2. Although the findings are promising in suggesting a favorable psychological outcome for youth athletes after concussion, it is still important for clinicians to evaluate and monitor psychological functioning after injury, as some athletes may develop ongoing psychological concerns requiring intervention.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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