Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion
Background: It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion. Purpose: To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concu...
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creator | Iverson, Grant L. Williams, Michael W. Gardner, Andrew J. Terry, Douglas P. |
description | Background:
It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion.
Purpose:
To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concussion.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
Data sources were PubMed, PsycINFO, MEDLINE (and MEDLINE in Process), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published before February 2019 that addressed preinjury mental health problems as a possible predictor of worse clinical outcome or clinical recovery from concussion were eligible for inclusion.
Results:
Of 4013 studies screened, 358 full texts were reviewed, and 12 studies involving 3761 participants (n = 471 [12.5%] with preexisting mental health problems) were ultimately included. The participants with a preinjury history of mental health problems were at greater risk for having persistent symptoms or worse outcome in 9 of 12 studies. The studies had major methodological differences, and most studies were not focused on mental health as a primary predictor or prognostic factor. Rather, they included it as a secondary or tertiary predictor. The sample sizes with preinjury mental health problems in most studies were small or very small (ie, |
doi_str_mv | 10.1177/2325967120950682 |
format | Article |
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It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion.
Purpose:
To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concussion.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
Data sources were PubMed, PsycINFO, MEDLINE (and MEDLINE in Process), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published before February 2019 that addressed preinjury mental health problems as a possible predictor of worse clinical outcome or clinical recovery from concussion were eligible for inclusion.
Results:
Of 4013 studies screened, 358 full texts were reviewed, and 12 studies involving 3761 participants (n = 471 [12.5%] with preexisting mental health problems) were ultimately included. The participants with a preinjury history of mental health problems were at greater risk for having persistent symptoms or worse outcome in 9 of 12 studies. The studies had major methodological differences, and most studies were not focused on mental health as a primary predictor or prognostic factor. Rather, they included it as a secondary or tertiary predictor. The sample sizes with preinjury mental health problems in most studies were small or very small (ie, <25). The age of onset, type, course, severity, and duration of mental health problems were not defined. The extent to which mental health problems were present before the season, during baseline testing, was not reported.
Conclusion:
Preinjury mental health problems appear to confer risk for worse clinical outcome after sport-related concussion. Future research is needed to (1) examine this risk factor in large representative populations of middle school students, high school students, and collegiate athletes; (2) quantify the risk for each mental health condition; (3) understand the mechanisms underlying this increased risk; and (4) develop more refined treatment and rehabilitation approaches for these student-athletes.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967120950682</identifier><identifier>PMID: 33614790</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anxiety ; Clinical outcomes ; Concussion ; Mental disorders ; Mental health ; Orthopedics ; Sports medicine ; Systematic review</subject><ispartof>Orthopaedic Journal of Sports Medicine, 2020-10, Vol.8 (10), p.2325967120950682-2325967120950682</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020.</rights><rights>The Author(s) 2020. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020 2020 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-d822e6f981a782d4e4076e7ec7d1d6f11c6d097456eb1e6eec5ec2751b58f0be3</citedby><cites>FETCH-LOGICAL-c462t-d822e6f981a782d4e4076e7ec7d1d6f11c6d097456eb1e6eec5ec2751b58f0be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871078/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871078/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,313,314,727,780,784,792,864,885,21966,27853,27922,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33614790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iverson, Grant L.</creatorcontrib><creatorcontrib>Williams, Michael W.</creatorcontrib><creatorcontrib>Gardner, Andrew J.</creatorcontrib><creatorcontrib>Terry, Douglas P.</creatorcontrib><title>Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion</title><title>Orthopaedic Journal of Sports Medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion.
Purpose:
To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concussion.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
Data sources were PubMed, PsycINFO, MEDLINE (and MEDLINE in Process), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published before February 2019 that addressed preinjury mental health problems as a possible predictor of worse clinical outcome or clinical recovery from concussion were eligible for inclusion.
Results:
Of 4013 studies screened, 358 full texts were reviewed, and 12 studies involving 3761 participants (n = 471 [12.5%] with preexisting mental health problems) were ultimately included. The participants with a preinjury history of mental health problems were at greater risk for having persistent symptoms or worse outcome in 9 of 12 studies. The studies had major methodological differences, and most studies were not focused on mental health as a primary predictor or prognostic factor. Rather, they included it as a secondary or tertiary predictor. The sample sizes with preinjury mental health problems in most studies were small or very small (ie, <25). The age of onset, type, course, severity, and duration of mental health problems were not defined. The extent to which mental health problems were present before the season, during baseline testing, was not reported.
Conclusion:
Preinjury mental health problems appear to confer risk for worse clinical outcome after sport-related concussion. Future research is needed to (1) examine this risk factor in large representative populations of middle school students, high school students, and collegiate athletes; (2) quantify the risk for each mental health condition; (3) understand the mechanisms underlying this increased risk; and (4) develop more refined treatment and rehabilitation approaches for these student-athletes.</description><subject>Anxiety</subject><subject>Clinical outcomes</subject><subject>Concussion</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Orthopedics</subject><subject>Sports medicine</subject><subject>Systematic review</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1LHTEUxUNpqaLuuyqBbrqZNslMPmZTkIdWwWJR2y5DJnNH88hMXpOM5e36p5vHs2oFQ0LCye-e5HARekfJJ0ql_MxqxlshKSMtJ0KxV2h3I1Ub7fWT8w46SGlJylCctrV8i3bqWtBGtmQX_b1cpwyjyc7iC7h18AeHAX-P4KblHNf4G0zZeHwCxueboofOw5iwKRP_nP0E0XTOu7zGx8bmEPFQ1q8QE-DzOdswAj4cMkR8uQoxVxfgTYYeL8Jk55RcmPbRm8H4BAf3-x76cXx0tTipzs6_ni4OzyrbCJarXjEGYmgVNVKxvoGGSAESrOxpLwZKrehJKxsuoKMgACwHyySnHVcD6aDeQ1-2vqu5G6G3JVc0Xq-iG01c62Cc_v9mcjf6OtxqqSQlUhWDj_cGMfyeIWU9umTBezNBmJNmTcuYlDXhBf3wDF2GOU4lXqEU44LIWhaKbCkbQ0oRhofPUKI3HdbPO1xK3j8N8VDwr58FqLZAMtfw-OqLhncyyK_a</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Iverson, Grant L.</creator><creator>Williams, Michael W.</creator><creator>Gardner, Andrew J.</creator><creator>Terry, Douglas P.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201001</creationdate><title>Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion</title><author>Iverson, Grant L. ; Williams, Michael W. ; Gardner, Andrew J. ; Terry, Douglas P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-d822e6f981a782d4e4076e7ec7d1d6f11c6d097456eb1e6eec5ec2751b58f0be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Clinical outcomes</topic><topic>Concussion</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Orthopedics</topic><topic>Sports medicine</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iverson, Grant L.</creatorcontrib><creatorcontrib>Williams, Michael W.</creatorcontrib><creatorcontrib>Gardner, Andrew J.</creatorcontrib><creatorcontrib>Terry, Douglas P.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic Journal of Sports Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iverson, Grant L.</au><au>Williams, Michael W.</au><au>Gardner, Andrew J.</au><au>Terry, Douglas P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion</atitle><jtitle>Orthopaedic Journal of Sports Medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>8</volume><issue>10</issue><spage>2325967120950682</spage><epage>2325967120950682</epage><pages>2325967120950682-2325967120950682</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion.
Purpose:
To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concussion.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
Data sources were PubMed, PsycINFO, MEDLINE (and MEDLINE in Process), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published before February 2019 that addressed preinjury mental health problems as a possible predictor of worse clinical outcome or clinical recovery from concussion were eligible for inclusion.
Results:
Of 4013 studies screened, 358 full texts were reviewed, and 12 studies involving 3761 participants (n = 471 [12.5%] with preexisting mental health problems) were ultimately included. The participants with a preinjury history of mental health problems were at greater risk for having persistent symptoms or worse outcome in 9 of 12 studies. The studies had major methodological differences, and most studies were not focused on mental health as a primary predictor or prognostic factor. Rather, they included it as a secondary or tertiary predictor. The sample sizes with preinjury mental health problems in most studies were small or very small (ie, <25). The age of onset, type, course, severity, and duration of mental health problems were not defined. The extent to which mental health problems were present before the season, during baseline testing, was not reported.
Conclusion:
Preinjury mental health problems appear to confer risk for worse clinical outcome after sport-related concussion. Future research is needed to (1) examine this risk factor in large representative populations of middle school students, high school students, and collegiate athletes; (2) quantify the risk for each mental health condition; (3) understand the mechanisms underlying this increased risk; and (4) develop more refined treatment and rehabilitation approaches for these student-athletes.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33614790</pmid><doi>10.1177/2325967120950682</doi><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
subjects | Anxiety Clinical outcomes Concussion Mental disorders Mental health Orthopedics Sports medicine Systematic review |
title | Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion |
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