Sport-related concussion and mental health outcomes in elite athletes : a systematic review
Deutscher übersetzter Titel: | Sportbezogene Gehirnerschütterung und Ergebnisse psychischer Gesundheit bei Elitesportlern : eine systematische Übersicht |
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Autor: | Rice, Simon M.; Parker, Alexandra G.; Rosenbaum, Simon; Bailey, Alan; Mawren, Daveena; Purcell, Rosemary |
Erschienen in: | Sports medicine |
Veröffentlicht: | 48 (2018), 2, S. 447-465, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0112-1642, 1179-2035 |
DOI: | 10.1007/s40279-017-0810-3 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201803001848 |
Quelle: | BISp |
Abstract des Autors
Background: Elite athletes can experience a diverse range of symptoms following post-concussive injury. The impact of sport-related concussion on specific mental health outcomes is unclear in this population.
Objective: The aim was to appraise the evidence base regarding the association between sport-related concussion and mental health outcomes in athletes competing at elite and professional levels.
Methods: A systematic search of PubMed, EMBASE, SPORTDiscus, PsycINFO, Cochrane, and Cinahl databases was conducted.
Results: A total of 27 studies met inclusion criteria for review. Most of the included studies (67%, n = 18) were published in 2014 or later. Study methodology and reporting varied markedly. The extant research has been conducted predominantly in North America (USA, n = 23 studies; Canada, n = 3), often in male only (44.4%, n = 12) and college (70.4%, n = 19) samples. Depression is the most commonly studied mental health outcome (70.4%, n = 19 studies). Cross-sectional retrospective studies and studies including a control comparison tend to support an association between concussion exposure and depression symptoms, although several studies report that these symptoms resolved in the medium term (i.e. 1 month) post-concussion. Evidence for anxiety is mixed. There are insufficient studies to draw conclusions for other mental health domains.
Conclusion: Consistent with current recommendations to assess mood disturbance in post-concussive examinations, current evidence suggests a link between sports-related concussion and depression symptoms in elite athletes. Causation cannot be determined at this stage of enquiry because of the lack of well-designed, prospective studies. More research is required that considers a range of mental health outcomes in diverse samples of elite athletes/sports.