SynthesisSports medicine (Auckland, N.Z.)2018
Sport-Related Concussion and Mental Health Outcomes in Elite Athletes: A Systematic Review.
Synthesis in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
69 citing papers in PubMed, 5 syntheses or guidelines pooled it, 211 citations in OpenAlex.
- Effects of antidepressant administration on physical performance and perceived exertion in athletes: systematic review and meta-analysis.International journal of clinical pharmacy · 2026Pooled it
- Depressive Symptoms in Individuals With Persistent Postconcussion Symptoms: A Systematic Review and Meta-Analysis.JAMA network open · 2022Pooled it
- Mental Well-Being or Ill-Being through Coaching in Adult Grassroots Sport: A Systematic Mapping Review.International journal of environmental research and public health · 2021Pooled it
- A Systematic Review and Qualitative Analysis of Concussion Knowledge amongst Sports Coaches and Match Officials.Journal of sports science & medicine · 2020Pooled it
- Determinants of anxiety in elite athletes: a systematic review and meta-analysis.British journal of sports medicine · 2019Pooled it
- Brain photobiomodulation therapy for acute sport-related concussion: a randomized, single-blinded, pilot clinical trial (RECOVERY study).Frontiers in neurology · 2026Trial
- Efficacy of heat-killed Lactococcus lactis JCM 5805 on immunity and fatigue during consecutive high intensity exercise in male athletes: a randomized, placebo-controlled, double-blinded trial.Journal of the International Society of Sports Nutrition · 2018Trial
- Mental health in elite athletes: International Olympic Committee consensus statement (2026).British journal of sports medicine · 2026Article
- Intraindividual Variability in Perceptual-Motor Performance Measured with Virtual Reality Among Military Veterans.Brain sciences · 2026Article
- National Football League (NFL) "Dynamic Kickoff" Rule Change: A Comparative Analysis of Concussion and Musculoskeletal Injury Incidence.Orthopaedic journal of sports medicine · 2025Article
- A preliminary study on the prevalence of mental health symptoms in current and former elite kickboxers and their possible association with severe musculoskeletal injuries and concussions.Discover mental health · 2025Article
- Article
- The Relationship Between Concussion and Combat History and Mental Health and Suicide Ideation Among United States Military Veterans-A Pilot Study.Brain sciences · 2025Article
- Brainwave Activity Localization, Mood Symptoms, and Balance Impairment in a Male South African Rugby Player With Persisting Symptoms After Concussion: A Case Report.Clinical case reports · 2025Article
- Psychological Status and its Influencing Factors of Staff in a District of Shenzhen: A Retrospective Study.Actas espanolas de psiquiatria · 2025Article
- Factors Affecting Sport-Related Concussion Non-Disclosure in Women's Rugby-A Multi-Country Qualitative Analysis.Journal of functional morphology and kinesiology · 2024Article
- Sex Differences Across Concussion Characteristics in US Service Academy Cadets: A CARE Consortium Study.Sports medicine (Auckland, N.Z.) · 2024Article
- Sport-Specific Recovery Trajectories for NCAA Collegiate Athletes Following Concussion.Annals of biomedical engineering · 2024Article
- Mental health symptom burden in elite ice hockey players and its association with self-reported concussive events.BMC sports science, medicine & rehabilitation · 2024Article
- Altered neural recruitment despite dual task performance recovery in athletes with repeat concussion.medRxiv : the preprint server for health sciences · 2024Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElite 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.
objectiveThe 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.
methodsA systematic search of PubMed, EMBASE, SPORTDiscus, PsycINFO, Cochrane, and Cinahl databases was conducted.
resultsA 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.
conclusionConsistent 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.