ReviewOrthopaedic journal of sports medicine2020
Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion.
Review in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Psychology of nerve injury, repair, and recovery: a systematic review.Frontiers in rehabilitation sciences · 2024Pooled it
- Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review.Frontiers in neurology · 2023Pooled it
- Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review.Sports medicine - open · 2022Pooled it
- Systematic Review of Pre-injury Migraines as a Vulnerability Factor for Worse Outcome Following Sport-Related Concussion.Frontiers in neurology · 2022Pooled it
- Role of anxiety in exercise intolerance and autonomic nervous system dysfunction post-concussion.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Trial
- Mental health in elite athletes: International Olympic Committee consensus statement (2026).British journal of sports medicine · 2026Article
- Screening Emotions in Adolescents Receiving Care at the Hospital for mild Traumatic Brain Injury (SEARCH-mTBI): protocol for a multicenter observational study.BMC pediatrics · 2026Article
- Effect of co-morbid anxiety and depression history on multidomain concussion clinical outcomes and recovery time.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Adverse Childhood Experiences Exacerbate Neurobehavioral and Post-Traumatic Stress Disorder Symptoms Among Survivors of Intimate Partner Violence-Related Head Trauma.Journal of neurotrauma · 2026Article
- Rumination, but Not Reflection, Predicts the Reporting of Post-concussive Symptoms in a Non-clinical Sample.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026Article
- The Association Between Persisting Symptoms after Concussion (PSaC) and Symptoms of Depression and/or Anxiety in the Athletic Population: A Scoping Review.South African journal of sports medicine · 2026Article
- Elite Figure Skaters Return to Sport Strategy Following Sports-Related Concussion: A Clinical Commentary.International journal of sports physical therapy · 2025Article
- Understanding discrepancies between self-reported and objective sleep in adolescents and young adults with subacute concussion.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Postconcussive symptom severity, risk factors for prolonged recovery, and mental health history: Pathways of influence in a diverse pediatric sample.Annals of the Child Neurology Society · 2024Article
- Social Determinants of Health and Health Equity in the Treatment and Rehabilitation of Sport-Related Concussion: A Content Analysis of Intervention Research and Call-To-Action.Journal of neurotrauma · 2024Review
- Sport-Specific Recovery Trajectories for NCAA Collegiate Athletes Following Concussion.Annals of biomedical engineering · 2024Article
- National Athletic Trainers' Association Bridge Statement: Management of Sport-Related Concussion.Journal of athletic training · 2024Article
- The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Temporal Changes in Fixational Eye Movements After Concussion in Adolescents and Adults: Preliminary Findings.Journal of neurotrauma · 2024Article
- Factors related to adverse long-term outcomes after mild traumatic brain injury in children: a scoping review.Archives of disease in childhood · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt 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
designSystematic review; Level of evidence, 4.
methodsData 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.
resultsOf 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.
conclusionPreinjury 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.
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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.