Evidence map›Paper›PMID 36610880›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023

Association Between Head Impact Exposure, Psychological Needs, and Indicators of Mental Health Among U.S. High School Tackle Football Players.

Kyle A Kercher, Jesse A Steinfeldt, Devin J Rettke, Taylor R Zuidema, Miata J Walker, Vanessa M Martinez Kercher, Patricia Silveyra, Dong-Chul Seo, Jonathan T Macy, Leslie A Hulvershorn and 1 more

Abstract read
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Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Refined Feasibility Testing of an 8-Week Sport and Physical Activity Intervention in a Rural Middle School.International journal of environmental research and public health · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Kyle A KercherDepartment of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Jesse A SteinfeldtDepartment of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, Indiana.
Devin J RettkeDepartment of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Taylor R ZuidemaDepartment of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Miata J WalkerDepartment of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, Indiana.
Vanessa M Martinez KercherDepartment of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Patricia SilveyraDepartment of Environmental and Occupational Health, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Dong-Chul SeoDepartment of Applied Health Science, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Jonathan T MacyDepartment of Applied Health Science, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana.
Leslie A HulvershornDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
Keisuke KawataDepartment of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana; Program in Neuroscience, College of Arts and Sciences, Indiana University, Bloomington, Indiana; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: kkawata@indiana.edu.

Funding

Subconcussive neurodegenerative progression in adolescent athletesR01NS113950 · NINDS · TRUSTEES OF INDIANA UNIVERSITY · PI KAWATA, KEISUKE · 2021 to 2025
$2.8M
NINDS NIH HHS R01 NS113950
6 · The paper itself

Abstract

purposeAge of first exposure to tackle football and head impact kinematics have been used to examine the effect of head impacts on mental health outcomes. These measures coupled with retrospective and cross-sectional designs have contributed to conflicting results. The purpose of this study was to identify the effect of one season of head impact exposure, age of first exposure to football, and psychological need satisfaction on acute mental health outcomes in adolescent football players.

methodsThis prospective single-season cohort study used sensor-installed mouthguards to collect head impact exposure along with surveys to assess age of first exposure to football, psychological satisfaction, depressive symptoms, anxiety symptoms, and thriving from football players at four high schools (n = 91). Linear regression was used to test the association of head impact exposure, age of first exposure, and psychological satisfaction with acute mental health outcomes.

resultsA total of 9,428 impacts were recorded with a mean of 102 ± 113 impacts/player. Cumulative head impact exposure and age of first exposure were not associated with acute mental health outcomes at postseason or change scores from preseason to postseason. Greater psychological satisfaction was associated with fewer depressive symptoms (β = -0.035, SE = 0.008, p = < .001), fewer anxiety symptoms (β = -0.021, SE = 0.008, p = .010), and greater thriving scores (β = 0.278, SE = 0.040, p = < .001) at postseason. DISCUSSION: This study does not support the premise that greater single-season head impact exposure or earlier age of first exposure to tackle football is associated with worse acute mental health indicators over the course of a single season in adolescent football players.

Indexed as

Brain ConcussionFootballMental HealthAdolescentAthletic InjuriesCross-Sectional StudiesHumansProspective StudiesRetrospective StudiesSchoolsAdolescenceAnxietyDepressionFootballHead impactsMental healthPsychological needsSubconcussiveThriving

Identifiers

PMID36610880
PMCPMC10033334

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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.