SynthesisSports medicine (Auckland, N.Z.)2026
Bidirectional Relationship Between Mental Health and Sports Injury in Adolescents: A Systematic Review and Meta-analysis.
Synthesis in Sports medicine (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Sports Injuries and Mental Health in Child and Adolescent Athletes: A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Neuropsychological Health in Mixed Martial Arts Fighters and Combat Sport Athletes: A Scoping Review.Cureus · 2026Review
- From Slump to Comeback: Psychological Determinants of Performance Decline, Burnout, and Recovery in Competitive Athletes-A Systematic Review.Sports (Basel, Switzerland) · 2026Review
- Association of Participation in Warm-Up Exercises with Complications, Subsequent Injury Frequency, and Recovery Duration Among Athletes with a History of Injury: A Physical Activity Epidemiology Study Using Secondary Survey Data.Medicina (Kaunas, Lithuania) · 2026Article
- Competitive Anxiety as a Predictor of the Occurrence, Quantity, and Severity of Injuries in Young Cuban Athletes.International journal of environmental research and public health · 2026Article
- A qualitative study exploring factors linked to adolescent athletes' mental health during sports injury.BMJ open sport & exercise medicine · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSports injuries are linked to negative impacts on mental health and well-being, including depression, anxiety, stress and lower quality of life. Conversely, poor mental health and well-being have been found to increase the risk of sports injury, injury severity and time taken to recover. Although existing research indicates these associations in athletes broadly, the nature and directionality of these relationships among adolescents are not well characterised. A related limitation is that much of the existing evidence, in both children and adult athletes, is cross-sectional in design, limiting our understanding of causal directionality. Given the high rates of sports participation and the specific risk factors for injury in this demographic, as well as the growing concern about adolescents' mental health and well-being worldwide, this complex relationship warrants greater attention.
objectiveWe aimed to examine the bidirectional relationship between sports injuries and mental health and well-being in adolescents aged 10-24 years, and potential mechanisms of this relationship.
methodsThis systematic review and meta-analysis was registered on PROSPERO (ID: CRD42023374807). Literature searches were performed according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines by searching PsycINFO, Web of Science, ERIC, CINAHL, MEDLINE, Embase, Cochrane Library, SPORTDiscus, PEDro, Elicit and Google Scholar. Articles were included if they were quantitative, published in English between 1990 and 2023, focused on young athletes aged 10-24 years, measured mental health/well-being and were an all-complaints sports injury that ranged across all levels of sport.
resultsOf 397 studies screened, 84 studies were included. The final sample included 221,095 adolescents and young people. A narrative synthesis indicated that sports injuries were associated with worse mental health and well-being in the majority of studies, and vice versa. Meta-analyses revealed that sports injury incidence was significantly associated with worse mental health/well-being (Z
conclusionsWe found evidence for a bidirectional relationship between sports injuries and mental health in adolescent athletes. Further research is needed to elucidate the mechanisms underlying this relationship. Early interventions focusing on supporting mental health after sports injury, and addressing pre-existing mental health issues to reduce the risk of subsequent injury, should be tailored towards psychosocial mechanisms that particularly impact adolescent athletes.
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