Evidence map›Paper›PMID 42428202›Full record

ReviewCureus2026

Mental Health in Injured Athletes: A Narrative and Conceptual Review of Risk-Stratified Psychological Monitoring After Musculoskeletal Injury and Concussion.

Harmon Colvett, Brooke Reinagel, Jacob Deeter

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Harmon ColvettMedical School, University of Tennessee Health Science Center, Memphis, USA.
Brooke ReinagelKinesiology, University of Missouri, Columbia, USA.
Jacob DeeterCollege of Health Sciences, University of Missouri, Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Athletic injury is a biopsychosocial event rather than a purely mechanical one. Athletes recovering from musculoskeletal injury or sport-related concussion may experience depressive symptoms, anxiety, sleep disruption, fear of reinjury, role disruption, and reduced psychological readiness for return to sport. This article is explicitly presented as a narrative and conceptual review, not as a systematic or scoping review. Its aims are threefold: to synthesize the literature on mental health outcomes after athletic injury; to identify patterns by injury type, age group, competition level, and career stage; and to introduce a conceptual prototype, the Athlete Mental Health Change Index (AMHCI). The reviewed evidence supports several cautious conclusions. First, musculoskeletal injury is consistently associated with short-term psychological distress and impaired return-to-sport confidence. Second, concussion is associated with mood and recovery-related psychological symptoms, while repetitive head-impact exposure and later-life psychiatric outcomes remain associated in some studies but are limited by heterogeneous methods, recall bias, and confounding. Third, psychological response is moderated by premorbid mental health, coping style, athletic identity, social support, and environmental pressure to return prematurely. The AMHCI is presented as a provisional, hypothesis-generating framework rather than a validated clinical instrument. Its five domains and weighting coefficients were derived from theory and an illustrative literature review, not from Delphi consensus, content validity testing, pilot testing, or psychometric calibration. Accordingly, the model should not be used for diagnostic or return-to-sport decision-making without future validation. A validation roadmap is proposed, including assessment of content validity, factor structure, reliability, convergent validity, predictive validity, and threshold calibration.

Indexed as

athletesconcussionmental healthrehabilitationrepetitive head impactsreturn to sportsport injury

Identifiers

PMID42428202
PMCPMC13348779

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.