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ArticleSports medicine - open2026

Cognitive and Mental Health in Recently Retired Collegiate Football Players: Findings from the CARE Consortium.

Reid A Syrydiuk, Benjamin L Brett, Eleanna M L Varangis, Douglas J Wiebe, Paul F Pasquina, Michael A McCrea, Thomas W McAllister, Steven P Broglio, CARE Consortium Investigators

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Article in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Reid A SyrydiukMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA. syrydiuk@umich.edu.ORCID http://orcid.org/0000-0001-9066-9821
Benjamin L BrettDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Eleanna M L VarangisMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
Douglas J WiebeDepartment of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
Paul F PasquinaDepartment of Physical Medicine & Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Michael A McCreaDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Steven P BroglioMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
CARE Consortium Investigators

Funding

U.S. Department of Defense W81XWH-14-2-0151U.S. Department of Defense W81XWH-18-2-0047
6 · The paper itself

Abstract

backgroundWhile long-term psychosocial health in football players has been extensively studied, little is known about cognitive and mental health during early sport retirement. This study examined the association between football participation factors and self-reported cognitive and mental health among recently retired collegiate players.

methodsParticipants in the Concussion Assessment, Research, and Education (CARE) Consortium (n = 627; mean age = 25.0 ± 1.7) completed surveys across 26 United States universities (2014-2021) within 5 years of collegiate exit. Measures included Quality of Life in Neurological Disorders-Cognitive Domain (Neuro-QoL), Patient Health Questionnaire (PHQ-9), SF-12 Mental Component Summary (MCS), and Satisfaction with Life Scale (SWLS). Univariate and multivariable regression models evaluated the effects of lifetime concussion history, playing position, and years of football participation on outcome scores. Proportions exceeding clinical score thresholds were also compared across exposure groups.

resultsPer univariate analyses, participants reporting three or more concussions had significantly worse scores across all instruments than those without concussion history, and a higher proportion exceeded clinical thresholds for all measures except life satisfaction. In adjusted models, the 3+ concussion group endorsed higher PHQ-9 scores than the non-concussion group (B: 1.53, SE: 0.52, p = 0.014). An interaction between position and concussion was observed for Neuro-QoL scores, with agility players reporting lower scores than hybrid players in those with 1-2 concussions. DISCUSSION: Greater lifetime concussion history was associated with poorer self-reported psychosocial health among recently retired collegiate football players. Targeted clinical screening and early intervention may benefit those with multiple concussions as they transition to post-athletic careers.

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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.