Differences in Postinjury Psychological Symptoms Between Collegiate Athletes With Concussions and Orthopedic Injuries

Abstract

Patterns of psychological disturbance differ after concussions and orthopedic injures. Further research is warranted to identify the factors contributing to these differences and to develop effective intervention programs to prevent these symptoms.

The Influence of Psychological Factors on the Incidence and Severity of Sports-Related Concussions: A Systematic Review

“…38 It is unclear whether baseline depressive symptoms directly contribute to worse SRC symptomatology, since the onset of depressive symptoms has also been reported after concussions. 30,52 Many previous studies have evaluated psychological symptoms that develop after SRCs 21,29,36,51 ; however, there is a paucity of information on the influence of preexisting psychological factors on the risk or severity of SRCs. The purpose of this systematic review was to comprehensively evaluate the existing literature and report on the relationship of psychological factors in the incidence and severity of SRCs.…”

The Comparative Mental Health Responses Between Post-Musculoskeletal Injury and Post-Concussive Injury Among Collegiate Athletes: A Systematic Review

“…23 Guo et al, reported peak depressive symptoms at one month post-concussive injury. 22 The Comparative Mental Health Responses Between Post-Musculoskeletal Injury and Post-Concussive Injury Among Collegiate... Furthermore, four articles are in agreement that depressive symptoms post-concussive injury steadily decrease after the peak depressive scores.…”

“…The quality assessment scores of individual studies are shown in Table 1. Within the six included articles, [21][22][23][24][25][26] five included football and basketball, [21][22][23][24][25] four included volleyball, [21][22][23][24] three included wrestling, 21,22,25 soccer, 21,22,24 and field hockey, 21,22,24 two included softball, 21,22 baseball, 21,22 hockey, 23,24 lacrosse, 23,24 and rugby, 23,24 and one included mountain biking 24 and cheerleading. 26 One study did not report the type of sport injury breakdown.…”

“…Five of the studies first measurement of depression and anxiety symptoms were at baseline, meaning prior to an injury occurring. [21][22][23][24][25] One of the studies first measurement of depression and anxiety symptoms was within 72-hours postinjury. 26 A summary of the study characteristics is presented in Table 2.…”

“…Five of the included articles reported on depressive symptoms for post-concussive injuries. [22][23][24][25][26] Depressive symptoms were assessed pre-season prior to any type of injury (baseline) and at varying time periods after an injury was sustained. Four articles agreed that peak depressive symptoms in athletes who sustain a concussion occur within one-week post-injury, which is a significant difference when compared to baseline scores.…”