Sabol Joseph, Kane Cecelia, Wilhelm Mark P, Reneker Jennifer C, Donaldson Megan Burrowbridge
Walsh University.
Tufts University.
Int J Sports Phys Ther. 2021 Feb 2;16(1):1-11. doi: 10.26603/001c.18682.
The average annual national estimate of injuries sustained by collegiate athletes is 210,674, which encompasses both those of a musculoskeletal and a concussive nature. Although athletic injuries are sustained through physical means and produce physical symptoms, sports-related injuries may be a stressor among athletes that is related to mental health.
The purpose of this systematic review is to summarize existing literature describing mental health responses in collegiate athletes with a concussion compared to those with a musculoskeletal injury.
Systematic Review.
Systematic searches of PubMed, CINAHL, Scopus, ProQuest, and SportDiscus were completed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tool. Data extracted from the included articles included the study design, number of participants, type of injury, sex, age, sport participation, outcome measures, and time to return to play.
A total of six articles were included. Peak depressive symptoms in athletes who sustain a concussion or musculoskeletal injury occur within one-week post-injury. No significant differences between the concussive and musculoskeletal groups anxiety scores were found at baseline or at each follow-up session. Athletes from both groups were found to be returning to their respective sports with anxiety scores representative of clinical anxiety.
Similar trends in depressive and anxiety symptoms at various time points post-injury were observed in athletes with both musculoskeletal and concussive injuries. This study identified that athletes were returning to play before their psychological symptoms had returned to their baseline.
2a.
全国大学生运动员每年受伤的估计平均数为210,674例，其中包括肌肉骨骼损伤和脑震荡损伤。虽然运动损伤是通过身体方式造成并产生身体症状，但与运动相关的损伤可能是运动员中与心理健康相关的一个压力源。
本系统评价的目的是总结现有文献，描述与肌肉骨骼损伤的大学生运动员相比，脑震荡大学生运动员的心理健康反应。
系统评价。
完成了对PubMed、CINAHL、Scopus、ProQuest和SportDiscus的系统检索。采用系统评价和Meta分析的首选报告项目（PRISMA）指南。使用乔安娜·布里格斯研究所（JBI）批判性评价工具评估方法学质量。从纳入文章中提取的数据包括研究设计、参与者数量、损伤类型、性别、年龄、运动参与情况、结局指标以及重返比赛的时间。
共纳入6篇文章。遭受脑震荡或肌肉骨骼损伤的运动员的抑郁症状高峰出现在受伤后一周内。在基线或每次随访时，脑震荡组和肌肉骨骼损伤组的焦虑评分无显著差异。发现两组运动员在重返各自运动项目时的焦虑评分均代表临床焦虑水平。
在肌肉骨骼损伤和脑震荡损伤的运动员中，在受伤后不同时间点观察到抑郁和焦虑症状的相似趋势。本研究发现，运动员在心理症状恢复到基线之前就重返比赛了。
2a。
