scholarly journals B-65 Systematic Review of Pre-Injury Mental Health Problems as a Vulnerability Factor for Worse Outcome Following Sport-Related Concussion

2019 ◽  
Vol 34 (6) ◽  
pp. 1013-1013
Author(s):  
G Iverson ◽  
M Williams ◽  
A Gardner ◽  
D Terry
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Science Studies ◽  
Mental Health Problems ◽  
Age Of Onset ◽  
Health Problems ◽  
Cochrane Library ◽  
Vulnerability Factor ◽  
Persistent Symptoms ◽  
Clinical Recovery

Abstract Objective A systematic review of the extent to which pre-injury mental health problems are a vulnerability factor for slower clinical recovery from sport-related concussion, defined as recovery from symptoms or a return to normal activities, including school and sports, following injury. Data Selection We conducted a search using (i) concussion-related terms, (ii) sport/athlete-related terms, and (iii) diverse predictor/modifier terms in the following databases: PubMed, PsycINFO®, MEDLINE®, CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published by February 2019 that examined pre-injury mental health problems as a possible predictor of clinical recovery from concussion were included. A total of 4,013 articles were screened. A full-text review was conducted on 358 articles, and 12 articles were ultimately included. Data Synthesis Those with a preinjury history of mental health problems were at greater risk for having persistent symptoms. There are major methodological differences across the studies. Most of the articles were not focused on mental health as a primary predictor, and the sample sizes in most studies were small. The type of preinjury mental health problems were inconsistently defined. The age of onset, course, severity, and duration of mental health problems were not defined. The extent to which the mental health problems were present prior to the season, during baseline testing, was not reported. Conclusions Pre-injury mental health difficulties predict prolonged recovery from concussion, but much more research is needed to understand the mechanisms and the magnitude of the effect.

scholarly journals Systematic Review of Preinjury Mental Health Problems as a Vulnerability Factor for Worse Outcome After Sport-Related Concussion

2020 ◽  
Vol 8 (10) ◽  
pp. 232596712095068
Author(s):  
Grant L. Iverson ◽  
Michael W. Williams ◽  
Andrew J. Gardner ◽  
Douglas P. Terry
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Clinical Outcome ◽  
Mental Health Problems ◽  
Collegiate Athletes ◽  
Health Problems ◽  
Cochrane Library ◽  
School Students ◽  
Persistent Symptoms ◽  
Increased Risk

Background: It is difficult to predict who will experience prolonged health problems after sustaining a sport-related concussion. Purpose: To synthesize the literature and conduct a gap analysis on the association between preinjury mental health problems and clinical outcome from sport-related concussion. Study Design: Systematic review; Level of evidence, 4. Methods: Data sources were PubMed, PsycINFO, MEDLINE (and MEDLINE in Process), CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science. Studies published before February 2019 that addressed preinjury mental health problems as a possible predictor of worse clinical outcome or clinical recovery from concussion were eligible for inclusion. Results: Of 4013 studies screened, 358 full texts were reviewed, and 12 studies involving 3761 participants (n = 471 [12.5%] with preexisting mental health problems) were ultimately included. The participants with a preinjury history of mental health problems were at greater risk for having persistent symptoms or worse outcome in 9 of 12 studies. The studies had major methodological differences, and most studies were not focused on mental health as a primary predictor or prognostic factor. Rather, they included it as a secondary or tertiary predictor. The sample sizes with preinjury mental health problems in most studies were small or very small (ie, <25). The age of onset, type, course, severity, and duration of mental health problems were not defined. The extent to which mental health problems were present before the season, during baseline testing, was not reported. Conclusion: Preinjury mental health problems appear to confer risk for worse clinical outcome after sport-related concussion. Future research is needed to (1) examine this risk factor in large representative populations of middle school students, high school students, and collegiate athletes; (2) quantify the risk for each mental health condition; (3) understand the mechanisms underlying this increased risk; and (4) develop more refined treatment and rehabilitation approaches for these student-athletes.

scholarly journals Bibliotherapy as a Non-pharmaceutical Intervention to Enhance Mental Health in Response to the COVID-19 Pandemic: A Mixed-Methods Systematic Review and Bioethical Meta-Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Daniela Monroy-Fraustro ◽  
Isaac Maldonado-Castellanos ◽  
Mónica Aboites-Molina ◽  
Susana Rodríguez ◽  
Perla Sueiras ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Meta Analysis ◽  
Quality Criteria ◽  
Health Problems ◽  
Clinical Settings ◽  
Road Map ◽  
Road Maps

Background: A non-pharmaceutical treatment offered as psychological support is bibliotherapy, which can be described as the process of reading, reflecting, and discussing literature to further a cognitive shift. The coronavirus disease 2019 (COVID-19) pandemic demands a response to prevent a peak in the prevalence of mental health problems and to avoid the collapse of mental health services, which are scarce and inaccessible due to the pandemic. Thus, this study aimed to review articles on the effectiveness of bibliotherapy on different mental health problems.Methods: A systematic review was conducted to examine relevant studies that assess the effectiveness of bibliotherapy in different clinical settings as a treatment capable of enhancing a sense of purpose and its surrounding values. To achieve this, a systematic review, including a bioethical meta-analysis, was performed. A variant of the PICO (Participants, Intervention, Comparison, and Outcome) model was used for the search strategy, and the systematic review was conducted in three databases: PubMed, Bireme, and OVID. Inclusion criteria were relevant studies that included the keywords, excluding documents with irrelevant topics, studies on subjects 15 years or younger, and in languages besides Spanish or English. Starting with 707 studies, after three rounds of different quality criteria, 13 articles were selected for analysis, including a hermeneutic analysis, which was followed by a fourth and final recovery round assessing bibliotherapy articles concerning healthcare workers.Results: Our findings showed that through bibliotherapy, patients developed several capacities, including the re-signification of their own activities through a new outlook of their moral horizon. There are no research road maps serving as guides to conduct research on the use of bibliotherapy to enhance mental health. Additionally, values such as autonomy and justice were closely linked with positive results in bibliotherapy. This implies that bibliotherapy has the potential to have a positive impact in different settings.Conclusions: Our contribution is to offer a road map that presents state-of-the-art bibliotherapy research, which will assist institutions and healthcare professionals to plan clinical and specific interventions with positive outcomes.

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