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

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.

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

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acz034.148 ◽

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.

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The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis

The Canadian Journal of Psychiatry ◽

10.1177/0706743719877029 ◽

2019 ◽

pp. 070674371987702 ◽

Cited By ~ 1

Author(s):

Sawayra Owais ◽

Mateusz Faltyn ◽

Ashley V. D. Johnson ◽

Chelsea Gabel ◽

Bernice Downey ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Health Problems ◽

Meta Analysis ◽

Well Being ◽

Health Problems ◽

Indigenous Women ◽

Perinatal Mental Health ◽

Future Research ◽

Increased Risk

Objective: Although Indigenous women are exposed to high rates of risk factors for perinatal mental health problems, the magnitude of their risk is not known. This lack of data impedes the development of appropriate screening and treatment protocols, as well as the proper allocation of resources for Indigenous women. The objective of this systematic review and meta-analysis was to compare rates of perinatal mental health problems among Indigenous and non-Indigenous women. Methods: We searched Medline, EMBASE, PsycINFO, CINAHL, and Web of Science from their inceptions until February 2019. Studies were included if they assessed mental health in Indigenous women during pregnancy and/or up to 12 months postpartum. Results: Twenty-six articles met study inclusion criteria and 21 were eligible for meta-analysis. Indigenous identity was associated with higher odds of mental health problems (odds ratio [ OR] 1.62; 95% confidence interval [CI], 1.25 to 2.11). Odds were higher still when analyses were restricted to problems of greater severity ( OR 1.95; 95% CI, 1.21 to 3.16) and young Indigenous women ( OR 1.86; 95% CI, 1.51 to 2.28). Conclusion: Indigenous women are at increased risk of mental health problems during the perinatal period, particularly depression, anxiety, and substance misuse. However, resiliency among Indigenous women, cultural teachings, and methodological issues may be affecting estimates. Future research should utilize more representative samples, adapt and validate diagnostic and symptom measures for Indigenous groups, and engage Indigenous actors, leaders, and related allies to help improve the accuracy of estimates, as well as the well-being of Indigenous mothers, their families, and future generations. Trial Registration: PROSPERO-CRD42018108638.

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Adolescent mental health: analysis using YP-CORE test in School health services in Croatia

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1057 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

V Jureša ◽

M Posavec ◽

S Latković Prugovečki ◽

V Musil ◽

M Majer ◽

...

Keyword(s):

Mental Health ◽

Secondary School ◽

Secondary School Students ◽

School Health ◽

Mental Health Problems ◽

Health Problems ◽

Positive Answer ◽

First Year ◽

School Students ◽

Increased Risk

Abstract Issue Adolescent mental health problems are a leading health problem in this population and remain unrecognized for a long time. The aim of this study was to examine the mental health problems with YP-CORE test as a part of regular school health periodic examination of first-year secondary school students (ages 15-16). Description of Problem Study included 392 first-year Zagreb secondary school students (74.5% girls) academic year 2019/2020. Data were collected by YP-CORE test ten questions about feeling over the last week. The students provided informed consent, and testing was done during regular periodic examinations. Data were analyzed using descriptive statistics. Results At risk of mental health problems were 7.5% of girls (22/292) and 2.0% of boys. Nine girls (3.1%) had a low overall score, ≤ 19 points, which would mean little risk but had a positive answer to the question 'I've thought of hurting myself'. Ten girls (3.3%) had a score of ≥ 20, which meant an increased risk and a particularly positive answer was the 'I've thought of hurting myself' question. Three girls (1%) had a score of ≥ 20, which meant an increased risk with no additional risk of auto-aggression. The results in the boys are completely different. Two students, 2% (2/100) had a total score of ≥ 17, which meant an increased risk and a particularly positive answer was the 'I've thought of hurting myself' question. All recognized risk students are immediately involved in the counseling of the School and University Medicine Counseling Services provided by every secondary school in Croatia. Lessons The results of the study showed that mental health problems have 6.1% secondary school students with gender differences, girls 7.5%, boys 2%. School health service developed a protocol for students at increased risk. The first step is school medicine specialist interview with the student, then with the parents and the student, and second step including school staff and other professionals. Key messages Early identification of mental health problems, timely intervention and continuous monitoring of mental health among secondary school students in Croatia. Counseling service for students should be available within the school health service, implementing preventative measures and working closely with other services and professionals.

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Low Physical Activity in Adolescence is Associated with Increased Risk for Mental Health Problems

Medicina Sportiva ◽

10.2478/v10036-009-0013-6 ◽

2009 ◽

Vol 13 (2) ◽

pp. 74-81 ◽

Cited By ~ 5

Author(s):

Karin Monshouwer ◽

Margreet ten Have ◽

Mireille Van Poppel ◽

Han Kemper ◽

Wilma Vollebergh

Keyword(s):

Mental Health ◽

Physical Activity ◽

Mental Health Problems ◽

Health Problems ◽

Increased Risk

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Family Type Predicts Mental Health Problems in Young Adults: A Survey of Students at a University in Botswana

SOUTHERN AFRICAN JOURNAL OF SOCIAL WORK AND SOCIAL DEVELOPMENT ◽

10.25159/2415-5829/6823 ◽

2020 ◽

Vol 32 (2) ◽

Author(s):

Kennedy Amone-P'Olak ◽

Boniface Kealeboga Ramotuana

Keyword(s):

Mental Health ◽

Young Adults ◽

Mental Health Problems ◽

Single Mother ◽

Health Problems ◽

Family Type ◽

Cross Sectional ◽

Intact Family ◽

Increased Risk ◽

Family Types

In Africa, the structure of the family is changing rapidly. The effects of this change on mental health remain unknown. This study investigated the extent to which different family types (intact, single-mother, and multiple) predict mental health problems in young adults in Botswana (N = 264, mean age = 21.31, SD = 2.40). In a cross-sectional design, the study sampled students registered at various faculties at the University of Botswana. The revised symptoms checklist (SCL-90-R) was used to assess symptoms of mental health problems (depression, anxiety and hostility). Binary logistic regression analyses were performed to obtain odds ratios (ORs) and 95 per cent confidence intervals (CIs) of mental health problems for mother-only and multiple family types relative to the intact family type. Compared to the intact family type, single-mother (OR = 2.34; 95% CI: 1.21, 4.51) and multiple family types (OR = 1.56; CI: 0.88, 2.78) were associated with an increased risk of depression. For anxiety, the ORs were 2.27 (CI: 1.18, 4.38) and 1.10 (CI: 0.56, 1.82) for single-mother and multiple family types respectively. For hostility, the ORs were 2.60 (CI: 1.34, 5.04), and 0.79 (CI: 0.44, 1.42) for single-mother and multiple family types, respectively. Family types predict mental health problems in young adults and therefore the interventions to mitigate the effects should consider family backgrounds and the ramifications of family types for treatment and care.

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