Stronger Athlete Identity Is a Risk Factor for More Severe Depressive Symptoms After Musculoskeletal Injury in Pediatric Athletes: a Systematic Review.

IF 2.9 2区 医学 Q1 ORTHOPEDICS
Anna L Park, Kira Furie, Stephanie E Wong
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引用次数: 3

Abstract

Purpose of review: Treatment for musculoskeletal sports injuries often neglects the psychological components of health and recovery. Pediatric patients require particular consideration of their psychosocial and cognitive development. This systematic review investigates the effects of musculoskeletal injury on mental health in pediatric athletes.

Recent findings: Athlete identity may increase in adolescence and is associated with worse mental health post-injury. Psychological models suggest loss of identity, uncertainty, and fear mediate the association between injury and symptoms of anxiety, depression, post-traumatic stress disorder, and obsessive-compulsive disorder. Fear, identity, and uncertainty also influence return to sport. In the reviewed literature, there were 19 psychological screening tools and 8 different physical health measures with various adaptations to athlete developmental level. In pediatric patients, no interventions were studied to reduce the psychosocial impacts of injury. Musculoskeletal injury is associated with worse mental health in pediatric athletes, and stronger athlete identity is a risk factor for the development of depressive symptoms. Psychological interventions that reduce uncertainty and address fear may help mitigate these risks. More research is needed on screening and interventions to improve mental health post-injury.

Abstract Image

更强的运动员身份是儿童运动员肌肉骨骼损伤后更严重抑郁症状的危险因素:一项系统综述
综述目的:肌肉骨骼运动损伤的治疗往往忽视了健康和恢复的心理成分。儿科患者需要特别考虑他们的社会心理和认知发展。本系统综述调查了肌肉骨骼损伤对儿童运动员心理健康的影响。最近的研究发现:运动员身份在青春期可能会增加,并且与受伤后的心理健康状况恶化有关。心理学模型表明,身份丧失、不确定性和恐惧介导了伤害与焦虑、抑郁、创伤后应激障碍和强迫症症状之间的关联。恐惧、身份认同和不确定性也影响着重返体育运动。在回顾的文献中,有19种心理筛查工具和8种不同的身体健康措施,它们与运动员的发育水平有不同的适应。在儿科患者中,没有研究干预措施来减少伤害的社会心理影响。在儿童运动员中,肌肉骨骼损伤与较差的心理健康有关,而更强的运动员认同感是抑郁症状发展的一个危险因素。减少不确定性和消除恐惧的心理干预可能有助于减轻这些风险。需要对筛查和干预措施进行更多的研究,以改善受伤后的心理健康。
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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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