Citation

Yrondi A, Brauge D, LeMen J, Arbus C, Pariente J. Presse Med. (1983) 2017; 46(10): 890-902.

Affiliation

UPS, Université de Toulouse, TONIC, Toulouse NeuroImaging Center, 31024 Toulouse cedex 3, France; CHU Toulouse, Federation Hospitalo-Universitaire, Cognitive, Psychiatric and Sensory Disabilities, 31059 Toulouse, France; CHU Toulouse-Purpan, Neurology department, 31059 Toulouse, France.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.lpm.2017.08.013

PMID

28919268

Abstract

CONTEXT: Head injuries are risk factors for chronic depressive disorders, but this association remains poorly explored with regards to concussion.

OBJECTIVES: The objective of this review was to evaluate the incidence of depressive symptoms and depression after sports-related concussion. We also endeavored to identify the response elements regarding the pathophysiology of these symptoms.

METHODS: A systematic search of PubMed and Embase was conducted focusing on papers published until 1st December, 2016, according to PRISMA criteria The following MESH terms were used: (concussion or traumatic brain injury) and sport and (depression or depressive disorder).

RESULTS: A depressive disorder can appear immediately after a concussion: depressive symptoms seem to be associated with the symptoms of the concussion itself. A depressive disorder can also appear later, and is often linked to the frequency and number of concussions. Furthermore, the existence of a mood disorder prior to a concussion can contribute to the onset of a depressive disorder after a concussion. LIMITS: There is an overall limit concerning the definition of a depressive disorder. In addition, when these studies had controls, they were often compared to high-level athletes; yet, practicing sport regularly is a protective factor against mood pathologies.

CONCLUSIONS: Depressive symptoms after a concussion seem to be associated with postconcussion symptoms. Repeat concussions can contribute to later-onset major depressive disorders. However, playing sports can protect against major depressive disorders: thus, it is essential to evaluate concussions as accurately as possible.

Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Language: en