Sports medicine - open · 2026
Cognitive and Mental Health in Recently Retired Collegiate Football Players: Findings from the CARE Consortium.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Syrydiuk Reid A, Brett Benjamin L, Varangis Eleanna M L, Wiebe Douglas J, Pasquina Paul F, McCrea Michael A, McAllister Thomas W, Broglio Steven P, CARE Consortium Investigators
Аннотация
BACKGROUND: While long-term psychosocial health in football players has been extensively studied, little is known about cognitive and mental health during early sport retirement. This study examined the association between football participation factors and self-reported cognitive and mental health among recently retired collegiate players.
METHODS: Participants in the Concussion Assessment, Research, and Education (CARE) Consortium (n = 627; mean age = 25.0 ± 1.7) completed surveys across 26 United States universities (2014-2021) within 5 years of collegiate exit. Measures included Quality of Life in Neurological Disorders-Cognitive Domain (Neuro-QoL), Patient Health Questionnaire (PHQ-9), SF-12 Mental Component Summary (MCS), and Satisfaction with Life Scale (SWLS). Univariate and multivariable regression models evaluated the effects of lifetime concussion history, playing position, and years of football participation on outcome scores. Proportions exceeding clinical score thresholds were also compared across exposure groups.
RESULTS: Per univariate analyses, participants reporting three or more concussions had significantly worse scores across all instruments than those without concussion history, and a higher proportion exceeded clinical thresholds for all measures except life satisfaction. In adjusted models, the 3+ concussion group endorsed higher PHQ-9 scores than the non-concussion group (B: 1.53, SE: 0.52, p = 0.014). An interaction between position and concussion was observed for Neuro-QoL scores, with agility players reporting lower scores than hybrid players in those with 1-2 concussions.
DISCUSSION: Greater lifetime concussion history was associated with poorer self-reported psychosocial health among recently retired collegiate football players. Targeted clinical screening and early intervention may benefit those with multiple concussions as they transition to post-athletic careers.
METHODS: Participants in the Concussion Assessment, Research, and Education (CARE) Consortium (n = 627; mean age = 25.0 ± 1.7) completed surveys across 26 United States universities (2014-2021) within 5 years of collegiate exit. Measures included Quality of Life in Neurological Disorders-Cognitive Domain (Neuro-QoL), Patient Health Questionnaire (PHQ-9), SF-12 Mental Component Summary (MCS), and Satisfaction with Life Scale (SWLS). Univariate and multivariable regression models evaluated the effects of lifetime concussion history, playing position, and years of football participation on outcome scores. Proportions exceeding clinical score thresholds were also compared across exposure groups.
RESULTS: Per univariate analyses, participants reporting three or more concussions had significantly worse scores across all instruments than those without concussion history, and a higher proportion exceeded clinical thresholds for all measures except life satisfaction. In adjusted models, the 3+ concussion group endorsed higher PHQ-9 scores than the non-concussion group (B: 1.53, SE: 0.52, p = 0.014). An interaction between position and concussion was observed for Neuro-QoL scores, with agility players reporting lower scores than hybrid players in those with 1-2 concussions.
DISCUSSION: Greater lifetime concussion history was associated with poorer self-reported psychosocial health among recently retired collegiate football players. Targeted clinical screening and early intervention may benefit those with multiple concussions as they transition to post-athletic careers.