Skip to main content Accessibility help
Hostname: page-component-8bbf57454-jcfbx Total loading time: 0.63 Render date: 2022-01-26T05:38:39.363Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Chapter 8 - Rugby: Concussion and Mental Health Symptoms

Published online by Cambridge University Press:  29 July 2020

Amit D. Mistry
Barnet, Enfield and Haringey Mental Health NHS Trust
Thomas McCabe
NHS Greater Glasgow and Clyde
Alan Currie
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Get access


BD is a 34-year-old semi-professional rugby union player and a part-time schoolteacher. Three years ago she suffered three concussions during one season and required a prolonged period of rest. Following an extended RTP protocol, which involved a month away from any rugby contact and a gradual increase in physical activity, she was integrated back into the team environment although she always thought she never reached her previous level of performance.

Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)


Armstrong, LE, VanHeest, JL. The unknown mechanism of the overtraining syndrome: Clues from depression and psychoneuroimmunology. Sports Med. 2002 [refd 2016 Oct 15];32(3):185209. Available from: ScholarPubMed
World Health Organization. International Statistical Classification of Diseases and Related Health Problems – 10th Revision. World Health Organization. 2011.Google Scholar
Kamins, J, Bigler, E, Covassin, T, Henry, L, Kemp, S, Leddy, JJ, et al. What is the physiological time to recovery after concussion? A systematic review. Br J Sports Med. 2017;51(12):935–40.CrossRefGoogle ScholarPubMed
Iverson, GL, Gardner, AJ, Terry, DP, Ponsford, JL, Sills, AK, Broshek, DK, et al. Predictors of clinical recovery from concussion: A systematic review. Br J Sports Med. 2017;51: 941–8.CrossRefGoogle ScholarPubMed
Echemendia, RJ, Meeuwisse, W, McCrory, P, Davis, GA, Putukian, M, Leddy, J, et al. The Sport Concussion Assessment Tool 5th Edition (SCAT5). Br J Sports Med. 2017 Apr 26 [refd 2019 Dec 1];bjsports-2017–097506. Available from:–097506CrossRefGoogle Scholar
Yrondi, A, Brauge, D, LeMen, J, Arbus, C, Pariente, J. Depression et commotions cérébrales dans le sport: une revue de la littérature. Press Medicale. 2017;46(10):890902.CrossRefGoogle Scholar
Collie, A, Maruff, P, Makdissi, M, McCrory, P, McStephen, M, Darby, D. CogSport: Reliability and correlation with conventional cognitive tests used in postconcussion medical evaluations. Clin J Sport Med. 2003;13(1):2832.CrossRefGoogle ScholarPubMed
Cross, MJ, Tucker, R, Raftery, M, Hester, B, Williams, S, Stokes, KA, et al. Tackling concussion in professional rugby union: A case-control study of tackle-based risk factors and recommendations for primary prevention. Br J Sports Med. 2019;53(16):1021–5.CrossRefGoogle ScholarPubMed
Rafferty, J, Ranson, C, Oatley, G, Mostafa, M, Mathema, P, Crick, T, et al. On average, a professional rugby union player is more likely than not to sustain a concussion after 25 matches. Br J Sports Med. 2019;53:969-73.CrossRefGoogle Scholar
Hughes, L, Leavey, G. Setting the bar: Athletes and vulnerability to mental illness. Br J Psychiatry. 2012 [refd 2018 Apr 4];200(02):95–6. Available from: ScholarPubMed
Brown, J, Kerkhoffs, G, Lambert, M, Gouttebarge, V. Forced retirement from professional rugby union is associated with symptoms of distress. Int J Sports Med. 2017 [refd 2018 Dec 10];38(08):582–7. Available from: ScholarPubMed
Gouttebarge, V, Hopley, P, Kerkhoffs, GMMJ, Verhagen, EALM, Viljoen, PW, Lambert, M. A 12-month prospective cohort study of symptoms of common mental disorders among professional rugby players. Eur J Sport Sci. 2018. Available from: Scholar
Gouttebarge, V, Tol, JL, Kerkhoffs, GMMJ. Epidemiology of symptoms of common mental disorders among elite Gaelic athletes: A prospective cohort study. Phys Sportsmed. 2016;44(3).CrossRefGoogle ScholarPubMed
Gouttebarge, V, Frank, B, Aoki, H, Kerkhoffs, G. Symptoms of common mental disorders in professional football (soccer) across five European countries. J Sport Sci Med. 2015;14(4):811–8.Google ScholarPubMed
Diamond, AB, Callahan, ST, Chain, KF, Solomon, GS. Qualitative review of hazing in collegiate and school sports: Consequences from a lack of culture, knowledge and responsiveness. Br J Sports Med. 2016; 50:149–53.CrossRefGoogle ScholarPubMed
Stirling, AE, Bridges, EJ, Cruz, EL, Mountjoy, ML. Canadian Academy of Sport and Exercise Medicine position paper: Abuse, harassment, and bullying in sport. Clin J Sport Med. 2011;21(5):385–91.CrossRefGoogle Scholar

Send book to Kindle

To send this book to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats

Send book to Dropbox

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox.

Available formats

Send book to Google Drive

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive.

Available formats