Purpose: To explore the correlation between post-injury mental health symptoms and rehabilitation adherence in collegiate athletes to gain knowledge that would improve rehabilitative recommendations. Methods: 19 National Collegiate Athletic Association athletes (M age: 20.58 ± 1.31) were assessed for depressive and anxious symptoms using the Hospital Anxiety and Depression Scale (HADS) after injury. Once they were cleared for full sports participation, they were administered the HADS again and the Rehabilitation Adherence Questionnaire (RAQ) to measure their perceptions of adherence to their rehabilitation programs. Results: A significant correlation was found between the two administrations of the HADS (R = .55, P = .03), but no significant correlations were found between RAQ scores and any of the HADS scores. Conclusions: Although the findings of this study did not establish a significant correlation between post-injury depression and anxiety symptoms and self-perceptions of rehabilitation adherence, strong evidence still exists to believe that poor mental health may be associated with poor rehabilitation adherence. Applications in Sport: Members of the collegiate athlete care team should be aware that the common underreporting of mental health symptoms in this population might make it difficult to establish the relationship between these symptoms and their recovery process after an injury. A holistic recovery approach should be considered in any injury recovery processes to allow collegiate athletes to heal both physically and psychologically.
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