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Passard NN, Pottinger AM, Boyne AS. Mental Health Awareness and Counseling Practice of Jamaican Clergy: An Exploratory Study. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2023; 77:41-50. [PMID: 35989644 DOI: 10.1177/15423050221119176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Clergy play a vital role in mental health care in Jamaica but little is known about their mental health awareness and practices. Thirty five Anglican and Baptist clergy were compared to 24 helping professionals and 67 community members using purposive sampling. Clergy's awareness exists with spiritualized beliefs about the etiology of mental illness as well as with effective and unethical counseling practices. Findings indicate the need for more training in mental health sensitization and practice.
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Affiliation(s)
| | - Audrey M Pottinger
- Department of Child and Adolescent Health, 462834The University of the West Indies, Mona, Jamaica
| | - Ashley S Boyne
- Department of Child and Adolescent Health, 462834The University of the West Indies, Mona, Jamaica
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52
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Ito T, Fetters MD, Kipps C, Kumar B. Depressive symptoms among male professional soccer players in Japan. ASIAN JOURNAL OF SPORT AND EXERCISE PSYCHOLOGY 2023. [DOI: 10.1016/j.ajsep.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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53
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Marshburn A, Siegel JT. Vested in support: Applying vested interest theory to increase support for close others with depression. J Health Psychol 2023; 28:328-342. [PMID: 35957558 DOI: 10.1177/13591053221115626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Guided by vested interest theory, we assessed whether a lack of stake explains the discrepancy between people having positive attitudes toward their loved one's recovery from depression and the provision of support. We further investigated whether increasing the perceived personal consequences of providing support (i.e. stake) increased willingness to provide support. A stake-boosting message had no direct, but significant indirect effects on willingness to provide support when compared to a control and comparison condition. In summary, increasing stake in a loved one's recovery indirectly increases intentions to provide support.
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54
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Purcell R, Henderson J, Tamminen KA, Frost J, Gwyther K, Kerr G, Kim J, Pilkington V, Rice SM, Walton CC. Starting young to protect elite athletes' mental health. Br J Sports Med 2023; 57:439-440. [PMID: 36796858 PMCID: PMC10086277 DOI: 10.1136/bjsports-2022-106352] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2023] [Indexed: 02/18/2023]
Affiliation(s)
- Rosemary Purcell
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia .,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
| | - Joanna Henderson
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Katherine A Tamminen
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Joshua Frost
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
| | - Kate Gwyther
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
| | - Gretchen Kerr
- Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Jeemin Kim
- Department of Kinesiology, Michigan State University, East Lansing, Michigan, USA
| | - Vita Pilkington
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
| | - Simon M Rice
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
| | - Courtney C Walton
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.,Research and Knowledge Translation, Orygen, Melbourne, Victoria, Australia
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55
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Harmanci D, Edelman N, Richardson D, Lunt A, Llewellyn C. How are young people's mental health related to their sexual health and substance use? A systematic review of UK literature. Int J Adolesc Med Health 2023; 35:131-158. [PMID: 36636992 DOI: 10.1515/ijamh-2022-0090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 12/15/2022] [Indexed: 01/14/2023]
Abstract
OBJECTIVES The transition from childhood to adulthood is complex and presents challenges to young people's mental health. Mental health impacts and is impacted by a range of contextual and personal factors. Adolescence and young adulthood also coincide with increased experimentation with sex, sexuality and substance use. Addressing the mental health, sexual health and substance-use challenges experienced by young people therefore necessitates an understanding of how these elements relate to one another. By collecting and analysing existing literature, this review aims to identify associations between young people's mental health and sexual health, their mental health and substance use and any resulting gaps-in-knowledge. CONTENT Seven electronic databases were searched between March and May 2021 and updated in May 2022 with terms collated under the categories of "young people", "mental health", "sexual health" and "substance use". English-language articles, presenting data from the UK & Ireland, on young people aged 16-24 years inclusive were screened and subjected to a selection process in accordance with PRISMA guidelines (preregistered on PROSPERO, ref. number CRD42021245096). The quality of the resulting articles were assessed using the Mixed Methods Appraisal Tool (MMAT) and findings were tabulated through a data extraction process. SUMMARY 27 articles were included in the review. Various mental health indices such as depression, anxiety, self-harm, psychotic-like experiences, hypomanic symptoms and binge-purge type eating disorders were found to be associated with higher use of substances such as alcohol, cannabis, ecstasy and generalised drug use. Additionally, mental health indices such as depression, anxiety and self-harm were found to be associated with sex before age 16 and/or unprotected sex at age 16, positive Chlamydia infection and higher levels of sexual activity at a younger age. Overall, cross-sectional associations were stronger than the longitudinal associations presented in the articles. OUTLOOK This review into the specific relations between young people's mental health, sexual health and substance use has revealed the complex and bi-directional nature of these associations, with some conditions and substances having been more extensively investigated (e.g., alcohol and depression/anxiety) as opposed to the relations between young people's sexual health and mental health which is lacking in the UK and Irish context. The findings can help inform mental health related policies and service provisions targeted at young people in the UK and Ireland. Areas for future work are suggested.
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Affiliation(s)
- Damla Harmanci
- Department of Primary Care & Public Health, Brighton and Sussex Medical School, Falmer, Brighton, UK
| | - Natalie Edelman
- Department of Primary Care & Public Health, Brighton and Sussex Medical School, Falmer, Brighton, UK.,School of Sport & Health Sciences, University of Brighton, Falmer, Brighton, UK
| | - Daniel Richardson
- Department of Primary Care & Public Health, Brighton and Sussex Medical School, Falmer, Brighton, UK.,University Hospitals Sussex NHS foundation Trust, Brighton, UK
| | - Alexandria Lunt
- Department of Primary Care & Public Health, Brighton and Sussex Medical School, Falmer, Brighton, UK
| | - Carrie Llewellyn
- Department of Primary Care & Public Health, Brighton and Sussex Medical School, Falmer, Brighton, UK
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56
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Kvillemo P, Nilsson A, Strandberg AK, Björk K, Elgán TH, Gripenberg J. Mental health problems, health risk behaviors, and prevention: A qualitative interview study on perceptions and attitudes among elite male soccer players. Front Public Health 2023; 10:1044601. [PMID: 36684906 PMCID: PMC9850108 DOI: 10.3389/fpubh.2022.1044601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 12/08/2022] [Indexed: 01/07/2023] Open
Abstract
Background The purpose of this study was to investigate the perception of mental health problems and health risk behaviors among Swedish male elite soccer players and their attitudes toward possible prevention strategies. Method Twenty elite soccer players, aged 15-30 years, were recruited through purposive sampling and interviewed via a digital video calling platform. A semi-structured interview guide, encompassing questions about mental health problems, health risk behaviors among soccer teams, peer-relations, relations to coaches, and attitudes toward health risk behaviors, along with proposals for effective interventions, was employed. The interviews were transcribed verbatim and analyzed with qualitative content analysis. Results The informants reported positive feelings in relation to playing soccer, good health, and few health risk behaviors. Risk factors included a large income, excessive free time, and the need for excitement. Stress and mental health problems were linked to performance pressure, social media, and injuries. Hesitation to talk openly about personal problems due to concerns about negative consequences and the "macho culture" was highlighted as barriers to admit and seek help for personal problems. Some statements indicated openness and the club's efforts to destigmatize personal problems. Positive attitudes toward prevention and suggestions for various measures were prominent. Conclusion Future research and implementation of interventions should focus on the prevention of health risk behaviors and alleviation of stress and performance pressure, as well as continue the efforts to destigmatize mental health problems and raise awareness among coaches of the importance of their communication and behavior for players' mental health and performance. This could be achieved by developing strategic and systematic policy work, information, and dialogue among players and coaches, in addition to individual digital or face-to-face support, provided by professionals outside the soccer context.
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Affiliation(s)
- Pia Kvillemo
- STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Region Stockholm, Karolinska Institutet, Stockholm, Sweden
| | - Anders Nilsson
- Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Region Stockholm, Karolinska Institutet, Stockholm, Sweden
| | - Anna K. Strandberg
- STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Region Stockholm, Karolinska Institutet, Stockholm, Sweden
| | - Karl Björk
- Stockholm Health Care Services, Region Stockholm, Karolinska Universitetssjukhuset, Stockholm, Sweden
| | - Tobias H. Elgán
- STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Region Stockholm, Karolinska Institutet, Stockholm, Sweden
| | - Johanna Gripenberg
- STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Stockholm Health Care Services, Region Stockholm, Karolinska Institutet, Stockholm, Sweden
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57
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Adhia A, Ellyson AM, Kroshus E. Prevalence and Formal Reporting of Sexual Violence among Undergraduate Student-Athletes: A Multi-State Study. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:NP418-NP442. [PMID: 35475767 DOI: 10.1177/08862605221081936] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Sexual violence (SV) is a serious problem on college campuses, and student-athletes are one group of college students at risk for experiencing SV. The administrative context and close-knit bonds of college teams introduce opportunities and structures for responding to SV and delivering uniquely tailored prevention programming, but there is limited research about formal reporting of SV among student-athletes. The current study examines the prevalence of SV and SV reporting history and perceptions among a multi-state sample of undergraduate student-athletes. Student-athletes at 10 National Collegiate Athletic Association (NCAA) Division I institutions across the US participated in an online survey about their experiences of SV victimization, formal reporting of SV, knowledge of resources, and perceptions of responses to SV at their institutions. Among 1004 student-athletes who completed the survey, 29% experienced some type of SV since enrolling at their university, with higher prevalence of SV among student-athletes on women's teams (36%) compared to men's teams (13%). About one fifth of student-athletes felt very or extremely knowledgeable about where to make a report of SV, and only about 10% felt very or extremely knowledgeable about what happens when a student reports SV. Only 9% of participants who experienced SV filed a formal report at their institution. Perceptions about whether campus officials would take the report seriously or would conduct a fair investigation were most positive for students who experienced and formally reported SV. Further research with student-athletes about their decision to formally report and barriers to reporting is needed to build a more comprehensive understanding of the unique experiences of SV among student-athletes. Our results highlight the importance of including and targeting student-athletes in campus SV prevention efforts to build knowledge and trust in hopes of ultimately decreasing the prevalence and adverse consequences of SV.
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Affiliation(s)
- Avanti Adhia
- Harborview Injury Prevention & Research Center, 7284University of Washington, Seattle, WA, USA
- Department of Pediatrics, 7284University of Washington, Seattle, WA, USA
| | - Alice M Ellyson
- Harborview Injury Prevention & Research Center, 7284University of Washington, Seattle, WA, USA
- Department of Pediatrics, 7284University of Washington, Seattle, WA, USA
- Center for Child Health, Behavior, and Development, 145793Seattle Children's Research Institute, Seattle WA, USA
| | - Emily Kroshus
- Harborview Injury Prevention & Research Center, 7284University of Washington, Seattle, WA, USA
- Department of Pediatrics, 7284University of Washington, Seattle, WA, USA
- Center for Child Health, Behavior, and Development, 145793Seattle Children's Research Institute, Seattle WA, USA
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58
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Perry C, Chauntry AJ, Champ FM. Elite female footballers in England: an exploration of mental ill-health and help-seeking intentions. SCI MED FOOTBALL 2022; 6:650-659. [PMID: 35622962 DOI: 10.1080/24733938.2022.2084149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVES Mental health research in sport is almost entirely focused on elite male athletes. However, recent research suggests that elite female athletes are at higher risk for mental ill-health when compared to their male counterparts. Given the recent growth of women's football in England and lack of research surrounding mental health in this population, this study sought to explore the prevalence of, and factors associated with depression, anxiety, and eating disorder symptoms in females competing in the top two tiers of English football. METHODS An anonymous online questionnaire pack, which measured personal and player characteristics and included the Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder scale (GAD-7), Brief Eating Disorder Questionnaire (BEDA-Q), and General Help-Seeking Questionnaire (GHSQ), was completed between November 2020 and March 2021 by elite female footballers competing in the Women's Super League (WSL) and Women's Championship. RESULTS A total of 115 players completed the questionnaire (63 from the WSL; 52 from the Women's Championship). 36% displayed eating disorder symptoms (BEDAQ) 11% displayed moderate to severe anxiety symptoms (GAD-7), and 11% displayed moderate to severe depression symptoms (PHQ-9). Significant associations emerged between starting status, want for psychological support, student-athlete status, help-seeking intentions score, and mental ill-health symptoms. CONCLUSION In summary, elite female footballers in England reported significant mental health symptoms, particularly disordered eating symptoms. Further research should explore the experiences of mental ill-health in this population, focusing on the factors that were important in this study.
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Affiliation(s)
- Carly Perry
- School of Sport and Health Sciences, University of Central Lancashire, Preston, UK
| | - Aiden J Chauntry
- School of Sport, Exercise and Health Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK
| | - Francesca M Champ
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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59
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Pretorius C, McCashin D, Coyle D. Mental health professionals as influencers on TikTok and Instagram: What role do they play in mental health literacy and help-seeking? Internet Interv 2022; 30:100591. [PMID: 36458161 PMCID: PMC9706523 DOI: 10.1016/j.invent.2022.100591] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 11/08/2022] [Accepted: 11/14/2022] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Mental disorders are recognised as the leading causes of disability worldwide. Despite high rates of incidence, few young people pursue formal help-seeking. Low levels of mental health literacy have been identified as a contributing factor to the notable lack of formal help-seeking by young people. Social media offers a potential means through which to engage and improve young people's mental health literacy. Mental health influencers could be a means through which to do this. OBJECTIVE The objectives of this study were two-fold: (1) to systematically identify the most popular mental health professionals who could be classified as 'influencers'; and (2) to determine whether their content contributed to mental health literacy. METHODS The search function of Instagram and TikTok was used to generate a list of accounts owned by mental health professionals with over 100,000 followers. Accounts not in English, in private, with no posts in the last year or with content unrelated to the search terms were excluded. Accounts were assessed for number of followers, country of origin, verified status and whether a disclaimer was included. Using content analysis, the five most recent posts dating back from 15 November 2021 were analysed for purpose and dimensions of mental health literacy as outlined by Jorm (2000) by three separate reviewers. RESULTS A total of 28 influencer accounts were identified on TikTok and 22 on Instagram. Majority of the accounts on both TikTok and Instagram originated from the United States (n = 35). A greater number of accounts included disclaimer and crisis support information on Instagram (12/22, 54.55 %) than on TikTok (8/22, 36.36 %). A total of 140 posts were analysed on TikTok and 110 posts on Instagram. When addressing elements of mental health literacy from this sample, 23.57 % (33/140) TikTok posts and 7.27 %. (8/110) posts on Instagram enhanced the ability to recognise specific difficulties. CONCLUSIONS These platforms and accounts provide a potential means through which to make mental health information more accessible, however, these accounts are not subjected to any credibility checks. Careful consideration should be given to the impact of content created by mental health professionals and its role in supporting help-seeking.
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Affiliation(s)
- Claudette Pretorius
- Insight Centre for Data Analytics, School of Computer Science, University College Dublin, Dublin, Ireland
| | | | - David Coyle
- School of Computer Science, University College Dublin, Dublin, Ireland
- Corresponding author.
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60
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Barry CT, Moran-Miller K, Levy HF, Gray T. Social media engagement, perceptions of social media costs and benefits, and well-being in college student-athletes. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-10. [PMID: 36395063 DOI: 10.1080/07448481.2022.2142797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 09/12/2022] [Accepted: 10/23/2022] [Indexed: 06/16/2023]
Abstract
Objective: The present study investigated the association between social media engagement and factors related to well-being (e.g., depression, anxiety, sleep, loneliness, self-esteem). Participants: A sample of 1120 college student-athletes (338 males, 777 females, 5 identified as non-binary) from nine universities participated in this study. Method: Data were collected through self-report measures and screen shots of participants' screen time in the previous week. Results: Overall screen time taken from devices was not associated with self-reported well-being, whereas use of social media during daily activities was related to worse well-being across domains (e.g., lower self-esteem, higher fear of missing out, stress, anxiety, depression). In addition, student-athlete perceptions that social media interfere with their lives were related to worse well-being. Conclusions: The implications of these findings, including the possibility of using protective behavioral strategies (PBS) to reduce negative impacts of social media in college students, are discussed.
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Affiliation(s)
- Christopher T Barry
- Department of Psychology, Washington State University, Pullman, Washington, USA
| | - Kelli Moran-Miller
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA
| | - Hannah F Levy
- Department of Psychology, Washington State University, Pullman, Washington, USA
| | - Tiffany Gray
- Department of Psychology, Washington State University, Pullman, Washington, USA
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61
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School-based mental health literacy training shifts the quantity and quality of referrals to tertiary child and adolescent mental health services: A Western Canada regional study. PLoS One 2022; 17:e0277695. [PMID: 36378651 PMCID: PMC9665371 DOI: 10.1371/journal.pone.0277695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 11/02/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND We aimed to improve mental health referral quality of young people by helping educators build capacity for early identification of youth at risk of mental illness and facilitate referrals between the education and health systems. METHODS We applied the Go-To Educator mental health literacy training for early identification, triage and support in 208 schools in Calgary, Alberta between 2013 and 2016. Students presenting to mental health services during this time were compared on a number of clinical, system, and demographic variables, based on the training status of the school (untrained schools; before and after training schools), using retrospective cohort design. Based on clinical and system data, bivariate and multivariable logistic regression analysis were employed to compare the three school status domains. RESULTS After training, referrals differed significantly from control and pre-training schools. Students presenting to services from these schools were younger, from single parent families; were referred more because of adjustment and learning/attention problems; had complex social/family issues; thought disturbances, and harmful behavior/thoughts towards others. While they waited longer to be admitted they stayed longer in services; had more provisional comorbid diagnoses and demonstrated positive treatment outcomes. CONCLUSIONS The Go-To Educator training may be an effective intervention helping educators identify students at risk of mental disorders and in substantial need of mental health services, demonstrating improved linkages between education and health sectors.
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Neumann DL, Piatkowski TM, Moffitt RL, Minahan CL. The mental health of elite athletes in developing nations of the greater Oceania region. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2130027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- David L. Neumann
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Timothy M. Piatkowski
- School of Applied Psychology, Griffith University, Gold Coast, Australia
- College of Health & Human Sciences, Charles Darwin University, Darwin, Australia
| | | | - Clare L. Minahan
- School of Health Sciences & Social Work, Griffith University, Gold Coast, Australia
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63
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McCormack S, Till K, Wenlock J, Whitehead S, Stokes KA, Bitcon M, Brown J, Cross M, Davies P, Falvey ÉC, Flahive S, Gardner A, Hendricks S, Johnston R, Mellalieu SD, Parmley J, Phillips G, Ramirez C, Stein J, Scantlebury S, West SW, Jones B. Contributors to negative biopsychosocial health or performance outcomes in rugby players (CoNBO): a systematic review and Delphi study protocol. BMJ Open Sport Exerc Med 2022; 8:e001440. [PMID: 36249486 PMCID: PMC9557262 DOI: 10.1136/bmjsem-2022-001440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2022] [Indexed: 11/13/2022] Open
Abstract
The importance of contributors that can result in negative player outcomes in sport and the feasibility and barriers to modifying these to optimise player health and well-being have yet to be established. Within rugby codes (rugby league, rugby union and rugby sevens), within male and female cohorts across playing levels (full-time senior, part-time senior, age grade), this project aims to develop a consensus on contributors to negative biopsychosocial outcomes in rugby players (known as the CoNBO study) and establish stakeholder perceived importance of the identified contributors and barriers to their management. This project will consist of three parts; part 1: a systematic review, part 2: a three-round expert Delphi study and part 3: stakeholder rating of feasibility and barriers to management. Within part 1, systematic searches of electronic databases (PubMed, Scopus, MEDLINE, SPORTDiscus, CINAHL) will be performed. The systematic review protocol is registered with PROSPERO. Studies will be searched to identify physical, psychological and/or social factors resulting in negative player outcomes in rugby. Part 2 will consist of a three-round expert Delphi consensus study to establish additional physical, psychological and/or social factors that result in negative player outcomes in rugby and their importance. In part 3, stakeholders (eg, coaches, chief executive officers and players) will provide perceptions of the feasibility and barriers to modifying the identified factors within their setting. On completion, several manuscripts will be submitted for publication in peer-reviewed journals. The findings of this project have worldwide relevance for stakeholders in the rugby codes. PROSPERO registration number CRD42022346751.
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Affiliation(s)
- Sam McCormack
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK
| | - Kevin Till
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Leeds Rhinos Rugby League club, Leeds, UK
| | - Jessica Wenlock
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Leeds Rhinos Rugby League club, Leeds, UK
| | - Sarah Whitehead
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK
| | - Keith A Stokes
- Department for Health, University of Bath, Bath, UK,Rugby Football Union, Twickenham, UK
| | | | - James Brown
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Institute of Sport and Exercise Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | | | | | - Éanna C Falvey
- World Rugby Limited, Dublin, Ireland,College of Medicine and Health, University College Cork, Cork, Ireland
| | | | - Andrew Gardner
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Sydney School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
| | - Sharief Hendricks
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Rondebosch, South Africa
| | - Rich Johnston
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,School of Behavioural and Health Sciences, Australia Catholic University, Brisbane, Queensland, Australia
| | - Stephen D Mellalieu
- Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University—Cyncoed Campus, Cardiff, Cardiff, UK
| | - James Parmley
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK
| | - Gemma Phillips
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK,Hull Kingston Rovers Rugby League club, Hull, UK
| | - Carlos Ramirez
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Scottich Rugby Union, Edinburgh, UK
| | - Joshua Stein
- National Rugby League, Sydney, New South Wales, Australia
| | - Sean Scantlebury
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK
| | - Stephen W West
- Department for Health, University of Bath, Bath, UK,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Ben Jones
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK,Leeds Rhinos Rugby League club, Leeds, UK,Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Rondebosch, South Africa,School of Science and Technology, University of New England, Armidale, New South Wales, Australia
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64
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Grimson S, Brickley G, Smeeton NJ, Abbott W, Brett A. The effects of injury, contextual match factors and training load upon psychological wellbeing in English Premier League soccer players via season-long tracking. Eur J Sport Sci 2022:1-9. [PMID: 36107713 DOI: 10.1080/17461391.2022.2125834] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The study aimed to track psychological wellbeing (PWB) across two consecutive soccer seasons examining the effects of injury, illness, training load (TL) and contextual match factors (playing status, match selection and individual win rate). Furthermore, examine PWB prior to injury or illness event. Thirty-two English Premier League (EPL) soccer players completed the "Warwick-Edinburgh Mental Wellbeing Scale" every two weeks. No differences were found for group averaged PWB across the seasons (52.2 ± 0.3 vs. 51.8 ± 1.1) (p > 0.05). Previous 7-day TL measured using GPS (session duration, total distance, explosive distance, low-intensity distance, high-speed distance (HSD) and sprint distance (SD)) were not related to current PWB (p > 0.05). Yet, previous 14-day HSD (r (385) = -0.095) and 21-day SD (r (385) = 0.100) were related to current PWB (p < 0.05). Only 100% (vs. 0%) win rate in the previous 14-days to the questionnaire revealed a higher current PWB score (52.7 ± 4.7 vs. 50.9 ± 5.6 (p < 0.05)). PWB did not differ prior to an injury or illness event, when players were injured or had low contextual match factors at time of questionnaire or previous match, and the previous 7-days (p > 0.05). In conclusion, PWB fluctuations across the season are associated with prior TL and multiple negative results. But prior PWB was not linked to injury or illness events. Implications for prioritising interventions to improve PWB during periods of chronic high intensity TLs and losing streaks, monitoring PWB, and use in injury and illness prediction are discussed.HighlightsPsychological wellbeing responses, as measured by the "Warwick-Edinburgh Mental Wellbeing Scale" did not change significantly at a group level between the phases of the two seasons.Prior training load was associated with wellbeing scores, specifically previous 14-day high-speed distance and 21-day sprint distance.Psychological wellbeing scores were only affected by win/loss rate in the previous 14-days.These findings highlight the importance of timely interventions to improve wellbeing in periods of negative results, and the recommendation of longitudinally monitoring wellbeing.
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Affiliation(s)
- Sophie Grimson
- Sport and Exercise Science and Medicine research group, University of Brighton, Eastbourne, United Kingdom
| | - Gary Brickley
- Sport and Exercise Science and Medicine research group, University of Brighton, Eastbourne, United Kingdom
| | - Nicholas J. Smeeton
- Sport and Exercise Science and Medicine research group, University of Brighton, Eastbourne, United Kingdom
| | - Will Abbott
- Brighton and Hove Albion FC, Brighton, United Kingdom
| | - Adam Brett
- Brighton and Hove Albion FC, Brighton, United Kingdom
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Lui JC, Sagar-Ouriaghli I, Brown JSL. Barriers and facilitators to help-seeking for common mental disorders among university students: a systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-9. [PMID: 36084266 DOI: 10.1080/07448481.2022.2119859] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 08/13/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
Objectives: Common mental disorders affect high proportions of university students. This systematic review aims to summarize the barriers and facilitators to help-seeking for depression and anxiety among university students and provide evidence to improve mental health services. Methods: EMBASE, MEDLINE, and PsycINFO were searched for eligible papers. Inclusion criteria: (1) published between 1990 and 2021, (2) written in English, (3) had qualitative or quantitative methodology, (4) involved university students, (5) students had depression or anxiety, (6) students were explicitly asked about barriers and facilitators, (7) >60% of study population had mental illness. Results: Ten studies were included into this review. The most common barriers were self-reliance, stigma, and poor mental health literacy. Good mental health literacy and social encouragement were significant facilitators. Conclusions: Universities could encourage help-seeking by targeting stigma and increasing mental health literacy. Future research could explore the role of self-reliance in help-seeking and identify more facilitators.
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Affiliation(s)
- Joyce Claresta Lui
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, United Kingdom
| | - Ilyas Sagar-Ouriaghli
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, United Kingdom
| | - June S L Brown
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, United Kingdom
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Olive LS, Rice SM, Gao C, Pilkington V, Walton CC, Butterworth M, Abbott L, Cross G, Clements M, Purcell R. Risk and protective factors for mental ill-health in elite para- and non-para athletes. Front Psychol 2022; 13:939087. [PMID: 36118450 PMCID: PMC9480503 DOI: 10.3389/fpsyg.2022.939087] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Accepted: 08/05/2022] [Indexed: 11/18/2022] Open
Abstract
Objective To apply a socioecological approach to identify risk and protective factors across levels of the “sports-ecosystem,” which are associated with mental health outcomes among athletes in para-sports and non-para sports. A further aim is to determine whether para athletes have unique risks and protective factor profiles compared to non-para athletes. Methods A cross-sectional, anonymous online-survey was provided to all categorized (e.g., highest level) athletes aged 16 years and older, registered with the Australian Institute of Sport (AIS). Mental health outcomes included mental health symptoms (GHQ-28), general psychological distress (K-10), risky alcohol consumption (AUDIT-C) and eating disorder risk (BEDA-Q). Risk and protective factors across multiple levels of the socioecological model, including individual, microsystem, exosystem and macrosystem level factors were assessed via self-report. Results A total of 427 elite athletes (71 para and 356 non-para athletes) participated in the study. No significant differences in the rates of mental health problems were observed between para and non-para athletes. Both differences and similarities in risk and protective factor profiles were found across the multiple levels of the sports-ecosystem. Weak evidence was also found to support the hypothesis that certain risk factors, including experiencing two or more adverse life events in the past year, sports related concussion, high self-stigma, inadequate social support and low psychological safety conferred a greater risk for poorer mental health outcomes for para athletes in particular. Conclusion Risk factors occurring across various levels of the sports ecosystem, including individual, interpersonal and organizational level risk factors were found to be associated with a range of poorer mental health outcomes. The association between mental ill-health and certain risk factors, particularly those at the individual and microsystem level, appear to be greater for para athletes. These findings have important implications for policy and mental health service provision in elite sports settings, highlighting the need for more nuanced approaches to subpopulations, and the delivery of mental health interventions across all levels of the sports ecosystem.
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Affiliation(s)
- Lisa S. Olive
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, Australia
- *Correspondence: Lisa S. Olive,
| | - Simon M. Rice
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Caroline Gao
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Vita Pilkington
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Courtney C. Walton
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Matt Butterworth
- Athlete Wellbeing and Engagement, Australian Institute of Sport, Canberra, ACT, Australia
| | | | - Gemma Cross
- Athlete Wellbeing and Engagement, Australian Institute of Sport, Canberra, ACT, Australia
| | - Matti Clements
- Athlete Wellbeing and Engagement, Australian Institute of Sport, Canberra, ACT, Australia
| | - Rosemary Purcell
- Elite Sports and Mental Health, Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
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Delfin D, Gray H, Wilkerson AH. Mental Health Interventions for Elite-Level Athletes in a Sport-Specific Context: A Systematic Review. AMERICAN JOURNAL OF HEALTH EDUCATION 2022. [DOI: 10.1080/19325037.2022.2105764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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68
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Harris BR, Maher BM. Student-Athlete Mental Health, Help-Seeking, and Service Utilization: Implications for a Multi-Tiered, Public Health Approach on College Campuses. JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY 2022. [DOI: 10.1080/87568225.2022.2109548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- Brett R. Harris
- Public Health Research Department, NORC at the University of Chicago, Bethesda, Maryland, USA
- Department of Health Policy, Management, and Behavior, University at Albany School of Public Health, Rensselaer, New York, USA
| | - Brianna M. Maher
- Public Health Research Department, NORC at the University of Chicago, Bethesda, Maryland, USA
- Department of Health Policy, Management, and Behavior, University at Albany School of Public Health, Rensselaer, New York, USA
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Devey A, Turner MJ, Artiran M, Hobson J. Adolescent Soccer Athletes’ Irrational Beliefs About Basic Psychological Needs are Related to Their Emotional Intelligence and Mental Health. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-022-00464-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
AbstractThere has been a scarcity of research regarding the unique mental health risk factors that adolescent athletes face. The recently proposed Rational Emotive Self Determination Scale for Adolescents (RESD-A) has been suggested to understand some of the antecedent and associative factors of adolescent athlete mental health. The principal aim of this study is to examine the structural and criterion validity of the RESD-A in an athlete sample for the first time. To achieve this aim, two hundred and forty-two club level soccer athletes participated in the study. Confirmatory factor analysis (CFA) was conducted to test the validity of the RESD-A’s factor structure. Partial correlation analyses with the subscales of RESD-A, emotional intelligence, and mental health scores were used to examine criterion validity. Initial results for the structural and criterion validity of the RESD-A with an athlete population are promising. The potential importance, limitations and directions for future research are discussed.
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Dalum HS, Tyssen R, Moum T, Thoresen M, Hem E. Professional help-seeking behaviour for mental health problems among veterinarians in Norway: a nationwide, cross-sectional study (The NORVET study). BMC Public Health 2022; 22:1308. [PMID: 35799295 PMCID: PMC9263054 DOI: 10.1186/s12889-022-13710-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 06/22/2022] [Indexed: 11/10/2022] Open
Abstract
Background Veterinarians have a relatively high prevalence of mental health problems; however, research on professional help-seeking is limited. The main purpose of the present study was to investigate the prevalence of mental health problems and professional help-seeking behaviour for such problems, and the independent factors associated with help-seeking behaviour among veterinarians in Norway. Method This cross-sectional study included all veterinarians in Norway (response rate 75%, 70% women). Logistic regression was used to calculate odds ratios (OR) for professional help-seeking for mental health problems. Analyses were controlled for socio-demographic, individual (personality trait reality weakness, SCL-5, attitudes toward mental illness), and work-related factors (work field, job stress). Results The prevalence of self-reported mental health problems in need of treatment was 30% (746/2494), significantly higher among women than men (36% vs. 15%). Fifty-four percent had sought professional help, women significantly more often (56%) than men (41%). Among veterinarians with serious suicidal thoughts, 50% (69/139) had sought help. Veterinarians most frequently related mental health problems to work problems (47%), women significantly more often (49%) than men (34%). Factors significantly associated with help-seeking were being female, OR = 2.11 (95% CI: 1.24–3.60), working with production animals, OR = 0.35 (0.13–0.98), public administration, OR = 2.27 (1.15–4.45), academia/research, OR = 4.78 (1.99–11.47) or ‘other’ fields, OR = 2.79 (1.23–6.32), and attitudes toward mental illness, OR = 1.32 (1.03–1.68). Conclusions Thirty percent of veterinarians in Norway reported mental health problems in need of treatment, and only half of them had sought professional help. A low degree of help-seeking was also seen among those with serious suicidal thoughts. Being female, positive attitudes toward treatment of mental illness, working in public administration, academia/research and ‘other’ field were associated with more help-seeking, while working in production animal practice was associated with less help-seeking. Interventions to increase help-seeking behaviour for mental health problems among veterinarians are warranted. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13710-y.
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Affiliation(s)
- Helene Seljenes Dalum
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, P.O. Box 1111 Blindern, Oslo, NO-0317, Norway.
| | - Reidar Tyssen
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, P.O. Box 1111 Blindern, Oslo, NO-0317, Norway
| | - Torbjørn Moum
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, P.O. Box 1111 Blindern, Oslo, NO-0317, Norway
| | - Magne Thoresen
- Department of Biostatistics, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Erlend Hem
- Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, P.O. Box 1111 Blindern, Oslo, NO-0317, Norway.,Institute for Studies of the Medical Profession, Oslo, Norway
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71
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Ekelund R, Holmström S, Stenling A. Mental Health in Athletes: Where Are the Treatment Studies? Front Psychol 2022; 13:781177. [PMID: 35859831 PMCID: PMC9289539 DOI: 10.3389/fpsyg.2022.781177] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 06/13/2022] [Indexed: 11/13/2022] Open
Abstract
In recent years, athletes’ mental health has gained interest among researchers, sport practitioners, and the media. However, the field of sport psychology lacks empirical evidence on the effectiveness of psychotherapeutic interventions for mental health problems and disorders in athletes. Thus far, intervention research in sport psychology has mainly focused on performance enhancement using between-subject designs and healthy athlete samples. In the current paper, we highlight three interrelated key issues in relation to treating mental health problems and disorders in athletes. (i) How are mental health and mental health problems and disorders defined in the sport psychology literature? (ii) How are prevalence rates of mental health problems and disorders in athletes determined? (iii) What is known about psychotherapeutic interventions for mental health problems and disorders in athletes? We conclude that the reliance on different definitions and assessments of mental health problems and disorders contributes to heterogeneous prevalence rates. In turn, this limits our understanding of the extent of mental health problems and disorders in athletes. Furthermore, knowledge of the effectiveness of psychotherapeutic interventions for athletes with mental health problems and disorders is scarce. Future research should include athletes with established mental health problems and disorders in intervention studies. We also propose an increased use of N-of-1 trials to enhance the knowledge of effective psychotherapeutic interventions in this population.
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Affiliation(s)
- Rebecka Ekelund
- Department of Psychology, Umeå University, Umeå, Sweden
- Umeå School of Sport Sciences, Umeå University, Umeå, Sweden
- *Correspondence: Rebecka Ekelund,
| | - Stefan Holmström
- Department of Psychology, Umeå University, Umeå, Sweden
- Umeå School of Sport Sciences, Umeå University, Umeå, Sweden
| | - Andreas Stenling
- Department of Psychology, Umeå University, Umeå, Sweden
- Umeå School of Sport Sciences, Umeå University, Umeå, Sweden
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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Ströhle A, Bendau A, Augustin N, Esch AD, Große J, Kaminski J, Petzold MB, Plag J, Schmidt M, Schütte M, Strehle N, Wendt N. [Sports psychiatry and psychotherapy]. DER NERVENARZT 2022; 93:742-753. [PMID: 35781520 DOI: 10.1007/s00115-022-01342-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/30/2022] [Indexed: 11/30/2022]
Abstract
Sports psychiatry and psychotherapy is a relatively young field and is comprised of two key segments: the special features of the diagnostics and therapy of mental disorders in elite athletes and the use of exercise and sports in the development and treatment of mental disorders. Although all mental disorders can in principle also occur in (elite) athletes, there are additionally sport-specific mental disorders, such as anorexia athletica and other eating disorders, chronic traumatic encephalopathy, misuse of and dependency on performance-enhancing substances (doping) and muscle dysmorphia. Many high-quality clinical trials over the past two decades have been able to demonstrate a therapeutic efficacy of physical activity and sport in the treatment of various mental disorders. All clinicians active in psychiatry and psychotherapy should possess a basic knowledge of sports psychiatry.
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Affiliation(s)
- Andreas Ströhle
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
| | - Antonia Bendau
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
- HMU Health and Medical University Potsdam, Potsdam, Deutschland
| | - Noah Augustin
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Anna Dania Esch
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Julia Große
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Jan Kaminski
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
- Psychologisches Institut, Deutsche Sporthochschule Köln, Köln, Deutschland
| | - Moritz Bruno Petzold
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Jens Plag
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
- Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Alexianer Krankenhaus Hedwigshöhe, Berlin, Deutschland
| | - Maike Schmidt
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Martina Schütte
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
- Zentrum für praktische Sportpsychologie, Universität Potsdam, Potsdam, Deutschland
| | - Nicola Strehle
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - Nora Wendt
- Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
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Bastas D, Vincelli J, De R, Benia E, Gairdner S, Brandão LR, Avila L. Impact of deep vein thrombosis on adolescent athletes: Navigating an invisible disability. Res Pract Thromb Haemost 2022; 6:e12779. [PMID: 35919876 PMCID: PMC9336208 DOI: 10.1002/rth2.12779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 06/01/2022] [Accepted: 07/09/2022] [Indexed: 11/12/2022] Open
Abstract
Background Injury in adolescent athletes that threatens their sport participation can result in a sense of identity loss during critical years for identity development, creating the potential for significant mental health challenges. The specific effect of deep vein thrombosis (DVT) in this vulnerable population has not been characterized. Purpose To describe the impact of DVT diagnosis, treatment, and long-term complications on the mental well-being of athletes who sustained a DVT during adolescence and to identify strategies to improve the quality of care for these patients. Methods Using a qualitative study design, athletes with a history of DVT during adolescence and their parents were recruited to participate in semistructured interviews. Interviews were transcribed and analyzed using thematic analysis. Participants were recruited until reaching thematic saturation. Results In total, 19 participants (12 athletes, 7 parents) were recruited. Athletes were mainly males (67%), median age at time of DVT was 15 years (range, 12-18 years), and median age at study participation was 19 years (range, 16-34 years). Thematic analysis revealed four main themes: Theme 1: DVT posed a threat to sport participation; Theme 2: at a personal level, there were significant mental health challenges; Theme 3: at a societal level, DVT is an invisible disability; and Theme 4: physical, psychological, and transition support are important to improve the care of these patients. Conclusion Deep vein thrombosis threatens an athlete's participation in sport, resulting in a significant and complex impact on their mental well-being. Heightened awareness and a multidisciplinary approach are needed to help young athletes navigate the consequences of DVT.
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Affiliation(s)
- Denise Bastas
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
- Child Health Evaluative Sciences, Research InstituteThe Hospital for Sick ChildrenTorontoOntarioCanada
| | - Jennifer Vincelli
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
| | - Riddhita De
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
- Child Health Evaluative Sciences, Research InstituteThe Hospital for Sick ChildrenTorontoOntarioCanada
| | - Eliana Benia
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
| | - Sarah Gairdner
- Faculty of Kinesiology and Physical EducationUniversity of TorontoTorontoOntarioCanada
| | - Leonardo R. Brandão
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
| | - Laura Avila
- Division of Haematology/OncologyThe Hospital for Sick ChildrenTorontoOntarioCanada
- Child Health Evaluative Sciences, Research InstituteThe Hospital for Sick ChildrenTorontoOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
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Lima Y, Devran S, Öz ND, Webb T, Bayraktar B. Examining the mental health status of referees in the turkish professional football league. SCI MED FOOTBALL 2022:1-7. [PMID: 35621335 DOI: 10.1080/24733938.2022.2084150] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE The purpose of the study was to evaluate the mental health (MH) status of referees who officiate in the Turkish professional football leagues. METHOD An online survey was sent to all referees in the Turkish professional football leagues (n = 630) incorporating standardized scales assessing depression, anxiety, and stress. RESULTS A total of 433 referees participated in the study, yielding a response rate of 68.7%. Younger referees (18-27 years) reported higher depression (p = 0.01), anxiety (p < 0.01), and stress (p < 0.01) scores than older (>38 years) refereees. Depression, anxiety, and stress scores of single referees were higher compared to married referees (all p < 0.01). Lower-level referees reported higher depression (p < 0.01), anxiety (p = 0.01), and stress (p < 0.01) scores than their higher-level counterparts. Higher depression, anxiety, and stress scores were also associated with less income, performance concerns, severe injury history, and inadequate social support. CONCLUSION MH problems in referees were associated with a wide range of variables including younger age, being single, refereeing at lower-levels, performance concerns, and inadequate social support. In light of these results, MH assessments should be undertaken with referees to detect which officials are at greater risk of MH problems. Doing so will help to enable appropriate and timely MH interventions.
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Affiliation(s)
- Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Turkey
| | - Sergen Devran
- Sports Medicine Department, Istanbul University Faculty of Medicine, Turkey
| | - Nazlı Deniz Öz
- Recreation Department, Selcuk University Faculty of Sports Science, Turkey
| | - Tom Webb
- School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK
| | - Bülent Bayraktar
- Sports Medicine Department, Istanbul University Faculty of Medicine, Turkey.,Vice President, Turkish Football Federation, Medical Board, Turkey.,Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Turkey
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Rice S, Walton CC, Pilkington V, Gwyther K, Olive LS, Lloyd M, Kountouris A, Butterworth M, Clements M, Purcell R. Psychological safety in elite sport settings: a psychometric study of the Sport Psychological Safety Inventory. BMJ Open Sport Exerc Med 2022; 8:e001251. [PMID: 35592544 PMCID: PMC9096527 DOI: 10.1136/bmjsem-2021-001251] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2022] [Indexed: 12/29/2022] Open
Abstract
Objectives Effectively supporting the mental health of elite athletes and coaches requires validated tools that assess not only individual-level factors but organisational-level influences. The aim of this study was to develop a bespoke scale assessing perceived psychological safety within high-performance environments. Methods 337 elite athletes (M=24.12 years) and 238 elite-level coaches and high-performance support staff (HPSS; M=41.9 years) identified via the Australian Institute of Sport provided data across a range of mental health and well-being domains. Exploratory factor analysis (EFA; n=169 athletes) with parallel analysis identified the Sport Psychological Safety Inventory (SPSI) factor structure. Confirmatory factor analysis (CFA) validated the identified structure in separate validation subsamples of athletes (n=168) and coaches/HPSS (n=238). Results EFA identified the 11-item, 3-factor SPSI. Factors assessed domains of the Mentally Healthy Environment, Mental Health Literacy and Low Self-Stigma. All scale items loaded strongly on their specific domain. CFA model fit indices validated scale structure for athletes and coaches/HPSS. Internal consistency and convergent and divergent validity were evident. Logistic regression indicated that incrementally higher Mentally Healthy Environment scores reduced the likelihood of athletes scoring in the ‘moderate’ range of general and athlete-specific distress, with a stronger endorsement of the Low Self-Stigma subscale reducing the likelihood of being identified for athlete-specific distress. Conclusion Psychometric properties of the SPSI support scale utility among athletes and coaches/HPSS in elite sports settings, though further psychometric efforts are needed. This brief measure may support benchmarking efforts across elite sporting contexts to improve mental health culture and broader well-being among athletes and coaches/HPSS.
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Affiliation(s)
- Simon Rice
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Courtney C Walton
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Vita Pilkington
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Kate Gwyther
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Lisa S Olive
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,School of Psychology, Deakin University, Geelong, Victoria, Australia.,IMPACT Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Victoria, Australia
| | | | - Alex Kountouris
- Cricket Australia, Melbourne, Victoria, Australia.,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Matt Butterworth
- Australian Institute of Sport, Athlete Wellbeing and Engagement, Canberra, Australian Capital Territory, Australia
| | - Matti Clements
- Australian Institute of Sport, Athlete Wellbeing and Engagement, Canberra, Australian Capital Territory, Australia
| | - Rosemary Purcell
- Elite Sport and Mental Health, Orygen, Melbourne, Victoria, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
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76
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Noorwali R, Almotairy S, Akhder R, Mahmoud G, Sharif L, Alasmee N, Mahsoon A, Hafez D. Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052848. [PMID: 35270539 PMCID: PMC8909985 DOI: 10.3390/ijerph19052848] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 02/25/2022] [Accepted: 02/28/2022] [Indexed: 02/04/2023]
Abstract
While young Saudi adults are reportedly prone to experiencing a variety of mental health problems, they tend to delay seeking mental health support. Therefore, this study aimed to explore the barriers and facilitators of seeking mental health support among young adults in Saudi Arabia. A qualitative research design was implemented using semi-structured interviews with 12 young adult participants in Saudi Arabia, recruited through social media platforms, and the interviews were then analyzed using thematic analysis. Two major themes emerged: barriers that impede the process of mental health help-seeking and facilitators that assist individuals in seeking mental health support. The barriers included public stigma and lack of awareness, unprofessional mental health practitioners, lack of accessibility to services and information, unsupportive families, intrapersonal dilemmas, and misconceptions based on religious beliefs. Facilitators of help-seeking included increasing societal and family awareness, promoting the accessibility of services, enhancing sources of external support, personal motivation to change, and online therapy. The findings of this study emphasize the importance of promoting mental health literacy among the Saudi public, particularly with regard to young adults and their unique mental health needs. Exploring facilitators and barriers may also assist mental health providers in developing tailored mental health campaigns and interventions directed at young adults.
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Affiliation(s)
- Robena Noorwali
- Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.N.); (S.A.); (R.A.); (G.M.)
| | - Sarah Almotairy
- Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.N.); (S.A.); (R.A.); (G.M.)
| | - Raneem Akhder
- Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.N.); (S.A.); (R.A.); (G.M.)
| | - Ghadi Mahmoud
- Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.N.); (S.A.); (R.A.); (G.M.)
| | - Loujain Sharif
- Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia; (N.A.); (A.M.)
- Correspondence:
| | - Nofaa Alasmee
- Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia; (N.A.); (A.M.)
| | - Alaa Mahsoon
- Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia; (N.A.); (A.M.)
| | - Duaa Hafez
- Department of Public Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia;
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77
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Leonelli BR, Kuhn T, Sanborn V, Gunstad J. Feasibility of Predicting In-Season Mental Health Problems in College Student-Athletes From Pre-season Assessment. Clin J Sport Med 2022; 32:e139-e144. [PMID: 33239509 DOI: 10.1097/jsm.0000000000000899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 08/10/2020] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To examine whether pre-season assessment using a validated assessment tool, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), could predict college student-athletes identified as experiencing in-season mental health (MH) problems. DESIGN A prospective study of athletes who completed a pre-season evaluation in August 2018. SETTING AND PARTICIPANTS A total of 195 National Collegiate Athletic Association Division 1 student-athletes from a large midwestern university in northeast Ohio. INDEPENDENT VARIABLE The MMPI-2-RF, a 338-item self-report measure of constructs relevant to the assessment of psychopathology and personality. MAIN OUTCOME MEASURE Mental health problems of student-athletes tracked throughout the competitive season (August 2018-May 2019) by a team of athletic department personnel who met weekly with a licensed clinical psychologist. RESULTS In pre-season assessment, 71.8% of athletes clinically elevated at least one MMPI-2-RF scale and underreporting was higher in student-athletes than normative controls. Pre-season levels of internalizing psychopathology, diffuse physical symptoms, and unusual thoughts predicted increased likelihood of experiencing MH problems during the competitive season. CONCLUSIONS The current findings suggest that the MMPI-2-RF may be a promising tool for identifying student-athletes at risk for MH concerns.
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Affiliation(s)
- Brooke R Leonelli
- Department of Psychological Sciences, Kent State University, Kent, Ohio; and
| | - Tyler Kuhn
- Department of Psychological Sciences, Kent State University, Kent, Ohio; and
| | - Victoria Sanborn
- Department of Psychological Sciences, Kent State University, Kent, Ohio; and
| | - John Gunstad
- Department of Psychological Sciences, Kent State University, Kent, Ohio; and
- Brain Health Research Institute, Kent State University, Kent, Ohio
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78
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van Die-de Vries J, Verbunt J, Ramaekers S, Calders P, Engelbert R. Generalized Joint Hypermobility and Anxiety Are Serious Risk Factors for Dysfunctioning in Dance Students: A One-Year Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052662. [PMID: 35270355 PMCID: PMC8910411 DOI: 10.3390/ijerph19052662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 02/14/2022] [Accepted: 02/22/2022] [Indexed: 11/16/2022]
Abstract
Young professional dancers find themselves in a demanding environment. GJH within dancers is often seen as aesthetically beneficial and a sign of talent but was found to be potentially disabling. Moreover, high-performing adolescents and young adults (HPAA), in this specific lifespan, might be even more vulnerable to anxiety-related disability. Therefore, we examined the development of the association between the presence of Generalized Joint Hypermobility (GJH) and anxiety within HPAA with a one-year follow-up. In 52.3% of the HPAA, anxiety did not change significantly over time, whereas GJH was present in 28.7%. Fatigue increased significantly in all HPAA at one year follow-up (respectively, females MD (SD) 18(19), p < 0.001 and males MD (SD) 9(19), p < 0.05). A significantly lower odds ratio (ß (95% CI) 0.4 (0.2−0.9); p-value 0.039) for participating in the second assessment was present in HPAA with GJH and anxiety with a 55% dropout rate after one year. This confirms the segregation between GJH combined with anxiety and GJH alone. The fatigue levels of all HPAA increased significantly over time to a serious risk for sick leave and work disability. This study confirms the association between GJH and anxiety but especially emphasizes the disabling role of anxiety. Screening for anxiety is relevant in HPAA with GJH and might influence tailored interventions.
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Affiliation(s)
- Janneke van Die-de Vries
- School of Physiotherapie, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands;
- Department of Rehabilitation, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam Movement Sciences, 1105 AZ Amsterdam, The Netherlands;
- Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
- Correspondence: ; Tel.: +31-6-1320-89-96
| | - Jeanine Verbunt
- Department of Rehabilitation Medicine, CAPHRI, Functioning and Rehabilitation, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands;
- Adelante Center of Expertise in Rehabilitation and Audiology, 6432 CC Hoensbroek, The Netherlands
| | - Stephan Ramaekers
- School of Physiotherapie, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands;
- Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
| | - Patrick Calders
- Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium;
| | - Raoul Engelbert
- Department of Rehabilitation, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam Movement Sciences, 1105 AZ Amsterdam, The Netherlands;
- Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
- Department of Pediatrics, Amsterdam UMC, University of Amsterdam, Emma Children’s Hospital, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
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79
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Purcell R, Pilkington V, Carberry S, Reid D, Gwyther K, Hall K, Deacon A, Manon R, Walton CC, Rice S. An Evidence-Informed Framework to Promote Mental Wellbeing in Elite Sport. Front Psychol 2022; 13:780359. [PMID: 35250720 PMCID: PMC8890033 DOI: 10.3389/fpsyg.2022.780359] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 01/21/2022] [Indexed: 11/24/2022] Open
Abstract
Elite athletes, coaches and high-performance staff are exposed to a range of stressors that have been shown to increase their susceptibility to experiencing mental ill-health. Despite this, athletes may be less inclined than the general population to seek support for their mental health due to stigma, perceptions of limited psychological safety within sport to disclose mental health difficulties (e.g., selection concerns) and/or fears of help-seeking signifying weakness in the context of high performance sport. Guidance on the best ways to promote mental health within sporting environments is increasing, though current frameworks and position statements require greater focus on a whole of system approach, in which the needs of athlete, coaches and high-performance staff are considered within the context of the broader ecological system in which they operate and perform. This paper synthesizes existing research, reviewed for translatability by mental health professionals working in elite sport, to provide an evidence-informed framework with real world utility to promote mentally healthy environments for all stakeholders in elite sporting organizations, from athletes through to administrators. Recommendations are provided to positively impact the mental wellbeing of athletes and support staff, which may in turn influence athletic performance. This framework is intended to provide sporting organizations with evidence-informed or best practice principles on which they can develop or progress their policies to support mental health promotion and prevent the onset of mental health difficulties. It is intended that the framework can be adapted or tailored by elite sporting organizations based upon their unique cultural, contextual and resourcing circumstances.
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Affiliation(s)
- Rosemary Purcell
- Orygen, Melbourne, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Vita Pilkington
- Orygen, Melbourne, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Serena Carberry
- School of Psychology, University College Dublin, Dublin, Ireland
| | - David Reid
- Focus Coaching, Melbourne, VIC, Australia
| | - Kate Gwyther
- Orygen, Melbourne, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Kate Hall
- Australian Football League, Docklands, VIC, Australia
- School of Psychology, Deakin University, Geelong, VIC, Australia
| | - Adam Deacon
- Consultant Psychiatrist, Melbourne, VIC, Australia
| | - Ranjit Manon
- Australian Football League, Docklands, VIC, Australia
- Department of Psychiatry, Monash University, Clayton, VIC, Australia
| | - Courtney C. Walton
- Orygen, Melbourne, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Simon Rice
- Orygen, Melbourne, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Youth Mood Clinic, Orygen Youth Health, Melbourne, VIC, Australia
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80
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Sibeoni J, Orri M, Manolios E, Spodenkiewicz M, Labey M, Verneuil L, Revah-Levy A. Early-treatment stage for adolescents with depression and their parents: An IPSE qualitative study. Eur Child Adolesc Psychiatry 2022:10.1007/s00787-022-01952-5. [PMID: 35124719 DOI: 10.1007/s00787-022-01952-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 01/22/2022] [Indexed: 12/18/2022]
Abstract
The period at the start of treatment of adolescents with depression is both crucial and complex. Adolescents' and parents' perspectives on that early-treatment stage are important but have not yet been explored. The present study explores the lived experience of the early-treatment stage among adolescents with major depressive disorder and their parents and aims to cross their perspectives. This French qualitative multicentre study followed the five stages IPSE approach. Semi-structured interviews with adolescents with depression and with their parents were conducted. Data collection by purposive sampling continued until we reached theoretical sufficiency. Forty-seven participants-20 adolescents, 27 parents-were included. Data analysis produced a structure of lived experience based on two axes: (1) what leads to care: what is shown, what is seen, describing a dynamic process of showing and seeing around the start of treatment and (2) the start of treatment: knowing and sharing everyone's explanations. Results suggest some early therapeutic alliance facilitators, that is, first to be able to see the depressive manifestations and directly address the issue of depression based on what is shown and seen, second to give the opportunity to both adolescents and parents to share their views and explanations about the adolescent's distress, and finally to explicitly name this distress depression to first agree on the term to use.
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Affiliation(s)
- Jordan Sibeoni
- Service Universitaire de Psychiatrie de L'Adolescent, Argenteuil Hospital Centre, 69 Rue du Lieutenant Colonel Prudhon, 95100, Argenteuil, France.
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, Paris, France.
| | - Massimiliano Orri
- McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Montreal, Québec, Canada
- Bordeaux Population Health Research Centre, INSERM U1219, University of Bordeaux, Bordeaux, France
| | - Emilie Manolios
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, Paris, France
- Service de Psychologie Et Psychiatrie de Liaison Et d'Urgences, Hôpital Européen Georges Pompidou AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France
| | - Michel Spodenkiewicz
- Sorbonne Universités, UPMC Univ Paris 06, CNRS UMR 7222, Institut Des Systèmes Intelligents Et de Robotique, Paris, France
- CEPOI EA 7388, Unité de Pédopsychiatrie de Liaison, Pôle de Santé Mentale, CHU Sud Réunion, Université de La Réunion, Saint-Pierre, France
- Groupe IPSOM, CESP Inserm U1178, Paris, France
| | - Mathilde Labey
- Hôpitaux de Saint-Maurice, pôle de psychiatrie adulte Paris 11, Saint-Maurice, France
| | - Laurence Verneuil
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, Paris, France
- Pôle Précarité, GHU Paris psychiatrie & neurosciences Site Sainte-Anne, Paris, France
| | - Anne Revah-Levy
- Service Universitaire de Psychiatrie de L'Adolescent, Argenteuil Hospital Centre, 69 Rue du Lieutenant Colonel Prudhon, 95100, Argenteuil, France
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, Paris, France
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81
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Muschetto T, Siegel JT. Perceived stability of depressive symptomology and willingness to help relational partners: An attributional perspective. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02708-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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82
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Depression, Anxiety, and Help-Seeking Among NCAA Division III Athletes at a Historically Women’s College. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2022. [DOI: 10.1123/jcsp.2021-0061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
This study explored depression, anxiety, and help-seeking at a National Collegiate Athletic Association Division III historically women’s college in the United States, while taking into account gender identities outside of male and female. An online survey including the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and help-seeking measures were completed by 109 student-athletes. Participants’ ages ranged from 18 to 22. Within the sample, 59.7% of participants identified as LGBTQIA+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, among other identities) and 8.3% identified as genderqueer/gender-nonconforming. A total of 33.0% of the participants reported symptoms of depression, while 28.5% reported symptoms of anxiety. Genderqueer/gender-nonconforming athletes reported higher rates of anxiety than athletes who identified as women. Higher rates of depression and anxiety were related to higher levels of formal help-seeking. The results indicate that student-athletes at a historically women’s college may be experiencing higher levels of depression and anxiety than student-athletes in other contexts and have more positive views toward help-seeking. Student-athletes who identify outside of the gender binary may be at higher risk for anxiety.
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83
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Smith AJ, Buadze A, Claussen MC, Seifritz E, Liebrenz-Rosenstock M. On the same team: A call for increased medicolegal knowledge exchanges between forensic psychiatry and sports psychiatry. Front Psychiatry 2022; 13:1041891. [PMID: 36419973 PMCID: PMC9676247 DOI: 10.3389/fpsyt.2022.1041891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Accepted: 10/18/2022] [Indexed: 11/09/2022] Open
Affiliation(s)
| | - Anna Buadze
- Department of Psychiatry, Psychotherapy, and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Malte Christian Claussen
- Department of Psychiatry, Psychotherapy, and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland.,Private Clinic Wyss AG, Münchenbuchsee, Switzerland.,Adult Psychiatry, Psychiatric Services Grisons, Chur, Switzerland
| | - Erich Seifritz
- Department of Psychiatry, Psychotherapy, and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
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84
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A Systematic Review of the Prevalence of Mental Health Symptoms and Disorders in Rugby Players. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2022. [DOI: 10.1123/jcsp.2021-0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The aim of this systematic review was to investigate the prevalence of mental health symptoms and disorders in rugby players. Six electronic databases were searched in December 2020. Studies were included if they provided quantitative data on mental health symptoms and disorders and consisted of adult rugby players. Eight studies were included, covering symptoms of anxiety, depression, alcohol use/misuse, distress, sleeping/sleep disturbance, and eating disorders/adverse nutrition behaviors. Prevalence of mental health symptoms ranged from 6% (depression) to 68.8% (alcohol use/misuse). Most rates were similar to the general population, while symptoms of sleeping/sleep disturbance were lower, and symptoms of eating disorders/adverse nutrition behaviors and alcohol use/misuse were higher than the general population. One study included female rugby players. Epidemiological evidence comprising of rigorous diagnostic data and inclusive of gender, race, ethnicity, sexuality, and other protected characteristics is needed to inform future mental health support in this population.
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85
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Tackle Your Feelings: Experience of Help-Seeking for Mental Well-Being Concerns in Professional Rugby Union Players. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2022. [DOI: 10.1123/jcsp.2022-0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Limited research into professional rugby union players’ experiences of seeking formal support for their mental health exists, despite comparable rates of mental health issues among elite rugby players with the general population. This qualitative study explored professional players’ actual experiences of accessing Rugby Players Ireland’s mental well-being service, via separate focus group discussions with professional players (n = 5) and player development managers (n = 4) who refer players into the service. An inductive reflexive thematic analysis identified three themes detailing players’ (a) journey to disclosure of their mental health difficulties, (b) their expectations and engagement with the well-being service, and (c) participants’ reflections on mental health experiences in a high-performance environment. Embedding mental health as a key component of player development in high-performance environments, improving mental health literacy, normalizing mental health experiences, and encouraging help-seeking would help promote player well-being and support holistic development alongside sporting performance.
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86
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Hofmann CG, Claussen MC. Sports Psychiatric Diagnostics in Competitive Sports - Establishing a Clinical Standard. PRAXIS 2022; 110:e220-e223. [PMID: 35291858 DOI: 10.1024/1661-8157/a003844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Mental complaints and disorders are common in competitive sports. Despite this, they are not recognized sufficiently in Pre-Participation Examinations (PPE) yet. We present a structured, staged model of sports psychiatric diagnosis containing a Psychiatric Basic Assessment (PBA) within the annual PPE as well as a Sports Psychiatric Evaluation (SPE) in case of conspicuous PBA results. The PBA should be designed as a compact as well as sensitive and specific instrument. An optional three-stage SPE by specialists for both psychiatric disciplines should preferably include a general psychiatric assessment, a clinical interview and a symptom- or disorder-specific diagnosis and examination. Such a staged approach should be time-efficient and well accepted by the athletes. The model proposed here will hopefully contribute as a clinical standard to the early detection of mental disorders requiring treatment.
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Affiliation(s)
| | - Malte Christian Claussen
- Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, UniversityofZurich,Switzerland
- Private Clinic Wyss AG, Münchenbuchsee, Switzerland
- Adult Psychiatry, Psychiatric Services Grisons, Chur, Switzerland
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87
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Hofmann CG, Claussen MC. [Sports Psychiatric Diagnostics in Competitive Sports - Establishing a Clinical Standard]. PRAXIS 2022; 110:220-223. [PMID: 35291867 DOI: 10.1024/1661-8157/a003843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Sports Psychiatric Diagnostics in Competitive Sports - Establishing a Clinical Standard Abstract. Mental complaints and disorders are common in competitive sports. Despite this, they are not recognized sufficiently in Pre-Participation Examinations (PPE) yet. We present a structured, staged model of sports psychiatric diagnosis containing a Psychiatric Basic Assessment (PBA) within the annual PPE as well as a Sports Psychiatric Evaluation (SPE) in case of conspicuous PBA results. The PBA should be designed as a compact as well as sensitive and specific instrument. An optional three-stage SPE by specialists for both psychiatric disciplines should preferably include a general psychiatric assessment, a clinical interview and a symptom- or disorder-specific diagnosis and examination. Such a staged approach should be time-efficient and well accepted by the athletes. The model proposed here will hopefully contribute as a clinical standard to the early detection of mental disorders requiring treatment.
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Affiliation(s)
| | - Malte Christian Claussen
- Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich, Universität Zürich, Zürich
- Privatklinik Wyss AG, Münchenbuchsee
- Erwachsenenpsychiatrie, Psychiatrische Dienste Graubünden, Chur
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88
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Tindale A. From Euphoria to Dysphoria -Why do Cricketers Suffer from High Rates of Depression? J Psychiatr Ment Health Nurs 2021; 28:1153-1157. [PMID: 34490958 DOI: 10.1111/jpm.12795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 08/03/2021] [Accepted: 09/01/2021] [Indexed: 11/30/2022]
Abstract
Cricketers suffer from higher rates of depression than both the general public and other sportsmen, as evidenced by the high suicide rates amongst retired test cricketers compared with age-matched controls. This is likely due to a complex array of psychosocial factors including the nature of sportsmen that play cricket, the unique nature of the sport, the duration of matches and hence the time away from support networks and the social situation of cricketers in the pre-professional era.
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Affiliation(s)
- Alexander Tindale
- Clinical Research Fellow in Cardiology, Harefield Hospital, London, UK.,Doctoral Student, National Heart and Lung Institute, Imperial College London, London, UK
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Pretorius C, Coyle D. Young People's Use of Digital Tools to Support Their Mental Health During Covid-19 Restrictions. Front Digit Health 2021; 3:763876. [PMID: 34927133 PMCID: PMC8671300 DOI: 10.3389/fdgth.2021.763876] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 11/03/2021] [Indexed: 12/02/2022] Open
Abstract
Young adulthood represents a sensitive period for young people's mental health. The lockdown restrictions associated with the COVID-19 pandemic have reduced young people's access to traditional sources of mental health support. This exploratory study aimed to investigate the online resources young people were using to support their mental health during the first lockdown period in Ireland. It made use of an anonymous online survey targeted at young people aged 18-25. Participants were recruited using ads on social media including Facebook, Twitter, Instagram, and SnapChat. A total of 393 respondents completed the survey. Many of the respondents indicated that they were using social media (51.4%, 202/393) and mental health apps (32.6%, 128/393) as sources of support. Fewer were making use of formal online resources such as charities (26%, 102/393) or professional counseling services (13.2%, 52/393). Different social media platforms were used for different purposes; Facebook was used for support groups whilst Instagram was used to engage with influencers who focused on mental health issues. Google search, recommendations from peers and prior knowledge of services played a role in how resources were located. Findings from this survey indicate that digital technologies and online resources have an important role to play in supporting young people's mental health. The COVID-19 pandemic has highlighted these digital tool's potential as well as how they can be improved to better meet young people's needs.
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Affiliation(s)
- Claudette Pretorius
- Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland
- School of Computer Science, University College Dublin, Dublin, Ireland
| | - David Coyle
- Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland
- School of Computer Science, University College Dublin, Dublin, Ireland
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90
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Marazziti D, Parra E, Amadori S, Arone A, Palermo S, Massa L, Simoncini M, Carbone MG, Dell’ Osso L. Obsessive-Compulsive and Depressive Symptoms in Professional Tennis Players. CLINICAL NEUROPSYCHIATRY 2021; 18:304-311. [PMID: 35096077 PMCID: PMC8785425 DOI: 10.36131/cnfioritieditore20210604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE A moderate sport activity is considered beneficial for both physical and mental health. On the contrary, different studies have shown that professional players may be more vulnerable to suffer from psychological and/or psychiatric disorders. Given the limited information available, the present study aimed to investigate the possible presence of depressive and obsessive-compulsive symptoms or disorders in a group of professional tennis players. METHOD Twenty-five current or former professional tennis players (18 men and 7 women; mean age ± SD: 42.32 ± 13.45 years), were recruited within the Italian Tennis Federation during an international competition and during a master meeting of coaches. They were compared with a control group, recruited from university students, doctors and nurses. All of them underwent a psychiatric interview with a structured scale and a psychopathological assessment carried out with the Mini-International Neuropsychiatric Interview (MINI), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the Self Assessment Scale for Depression (SAD). RESULTS The Y-BOCS total and subscale scores were significantly higher in both current and past athletes than controls. Current athletes showed higher scores at Y-BOCS total, subscales and some items. The majority of the current athletes also showed superstitions and magical thinking. CONCLUSIONS The present study demonstrated that professional tennis players show a relevant increase of obsessive-compulsive symptoms and supertistions than controls. Interestingly, current athletes resulted more severe than past ones. Taken together, our findings support the notion that agonistic sport activities of high level require intensive training and compliance to strict daily routines that might represent a sort of vulnerability toward the onset of full-blown obsessive-compulsive disorder (as well as other disorders) in more fragile individuals. Not suprisingly, sport psychological support experts are increasingly needed.
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Affiliation(s)
- Donatella Marazziti
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy, Saint Camillus International University of Health and Medical Sciences, Rome, Italy,,Corresponding author Dr. Donatella Marazziti, Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa Unicamillus University of Rome Via Roma, 67 56100 Pisa, Italy Phone: +39 050 2219768 Fax: +39 050 2219787 E-mail:
| | - Elisabetta Parra
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Salvatore Amadori
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Alessandro Arone
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Stefania Palermo
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Lucia Massa
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Marly Simoncini
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
| | - Manuel Glauco Carbone
- Department of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy
| | - Liliana Dell’ Osso
- Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Italy
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91
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Wasson Simpson KS, Gallagher A, Ronis ST, Miller DAA, Tilleczek KC. Youths' Perceived Impact of Invalidation and Validation on Their Mental Health Treatment Journeys. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2021; 49:476-489. [PMID: 34812964 DOI: 10.1007/s10488-021-01177-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2021] [Indexed: 10/19/2022]
Abstract
Youths' experiences in seeking and accessing help for mental health problems can have pervasive and lasting effects on personal and interpersonal functioning. In particular, youth who experience validating experiences presumably persevere in seeking help and generally have positive treatment outcomes, whereas youth who experience invalidation are also likely to experience, at least in the short term, ruptures in therapeutic relationships, shame, and reluctance to seek services. The goal of the current study was to expand on previous research assessing youths' interactions with mental health providers, allied professionals, family members, and peers, with a focus on subjective experiences of validation and invalidation. The current study investigated both validating and invalidating experiences in seeking, accessing, and maintaining professional services among 31 Canadian youth (n = 20 girls, n = 11 boys; 12 to 21 years old [M = 16.97, SD = 2.01]) who were diagnosed or self-identified with at least one of five conditions: depression (n = 26), anxiety (n = 22), eating disorders (n = 9), autism spectrum disorder (n = 2), or conduct disorder or oppositional defiant disorder (n = 2). Youth were recruited using convenience (e.g., posted advertisements in mental health clinics) and snowball sampling methods. Journey mapping methodology (i.e., participants created visual representations of milestones of their mental health journeys) was employed accompanied by semi-structured interviews to prompt youth to expand on their experiences (e.g., "Could you describe what was happening in your life when you first felt you would need support for your mental health?"). Four themes emerged using inductive thematic analysis, marked by the presence (validation) or lack (invalidation) of: feeling heard, feeling seen, feeling understood, and receiving helpful actions. Participants also reported key consequences of validation and invalidation. Findings broaden a conceptualization of validation across supportive relationships and an understanding of factors that enhance or impede the formation or maintenance of therapeutic relationships with youth. Clinical implications and limitations are discussed.
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Affiliation(s)
- Kendra S Wasson Simpson
- Department of Psychology, University of New Brunswick, 38 Dineen Drive, Keirstead Hall, Fredericton, NB, E3B 5A3, Canada.,Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada
| | - Anna Gallagher
- Department of Psychology, University of New Brunswick, 38 Dineen Drive, Keirstead Hall, Fredericton, NB, E3B 5A3, Canada.,Department of Psychology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Scott T Ronis
- Department of Psychology, University of New Brunswick, 38 Dineen Drive, Keirstead Hall, Fredericton, NB, E3B 5A3, Canada.
| | - David A A Miller
- Department of Psychology, University of New Brunswick, 38 Dineen Drive, Keirstead Hall, Fredericton, NB, E3B 5A3, Canada
| | - Kate C Tilleczek
- Faculty of Education, 218, Winters College, Keele Campus, York University, 4700 Keele St, Toronto, ON, M3J 1P3, Canada
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92
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Anxiety and Depression during COVID-19 in Elite Rugby Players: The Role of Mindfulness Skills. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211940. [PMID: 34831693 PMCID: PMC8617933 DOI: 10.3390/ijerph182211940] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/20/2022]
Abstract
The COVID-19 pandemic created stressors that raised the likelihood of elite athletes experiencing mental health problems. Understanding how individual traits promote resilience is key to offering treatments specific to this population. This prospective study explores the relationship between mindfulness skills, resilience, and athletic identity on anxiety and depression. The initial assessment was during the first UK lockdown April–May 2020 (T1), and the second during the return to competition July-August 2020 (T2). The sample was 160 elite rugby players. Measures included: Personal Health Questionnaire-9, General Anxiety Disorder-7, Cognitive Affective Mindfulness Scale, Connor-Davidson Resilience Scale, and Athletic Identity Measurement. The prevalence of anxiety and depression was profiled with descriptive statistics, and relationships between variables with bi-variate correlations and forward stepwise regression modelling. Depression decreased significantly between lock down (T1) and return to competition (T2) (MT1 = 4.20, MT2 = 3.24, p < 0.01), with no significant change in anxiety. Significant correlations were found between mindfulness, resilience, and anxiety and depression (≤0.001). Regression showed that mindfulness (T1) predicted lower anxiety and depression during the return to competition (T2) after controlling for baseline mental health symptoms. Returning to competition after lockdown was associated with a reduction in depression but not anxiety. Mindfulness skills potentially confer protection against anxiety and depression.
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93
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Van Slingerland KJ, Durand-Bush N. The Acceptability and Appropriateness of a Collaborative, Sport-Centered Mental Health Service Delivery Model for Competitive, and High-Performance Athletes. Front Sports Act Living 2021; 3:686374. [PMID: 34820620 PMCID: PMC8606672 DOI: 10.3389/fspor.2021.686374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 10/04/2021] [Indexed: 11/13/2022] Open
Abstract
The purpose of this study was to evaluate the acceptability and appropriateness of a sport-centered, collaborative mental health service delivery model implemented within the Canadian Center for Mental Health and Sport (CCMHS) over a period of 16 months. The study is situated within a larger Participatory Action Research (PAR) project to design, implement and evaluate the CCMHS. Primary data were collected from CCMHS practitioners (n = 10) and service-users (n = 6) through semi-structured interviews, as well as from CCMHS stakeholders (n = 13) during a project meeting, captured via meeting minutes. Secondary data derived from documents (e.g., clinical, policy, procedural; n = 48) created by the CCMHS team (i.e., practitioners, stakeholders, board of directors) during the Implementation Phase of the project were reviewed and analyzed to triangulate the primary data. The Framework Method was used to organize, integrate and interpret the dataset. Overall, results indicate that both practitioners and service-users found the model to be both acceptable and appropriate. In particular, practitioners' knowledge and experience working in sport, a robust intake process carried out by a centralized Care Coordinator, and the ease and flexibility afforded by virtual care delivery significantly contributed to positive perceptions of the model. Some challenges associated with interprofessional collaboration and mental health care costs were highlighted and perceived as potentially hindering the model's acceptability and appropriateness.
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94
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van der Zee-Neuen A, Seymer A, Schaffler-Schaden D, Herfert J, ÓBrien J, Johansson T, Kutschar P, Ludwig S, Stöggl T, Keeley D, Flamm M, Osterbrink J. Association of national COVID-19 cases with objectively and subjectively measured mental health proxies in the Austrian Football league – an epidemiological study. ALL LIFE 2021. [DOI: 10.1080/26895293.2021.1994473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Antje van der Zee-Neuen
- Centre for Public Health and Health Services Research, Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Alexander Seymer
- Department of Political Science and Sociology, University of Salzburg, Salzburg, Austria
| | - Dagmar Schaffler-Schaden
- Centre for Public Health and Health Services Research, Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria
| | | | - James ÓBrien
- Red Bull Athlete Performance Center, Thalgau, Austria
- The Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Edith Cowan University, Joondalup, WA, Australia
| | - Tim Johansson
- Department of Political Science and Sociology, University of Salzburg, Salzburg, Austria
| | - Patrick Kutschar
- Centre for Public Health and Health Services Research, Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Stephan Ludwig
- Institute of Virology (IVM), University of Muenster (WWU), Muenster, Germany
| | - Thomas Stöggl
- Red Bull Athlete Performance Center, Thalgau, Austria
- Department of Sport and Exercise Science, University of Salzburg, Hallein, Austria
| | - David Keeley
- Electronic Caregiver, Divison of Innovation, Las Cruces, NM, USA
| | - Maria Flamm
- Centre for Public Health and Health Services Research, Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria
| | - Jürgen Osterbrink
- Centre for Public Health and Health Services Research, Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
- Brooks College of Health, University of North Florida, Jacksonville, FL, USA
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95
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Weber B, Bos J, Clancy EM, Menon R, Cross T, Hall K. Role of club doctors in the mental health management of Australian rules football players: a Delphi study. Br J Sports Med 2021; 56:320-326. [PMID: 34663571 PMCID: PMC8899488 DOI: 10.1136/bjsports-2021-104388] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/02/2021] [Indexed: 11/07/2022]
Abstract
Professional team athletes experience a range of mental health problems, both sports and non-sports related. However, there is limited information available for those charged with responsibility for managing these mental health conditions, particularly within the context of professional sporting clubs. This paper reports on consensus findings from a study of club doctors, who are primary care providers for professional team athletes within a specific code, the Australian Football League (AFL). Drawing on findings from a systematic literature search, a two-round Delphi procedure was used to develop a consensus on best practice for managing mental health conditions for club doctors as primary care providers for professional team athletes. Participants in this study were current and former club doctors employed in professional AFL clubs across Australia, with 28 doctors participating across two survey rounds. Overall, 77 statements were presented, with 50 endorsed as essential or important by ≥ 80% of the participants across the two rounds. Primary themes across nine domains include: (1) Prevention and Mental Health Promotion Activities; (2) Screening; (3) Engaging External Specialists; (4) Duty of Care; (5) Treatment: Assessment, Treatment and Case Coordination; (6) Communication; (7) Confidentiality; (8) Sleep Management and (9) Substance Use Management. This study is the first to offer club doctors working in professional team settings consensus guidelines for the management of mental health conditions, and the opportunity for greater clarification and consistency in role delivery.
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Affiliation(s)
- Ben Weber
- The Stadium Sports Medicine Clinic, Sydney, New South Wales, Australia
| | - Jason Bos
- Mental Health Management, Sydney, New South Wales, Australia.,School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia
| | - Elizabeth Mary Clancy
- School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia
| | - Ranjit Menon
- Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.,Australian Football League, Melbourne, Victoria, Australia
| | - Tom Cross
- The Stadium Sports Medicine Clinic, Sydney, New South Wales, Australia
| | - Kate Hall
- School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia .,Australian Football League, Melbourne, Victoria, Australia
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96
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Evaluating a Sport-Based Mental Health Literacy Intervention in Australian Amateur Sporting Adolescents. J Youth Adolesc 2021; 50:2501-2518. [PMID: 34626293 DOI: 10.1007/s10964-021-01513-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 09/27/2021] [Indexed: 10/20/2022]
Abstract
Youth amateur sporting environments present an untapped, under-researched, and potentially vital avenue for targeted mental health intervention programs. This study evaluates such an intervention in 12 sporting clubs, comprising of 330 Australian youth aged 12-15 years (M = 13.73, SD = 0.79). Mental health literacy, help-seeking intentions, and help-seeking behaviors were measured throughout the season using a repeated-measures experimental-control design. Multilevel modelling revealed the intervention successfully improved mental health literacy and help-seeking intentions in particular cohorts, such as youth scoring low in these constructs pre-intervention and youth who had not previously received the intervention. This study demonstrates the efficacy of interventions to effect positive change in amateur sporting youth, highlighting a convenient method to improve mental health in young people.
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97
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Roberts M, Jones J, Garcia L, Techau A. Adolescents' perceptions of barriers and facilitators to engaging in mental health treatment: A qualitative meta-synthesis. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2021; 35:113-125. [PMID: 34609034 DOI: 10.1111/jcap.12354] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 09/11/2021] [Accepted: 09/26/2021] [Indexed: 11/27/2022]
Abstract
PROBLEM One in seven children, aged 3-17, have a mental health diagnosis with suicide being the second leading cause of death in the United States in persons aged 10-24. Adolescents are at high risk for mental health disorders, substance use, and risky behaviors, yet most adolescents never receive treatment. Research is needed to answer the question, "What are adolescents' perceived barriers and facilitators to engaging in mental health treatment?" METHODS A four-step qualitative meta-synthesis design included: A structured research question and search strategy, data immersion through quality appraisal, thematic synthesis of primary research studies, and reciprocal translation of derived themes. FINDINGS Eight studies met inclusion criteria. Autonomy was the primary theme that emerged. Meta-synthesis produced five subthemes: (a) choice as integral to engagement, (b) stigma as barrier to engagement, (c) quality of the therapeutic relationship as integral to engagement, (d) systemic influences as both barrier and facilitator to engagement, and (e) mental health literacy as crucial factor in decision to engage. CONCLUSION Adolescents require autonomy to engage in mental health treatment. Improving treatment engagement in adolescents requires interventions that address their ability to be autonomous.
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Affiliation(s)
- Mia Roberts
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA
| | - Jacqueline Jones
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA
| | - Lorraine Garcia
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA
| | - Aimee Techau
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA
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98
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Abstract
Athletes commonly experience mental health symptoms. However, prevalence estimates require refinement so that symptoms are interpreted in context and diagnostic labels are accurately applied. Further prevalence studies are also needed in subgroups within sport, in particular female athletes, athletes with disabilities, and coaches. Existing consensus-based and evidence-based therapies must be adapted not only to the individual athlete but also to the ecology of sports. Filling the gaps in our knowledge on what treatment modifications may be required for the individual athlete and how services should be designed to deliver treatment most effectively will require well-designed studies that use standardized terminology and defined outcome measures.
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99
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A Program to Reduce Stigma Toward Mental Illness and Promote Mental Health Literacy and Help-Seeking in National Collegiate Athletic Association Division I Student-Athletes. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2021. [DOI: 10.1123/jcsp.2019-0104] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Student-athletes are susceptible to mental health problems that disrupt optimal functioning and well-being. Despite having many protective factors, student-athletes represent an at-risk subgroup of college students who experience mental health concerns due to the distress of balancing multiple obligations. However, many student-athletes underutilize psychological services. Stigma is the main barrier preventing student-athletes from seeking help, and mental health literacy (MHL) interventions addressing knowledge and beliefs about mental disorders have traditionally been used to destigmatize mental illness. This study investigated the impact of a 4-week program on stigma, MHL, and attitudes and intentions toward seeking help with 33 National Collegiate Athletic Association Division I student-athletes. The program was composed of four science-based interventions—MHL, empathy, counter stereotyping, and contact—delivered face-to-face within a group setting. MHL, attitudes toward seeking help, and intentions to seek counseling improved from preintervention to postintervention and to 1-month follow-up. Self-stigma was reduced from preintervention to postintervention.
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100
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Ojio Y, Matsunaga A, Yamaguchi S, Hatakeyama K, Kawamura S, Yoshitani G, Horiguchi M, Nakajima S, Kanie A, Horikoshi M, Fujii C. Association of mental health help-seeking with mental health-related knowledge and stigma in Japan Rugby Top League players. PLoS One 2021; 16:e0256125. [PMID: 34432823 PMCID: PMC8386880 DOI: 10.1371/journal.pone.0256125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 07/29/2021] [Indexed: 12/02/2022] Open
Abstract
Background Globally increasing clinical and research interests are driving a movement to promote understanding and practice of mental health in elite athletes. However, few studies have yet addressed this issue. This study aims to describe the association of the intention to seek help with mental health knowledge and stigma and the severity of depressive symptoms in Japan Rugby Top League players. Methods As a target population, we studied 233 Japan Rugby Top League male players (25–29 years = 123 [52.8%]), who were born in Japan, using a cross-sectional design. Surveys were conducted using anonymous, web-based self-administered questionnaires. Structural equation modelling was performed to evaluate the hypothesis of an interrelationship between mental health knowledge, stigma, and severity of depressive symptoms as factors influencing the intention to seek help. Results Players with more severe depressive symptoms were more reluctant to seek help from others (β = - 0.20, p = 0.03). Players with greater knowledge about mental health tended to have less stigma toward others with mental health problems (β = 0.13, p = 0.049), but tended not to seek help with their own mental health problems. Conclusions Rugby players in need of mental health support, even with greater knowledge, tend not to seek help from others, while having less stigma toward people with mental health problems. Rugby players might require approaches other than a knowledge-based educational approach to encourage them to seek help.
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Affiliation(s)
- Yasutaka Ojio
- Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Asami Matsunaga
- Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Sosei Yamaguchi
- Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
| | | | | | | | | | - Shun Nakajima
- National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Ayako Kanie
- National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Masaru Horikoshi
- National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Chiyo Fujii
- Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
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