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Mesagno C, Hammond AA, Goodyear MA. An initial investigation into the mental health difficulties in athletes who experience choking under pressure. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 74:102663. [PMID: 38759822 DOI: 10.1016/j.psychsport.2024.102663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 05/14/2024] [Accepted: 05/15/2024] [Indexed: 05/19/2024]
Abstract
This study aims to determine the frequency of choking under pressure (i.e., choking) and quantify the prevalence of psychological and behavioural consequences of choking. 165 current and retired athletes (over 18 years old) from various sporting levels completed an online survey that asked about demographics, the frequency of choking, and the psychological (e.g., negative feelings toward sport, passion/enjoyment of sport negatively affected, and suicidal ideation) and behavioural (e.g., missing/skipping sport temporarily, dropping out/quitting sport, and maladaptive, risky behaviour) effects of choking. Descriptive statistics on choking frequency indicated 127 (77%) athletes in this sample experienced choking in the last year of playing their sport, and, on average, "choked" 18.25 times during that year. Of the 65 athletes currently playing sport, 36 (55.4%) experienced choking in the past month. Furthermore, 39.4% and 7.1% of athletes in this sample did not achieve higher levels of competition and had suicidal thoughts due to choking, respectively. High-performance athletes in the current sample were more likely to engage in maladaptive behaviours after choking compared to low-performance athletes. Choking more negatively affected the passion/enjoyment for sport of currently playing (i.e., excluding all retired) high-performance than currently playing low-performance athletes. This seminal study crudely quantifies the frequency of choking in athletes, but more importantly provides crucial evidence of the psychological and behavioural consequences of choking and advocates for further research into choking and athlete mental health.
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Lundqvist C, Schary DP, Jacobsson J, Korhonen L, Timpka T. Aligning categories of mental health conditions with intervention types in high-performance sports: A narrative cornerstone review and classification framework. J Sci Med Sport 2024; 27:525-531. [PMID: 38796375 DOI: 10.1016/j.jsams.2024.05.001] [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: 02/29/2024] [Revised: 04/16/2024] [Accepted: 05/07/2024] [Indexed: 05/28/2024]
Abstract
Epidemiological studies suggest that psychiatric disorders are as prevalent amongst high-performance athletes as in general populations, challenging the myth of invulnerability. Despite efforts of sport organisations to highlight the significance of athletes' mental health, it is still many times tough to combine the sport performance ethos with a discourse on mental health. This narrative cornerstone review examines challenges related to definitions and classifications of athlete mental health in high-performance sports and how these influence assessments and the implementation of interventions. We discuss challenges with concept creep and psychiatrisation and outline their consequences for sport healthcare professionals. Based on this, we present a framework that aligns different categories of athlete mental health conditions (from the reduction of wellbeing to psychiatric disorders) with intervention types (from the provision of supporting environments to pharmacotherapy). We conclude that researchers and sport practitioners need to carefully consider conceptual creep and the risk of pathologising normal and healthy, albeit emotionally aversive, reactions to athlete lifeworld events when assessing athlete mental health. A clear separation of terminology denoting the athlete's resources to handle the lifeworld (including salutogenic factors) and terms describing psychiatric conditions and their management is necessary to avoid misguidance in intervention planning.
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Affiliation(s)
- Carolina Lundqvist
- Department of Behavioural Sciences and Learning, Linköping University, Sweden; Athletics Research Center, Linköping University, Sweden.
| | - David P Schary
- Department of Physical Education, Sport and Human Performance, Winthrop University, USA. https://twitter.com/DrDavidSchary
| | - Jenny Jacobsson
- Athletics Research Center, Linköping University, Sweden; Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Sweden
| | - Laura Korhonen
- Barnafrid and Department of Biomedical and Clinical Sciences, Linköping University, Sweden
| | - Toomas Timpka
- Athletics Research Center, Linköping University, Sweden; Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Sweden; Regional Executive Office, Region Östergötland, Sweden
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Meidl V, Dallmann P, Steffen K, Bretthauer B, Busch A, Kubosch EJ, Leonhart R, Hirschmueller A. Mental health surveillance in elite Para athletes: early identification and follow-up of athletes at risk of mental health problems. Br J Sports Med 2024; 58:902-909. [PMID: 38950918 DOI: 10.1136/bjsports-2023-107995] [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] [Accepted: 06/05/2024] [Indexed: 07/03/2024]
Abstract
OBJECTIVE There is a lack of prospective data on mental health of elite Para athletes. The objective was to identify and follow elite Para athletes at risk of mental health problems. METHODS In a 124-week prospective cohort study, mental health of German elite Para athletes was monitored using the Patient Health Questionnaire-4 (PHQ-4). In case of positive screening (PHQ-4≥5) over 2 weeks, a follow-up contact was conducted by a sports psychiatrist, who asked the athletes about their mental condition and sources for their mental distress and offered support. RESULTS 7543 PHQ-4 scores were obtained from 122 Para athletes with a mean weekly response rate of 84%. The PHQ-4 screening was considered positive for symptoms of depression or anxiety with a prevalence of 6.7%, affecting 48.4% (n=59) of all participants at some point during the study period. In 76.6% (n=49) of all follow-up contacts, athletes (n=34) reported at least one mental health problem, most frequently mental distress (n=31), followed by symptoms of depression (n=19) including acute suicidality (n=1). The most common mental stressors cited were related to education and problems with the team, coaches or federation. At follow-up, almost two-thirds of the athletes were either already in professional psychiatric or psychological care (25%) or were recommended to seek such care (32.8%). CONCLUSION Our screening and follow-up system revealed high rates of mental health problems in elite Para athletes. Programmes for early identification with mental health monitoring under the supervision of mental health professionals should be considered by sports federations for Para athletes.
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Affiliation(s)
- Verena Meidl
- Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
| | - Petra Dallmann
- Centre for Psychosocial Medicine, Department of General Psychiatry, University Hospital Heidelberg, Heidelberg, Baden-Württemberg, Germany
| | - Kathrin Steffen
- Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway
- Norwegian National Unit for Sensory Loss and Mental Health, Oslo University Hospital, Oslo, Norway
| | - Berit Bretthauer
- Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
| | - Aglaja Busch
- Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
- Division Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland
- Outpatient Clinic, Sport Medicine & Sports Orthopedics, University of Potsdam, Potsdam, Germany
| | - Eva Johanna Kubosch
- Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
| | - Rainer Leonhart
- Department of Psychology, Albert-Ludwigs-Universitat Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
| | - Anja Hirschmueller
- Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
- ALTIUS Swiss Sportmed Center AG, Rheinfelden, Switzerland
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Tachom Waffo B, Hauw D. Mental health of young talented football players in an African context: A cross-sectional observational study. Compr Psychiatry 2024; 135:152519. [PMID: 39068735 DOI: 10.1016/j.comppsych.2024.152519] [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: 02/19/2024] [Revised: 07/08/2024] [Accepted: 07/19/2024] [Indexed: 07/30/2024] Open
Abstract
BACKGROUND Elite sport is a potentially pathogenic environment due to stressors like dual-career, high training demands, and performance pressure. Recent evidence suggests that athletes are at high risk of mental health issues. Even though the FIFA is increasingly paying attention, efforts directed towards young talented footballers are scarce. Few studies have even been conducted on young talented footballers in Africa. The majority of epidemiological studies on athletes also suffer from an analytical approach that does not highlight athletes' mental health profiles. This study aims to describe the mental health profile and their prevalence of young talented footballers in three African representative countries. METHODS The study applied an observational-based cross-sectional research design with aspiring footballers from three sub-regions of Africa and aged between 10 and 23. The data was collected face-to-face from March to November 2022. Three screening tools were used to measure three mental health outcomes: Satisfaction With Life Scale (subjective well-being), Patient Health Questionnaire 9-item (depression), and Generalized Anxiety Disorder 7-item scale (anxiety). The mental health outcomes were rates and scores of well-being, depression, and anxiety, used in latent profile analysis. FINDINGS 507 male young talented footballers (263[51∙9%] Cameroonians, 73[14∙4%] Moroccans, and 171[33∙7%] Ivorians) were included in the analysis with a mean age of 15∙1 (SD 2∙37) years. Screening of mental health states revealed that 367(72∙3%) and 412(81∙8%) of these players experienced anxiety and depressive symptoms respectively and 155(30∙7%) experienced low well-being. Differences in mental health outcomes were noted between countries, age groups and competition levels. Three profiles of mental health condition were also identified, namely moderate mental health (Profile 1), languishing (Profile 2) and flourishing (Profile 3). INTERPRETATION The youth of football academies in the three African countries studied have a specific mental health profile, revealing a high prevalence of common mental disorders in the African context. These findings underline the need to enhance the awareness of mental health issues in young African players and provide tailored support. FUNDING FIFA.
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Affiliation(s)
| | - Denis Hauw
- Institute of Sport Sciences, University of Lausanne, Switzerland
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Runciman P, Eken M, van der Hoven H, Badenhorst M, Blauwet C, Gouttebarge V, Swartz L, Derman W. Evaluating workforce needs: an investigation of healthcare professionals' attitudes, beliefs and preparedness towards the management of Para athlete mental health at the Tokyo 2020 and Beijing 2022 Paralympic Games. Br J Sports Med 2024; 58:844-851. [PMID: 38272650 DOI: 10.1136/bjsports-2023-107406] [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] [Accepted: 01/11/2024] [Indexed: 01/27/2024]
Abstract
OBJECTIVES To examine healthcare professionals (HCPs) attitudes, beliefs and preparedness towards the management of Para athlete mental health during the Tokyo 2020 and Beijing 2022 Paralympic Games. METHODS A cross-sectional observational study was conducted. National Paralympic Committee's HCPs (n=857) working at the Tokyo 2020 and Beijing 2022 Paralympic Games were invited to respond to an anonymous online survey regarding the management of Para athlete mental health in their team. Data were analysed using descriptive frequency statistics. RESULTS The survey was completed by 256 HCPs (30% of respondents). Most HCPs agreed that mental health was a concern in Para athletes (n=210; 82%). However, half (n=122; 48%) agreed that they did not screen Para athletes for mental health symptoms, and half (n=130; 51%) agreed that there was increased stigma around disclosure of mental health symptoms among Para athletes, compared with athletes without disability. Most HCPs (n=221; 86%) agreed they wanted to improve their knowledge and skills surrounding athlete mental healthcare. Culturally sensitivite, non-discriminatory and contextual factors were highlighted as desired areas of education for HCPs and active information dissemination for Para athletes. CONCLUSION HCPs working at the Paralympic Games considered Para athlete mental healthcare important and reported perceived stigma, yet indicated low rates of mental health screening. Most respondents expressed the need for mental health education. Culturally sensitive training and active education strategies should be implemented to optimally manage Para athlete mental health.
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Affiliation(s)
- Phoebe Runciman
- Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Stellenbosch, South Africa
| | - Maaike Eken
- Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Stellenbosch, South Africa
| | - Helene van der Hoven
- Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Stellenbosch, South Africa
| | - Marelise Badenhorst
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
| | - Cheri Blauwet
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Vincent Gouttebarge
- Amsterdam UMC location, University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef, Amsterdam, Netherlands
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center of Excellence, Amsterdam, The Netherlands
| | - Leslie Swartz
- Department of Psychology, Stellenbosch University, Stellenbosch, South Africa
| | - Wayne Derman
- Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Stellenbosch, South Africa
- International Olympic Committee Research Centre, Pretoria, South Africa
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de Miranda Rohlfs ICP, Noce F, Wilke C, Terry VR, Parsons-Smith RL, Terry PC. Prevalence of Specific Mood Profile Clusters among Elite and Youth Athletes at a Brazilian Sports Club. Sports (Basel) 2024; 12:195. [PMID: 39058086 PMCID: PMC11280759 DOI: 10.3390/sports12070195] [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: 05/28/2024] [Revised: 07/11/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024] Open
Abstract
Those responsible for elite and youth athletes are increasingly aware of the need to balance the quest for superior performance with the need to protect the physical and psychological wellbeing of athletes. As a result, regular assessment of risks to mental health is a common feature in sports organisations. In the present study, the Brazil Mood Scale (BRAMS) was administered to 898 athletes (387 female, 511 male, age range: 12-44 years) at a leading sports club in Rio de Janeiro using either "past week" or "right now" response timeframes. Using seeded k-means cluster analysis, six distinct mood profile clusters were identified, referred to as the iceberg, surface, submerged, shark fin, inverse iceberg, and inverse Everest profiles. The latter three profiles, which are associated with varying degrees of increased risk to mental health, were reported by 238 athletes (26.5%). The prevalence of these three mood clusters varied according to the response timeframe (past week > right now) and the sex of the athletes (female > male). The prevalence of the iceberg profile varied by athlete sex (male > female), and age (12-17 years > 18+ years). Findings supported use of the BRAMS as a screening tool for the risk of psychological issues among athletes in Brazilian sports organisations.
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Affiliation(s)
- Izabel Cristina Provenza de Miranda Rohlfs
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
- Unified Center for the Identification and Development of Performance Athletes (CUIDAR), Clube de Regatas do Flamengo, Rio de Janeiro 22430-041, Brazil
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Franco Noce
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Carolina Wilke
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
- Faculty of Sport, Technology and Health Sciences, St. Mary’s University, London TW1 4SX, UK
| | - Victoria R. Terry
- Centre for Health Research, University of Southern Queensland, Toowoomba 4350, Australia;
- School of Nursing and Midwifery, University of Southern Queensland, Toowoomba 4350, Australia
| | - Renée L. Parsons-Smith
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
| | - Peter C. Terry
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
- Centre for Health Research, University of Southern Queensland, Toowoomba 4350, Australia;
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Ionel MS, Ion A, Iliescu D, Visu-Petra L. Climbing anxiety scale (CAS-20): Preliminary development and validation. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 73:102635. [PMID: 38575103 DOI: 10.1016/j.psychsport.2024.102635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 02/27/2024] [Accepted: 04/02/2024] [Indexed: 04/06/2024]
Abstract
Anxiety has been the primary focus of emotion research in sport psychology. Most of the existing anxiety measures focus on the competition related anxiety. Little is known about the way in which anxiety affects athletic outcomes in extreme sports. We contribute to the literature on anxiety in extreme sports by: (1) developing and providing a preliminary validation for a novel, theoretically anchored sport climbing inventory, Climbing Anxiety Scale (CAS-20), among an international sample of rock-climbers (N = 153); and (2) providing preliminary evidence on its factorial and criterion-related validity. Our investigation includes two phases. The first phase (6 clinical and sport psychology experts) included the development and expert review of a climbing specific anxiety scale. The second phase (N = 153) offers preliminary evidence pertaining to the measure's reliability, factorial, convergent and criterion related validity. Factorial validity was investigated by deploying a series of confirmatory factorial analyses. Convergent and discriminatory validity were examined by comparing the scale's associations with a general anxiety measure, a sport anxiety measure, as well as climbing self-efficacy. Criterion-related validity was estimated by examining its relationship with rock-climbing performance. We contribute to the general domain of sport and athletic research by developing a sport-specific anxiety measure, investigating whether and how anxiety comes into play in rock-climbing, a high-risk sport. This scale can be used for assessing anxiety in climbing and monitoring the impact of an interventions designed to reduce these symptoms.
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Affiliation(s)
- Maria Stefania Ionel
- Research in Individual Differences and Legal Psychology - RIDDLE Lab, Department of Psychology, Faculty of Psychology and Educational Sciences, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Andrei Ion
- Assessment and Individual Differences - AID Lab, Department of Psychology and Cognitive Science, University of Bucharest, Romania.
| | - Dragos Iliescu
- Assessment and Individual Differences - AID Lab, Department of Psychology and Cognitive Science, University of Bucharest, Romania; Stellenbosch University, South Africa
| | - Laura Visu-Petra
- Research in Individual Differences and Legal Psychology - RIDDLE Lab, Department of Psychology, Faculty of Psychology and Educational Sciences, Babes-Bolyai University, Cluj-Napoca, Romania
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Simpson K, Baker G, Cameron-Blake E, Palmer D, Jarvie G, Kelly P. What did we learn about elite student-athlete mental health systems from the COVID-19 pandemic? BMJ Open Sport Exerc Med 2024; 10:e001733. [PMID: 38895646 PMCID: PMC11184191 DOI: 10.1136/bmjsem-2023-001733] [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] [Accepted: 02/14/2024] [Indexed: 06/21/2024] Open
Abstract
Elite student-athletes (SAs) in higher education (HE) have distinct mental health (MH) risks. The COVID-19 pandemic put pressure on systems and increased elite SA vulnerability to adverse MH outcomes. The aim of this study was to explore the provision and management of MH in elite HE sports settings during the time of COVID-19 pandemic stress. The secondary aim was to identify lessons and opportunities to enhance future mental healthcare systems and services for elite SAs. A qualitative study design was used to investigate the views of three groups (athletic directors, coaches and sport healthcare providers). Ten key leaders were purposively recruited from HE institutions in Canada, the USA and the United Kingdom. They represented various universities from the National College Athletic Association, U SPORTS Canada and British Universities and Colleges Sport. Semistructured interviews were conducted, recorded, transcribed and thematically analysed. Five key themes were identified: (1) The pandemic disruption had salient impacts on motivation and how elite SAs engaged with sport (2) when student sport systems are under pressure, support staff perceive a change in duties and experience their own MH challenges, (3) the pandemic increased awareness about MH care provision and exposed systemic challenges, (4) digital transformation in MH is complex and has additional challenges for SAs and (5) there were some positive outcomes of the pandemic, lessons learnt and a resulting motivation for systems change. Participants highlighted future opportunities for MH provision in elite university sport settings. Four recommendations were generated from the results.
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Affiliation(s)
- Kaitlin Simpson
- UK Collaborating Centre on Injury and Illness Prevention in Sport, Edinburgh Sports Medicine Research Network, University of Edinburgh Institute for Sport Physical Education and Health Sciences, Edinburgh, UK
- Physical Activity for Health Research Centre, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
- Academy of Sport, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
| | - Graham Baker
- Physical Activity for Health Research Centre, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
| | - Emily Cameron-Blake
- The University of Edinburgh School of Social and Political Science, Edinburgh, UK
| | - Debbie Palmer
- UK Collaborating Centre on Injury and Illness Prevention in Sport, Edinburgh Sports Medicine Research Network, University of Edinburgh Institute for Sport Physical Education and Health Sciences, Edinburgh, UK
| | - Grant Jarvie
- Academy of Sport, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
| | - Paul Kelly
- Physical Activity for Health Research Centre, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
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Gill VS, Sullivan G, Stearns H, Tummala SV, Haglin JM, Economopoulos KJ, Marks L, Chauhan M. Mental Health in Elite Athletes: A Systematic Review of Suicidal Behaviour as Compared to the General Population. Sports Med 2024; 54:1-18. [PMID: 38407749 DOI: 10.1007/s40279-024-01998-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2024] [Indexed: 02/27/2024]
Abstract
BACKGROUND AND OBJECTIVE Previous systematic reviews on mental health in athletes have found athletes to be at a potentially increased risk for mental health diagnoses compared to the public. Multiple cross-sectional studies have examined suicide behaviour within different athlete populations, but there is a need for a comprehensive review to synthesize and identify risk factors and epidemiology regarding suicide behaviour in the elite athlete population, especially as it compares to the general population. METHODS A systematic literature search was performed in MEDLINE, EMBASE, Scopus, and Web of Science from 1990 to January 2023. Inclusion criteria included original peer-reviewed research articles examining suicidal ideation, suicide attempt, or suicide completion within elite athlete populations. Exclusion criteria included athletes participating in high-school or Paralympic level sports, studies that did not report results regarding elite athletes and non-athletes separately, and non-peer reviewed work. All studies were screened for inclusion by two independent reviewers. The primary outcome variables extracted from included studies included rates, risk factors, and protective factors for suicide behaviour. The study quality and risk of bias was evaluated for each study using the Joanna-Briggs Institute (JBI) critical appraisal tools. RESULTS Of the 875 unique studies identified, 22 studies, all of which were cross-sectional in nature, met the inclusion criteria. Seven studies evaluated previous athletes, 13 studies evaluated current athletes, and two studies included a combination of previous and current athletes. Seven studies involved varsity college athletes, nine involved professional athletes of various sports, and six focused on international or Olympic level athletes. The rate of suicidal ideation in professional athletes ranged from 6.9 to 18% across four studies, while the rate in collegiate athletes ranged from 3.7 to 6.5% across three studies. Ten studies compared athletes to the general population, the majority of which found athletes to be at reduced risk of suicidal ideation, suicide attempt, and suicide completion. Only one study found athletes to have increased rates of suicide compared to matched non-athletes. Risk factors for suicide behaviour identified across multiple studies included male sex, non-white race, older age, and depression. Player position, athletic level, sport played, and injuries showed trends of having limited effect on suicide behaviour risk. CONCLUSION This review suggests that elite athletes generally demonstrate reduced risk of suicidal ideation, suicide attempt, and suicide completion compared to the general population. Coaches should remain aware of specific factors, such as male sex, non-white race, and higher athletic level, in order to better identify at-risk athletes. Limitations of this review include the heterogeneity in the methodology and athlete populations across the included studies. Therefore, future targeted research is essential to compare suicide behaviour between sports and identify sport-specific suicide risk factors. TRIAL REGISTRATION PROSPERO Registration: CRD42023395990.
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Affiliation(s)
- Vikram S Gill
- Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.
- Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, 85054, USA.
| | | | - Hunter Stearns
- Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA
| | | | - Jack M Haglin
- Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA
| | | | - Lisa Marks
- Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA
| | - Mohit Chauhan
- Department of Psychiatry, Mayo Clinic, Jacksonville, FL, USA
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10
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Brockett CL, Stansen C, Bourke M, Pascoe M, Clements M, Parker AG. Factors that influence mental health and well-being of high-performance athletes from Olympic or Paralympic sport who have transitioned out of national-level or international-level sport: a mixed methods approach. BMJ Open Sport Exerc Med 2024; 10:e001991. [PMID: 38827245 PMCID: PMC11141181 DOI: 10.1136/bmjsem-2024-001991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/20/2024] [Indexed: 06/04/2024] Open
Abstract
Transitioning out of elite sports can be a challenging time for athletes. To illuminate the gaps and opportunities in existing support systems and better understand which initiatives may have the greatest benefit in supporting athletes to transition out of elite sport, this study examined the lived experience of retired elite Australian athletes. Using a sequential mixed-methods approach, quantitative data were collected via a self-report online survey, while qualitative data were collected via semistructured interviews. In total 102 retired high-performance athletes (M=27.35, SD=7.25 years) who competed in an Olympic or Paralympic recognised sport at the national and/or international-level participated in the online survey, providing data across domains of well-being and athletic retirement. Eleven survey respondents opted in for the semistructured interview (M=28.9, SD=6.9 years) providing in-depth responses on their retirement experiences. Using partial least squares structural equation modelling (PLS-SEM), latent variables were identified from the survey data and associations between retirement support, retirement difficulties, retirement experiences, well-being and mental health were determined. Interview data were thematically analysed. The structural model had good predictive validity for all nine latent variables, describing positive and negative associations of retirement experiences, mental health and well-being. Building an identity outside of sport, planning for retirement, and having adaptive coping strategies positively impacted retirement experiences. Feeling behind in a life stage and an abrupt loss of athletic identity had a negative impact on retirement experiences. Implications for sports policymakers are discussed, including support strategies that could better assist athletes in successfully transitioning from elite sports.
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Affiliation(s)
- Camilla L Brockett
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
| | - Caroline Stansen
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
| | - Matthew Bourke
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
- Health and Wellbeing Centre for Research Innovation, The University of Queensland, Brisbane, Queensland, Australia
| | - Michaela Pascoe
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
| | - Matti Clements
- Athlete Wellbeing and Engagement, Australian Institute of Sport, Bruce, Australian Capital Territory, Australia
| | - Alexandra G Parker
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
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11
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Leprince C, Maurin M, Carling C. Consideration of Mental Health and Well-Being in High-Level Sport: When Will a Coach-Centred Approach Be Introduced? Sports Med 2024:10.1007/s40279-024-02044-x. [PMID: 38811435 DOI: 10.1007/s40279-024-02044-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2024] [Indexed: 05/31/2024]
Abstract
Coverage of problems relating to mental health and well-being is gaining ground in the sports sector today, both in the media and in the scientific literature. Despite exposure to numerous stressors and suffering from poor mental health, coaches have in general been largely overlooked in the scientific literature. Previous studies have mainly focused upon athlete populations. The absence of research means that there are real shortcomings in both understanding the mechanisms involved in the deterioration of coaches' mental health and well-being and in the lack of specific support systems available. This paper first describes findings from the recent, albeit quite scarce, research investigating mental health and well-being in coaches. It then proposes a number of avenues for research and support protocols, both of which are currently ongoing at the French Football Federation Research Centre. The aim is to help support these key participants in the sports sector who arguably have not been given sufficient consideration until now.
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Affiliation(s)
- Chloé Leprince
- French Football Federation Research Centre, Clairefontaine-en-Yvelines, France
- Sport, Expertise and Performance Laboratory (EA 7370), INSEP, Paris, France
| | - Mathéo Maurin
- French Football Federation Research Centre, Clairefontaine-en-Yvelines, France
- Laboratory on Vulnerabilities and Innovation in Sport (L-VIS), University Claude Bernard Lyon 1, Villeurbanne, France
| | - Christopher Carling
- French Football Federation Research Centre, Clairefontaine-en-Yvelines, France.
- Sport, Expertise and Performance Laboratory (EA 7370), INSEP, Paris, France.
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Geiger S, Esser AJ, Marsall M, Muehlbauer T, Skoda EM, Teufel M, Bäuerle A. Association between eHealth literacy and health outcomes in German athletes using the GR-eHEALS questionnaire: a validation and outcome study. BMC Sports Sci Med Rehabil 2024; 16:117. [PMID: 38790069 PMCID: PMC11127337 DOI: 10.1186/s13102-024-00902-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Accepted: 05/09/2024] [Indexed: 05/26/2024]
Abstract
BACKGROUND Athletes face various sports-related stressors, which may increase their risk for physical and mental health symptoms. With the internet as an important source of (health) information, it is important for athletes to have eHealth literacy, i.e. the ability to access, understand and use electronic health information and services. However, it is presently uncertain whether eHealth literacy of athletes is linked to better health outcomes such as reduced injury frequency and behaviours like decreased substance abuse. METHODS A cross-sectional study was conducted with N = 373 German athletes (229 females) from different types of sport (e.g., ball sports and water sports) who were included in the statistical analyses. The survey included medical, socio-demographic, eHealth- and sports-related data as well as the eHealth Literacy Scale (GR-eHEALS) questionnaire, which measures eHealth literacy. Confirmatory factor analyses and correlational analyses were performed to determine the convergent and discriminant (compared to the 8-item Impulsive Behavior-8 Scale) validity of the GR-eHEALS and to assess the relation between eHealth literacy scores and health outcomes. RESULTS The more frequently athletes had sustained minor or moderate injuries in the past, the higher the level of eHealth literacy they reported. Furthermore, consumption frequency of painkillers (r = .18, p = .002), sedatives (r = .12, p = .040), and cannabis (r = .29, p = .000) was significantly correlated with eHealth literacy scores. The confirmatory factor analysis of the GR-eHEALS showed an acceptable model fit with a 2-factor solution (information seeking and information appraisal). The GR-eHEALS showed good discriminant (r = - .09, p = .21) and convergent validity (digital confidence; r = .28, p < .001). CONCLUSION The GR-eHEALS is a valid instrument to assess eHealth literacy within the cohort of German athletes. Potential dangers of dealing with injury and psychological strain without reaching out for professional help should be considered.
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Affiliation(s)
- Sheila Geiger
- Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
- Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany.
| | - Anna Julia Esser
- Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany
- Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany
| | - Matthias Marsall
- Institute for Patient Safety (IfPS), University Hospital Bonn, Bonn, Germany
| | - Thomas Muehlbauer
- Division of Movement and Training Sciences, Biomechanics of Sport, University of Duisburg- Essen, Essen, Germany
| | - Eva-Maria Skoda
- Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany
- Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany
| | - Martin Teufel
- Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany
- Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany
| | - Alexander Bäuerle
- Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany
- Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany
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Yang K, Chen Y, Wang M, Zhang Y, Yuan Y, Hou H, Mao YH. The Improvement and Related Mechanism of Microecologics on the Sports Performance and Post-Exercise Recovery of Athletes: A Narrative Review. Nutrients 2024; 16:1602. [PMID: 38892536 PMCID: PMC11174581 DOI: 10.3390/nu16111602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 05/20/2024] [Accepted: 05/22/2024] [Indexed: 06/21/2024] Open
Abstract
The diversity and functionality of gut microbiota may play a crucial role in the function of human motor-related systems. In addition to traditional nutritional supplements, there is growing interest in microecologics due to their potential to enhance sports performance and facilitate post-exercise recovery by modulating the gut microecological environment. However, there is a lack of relevant reviews on this topic. This review provides a comprehensive overview of studies investigating the effects of various types of microecologics, such as probiotics, prebiotics, synbiotics, and postbiotics, on enhancing sports performance and facilitating post-exercise recovery by regulating energy metabolism, mitigating oxidative-stress-induced damage, modulating immune responses, and attenuating bone loss. Although further investigations are warranted to elucidate the underlying mechanisms through which microecologics exert their effects. In summary, this study aims to provide scientific evidence for the future development of microecologics in athletics.
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Affiliation(s)
- Keer Yang
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Yonglin Chen
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Minghan Wang
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Yishuo Zhang
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Yu Yuan
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Haoyang Hou
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
| | - Yu-Heng Mao
- School of Exercise and Health, Guangzhou Sport University, Guangzhou 510500, China; (K.Y.); (Y.C.); (M.W.); (Y.Z.); (Y.Y.); (H.H.)
- Guangdong Key Laboratory of Human Sports Performance Science, Guangzhou Sport University, Guangzhou 510500, China
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14
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Khan K, e-Habiba U, Aziz S, Sabeen Z, Zeeshan A, Naz Z, Waseem M. Remote work arrangement: a blessing in disguise for socially anxious individuals. Front Psychol 2024; 14:1152499. [PMID: 38826187 PMCID: PMC11140483 DOI: 10.3389/fpsyg.2023.1152499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 06/12/2023] [Indexed: 06/04/2024] Open
Abstract
This research examines the link between social anxiety disorder (SAD), psychological distance (PD), and burnout using survey data from 463 software development workers who are currently working remotely. According to the results of the study, SAD was associated with higher PD, but, in contrast to what had been shown in earlier studies, this higher PD had no effect on the participants' reported levels of burnout. Both psychological safety and workplace attachment orientation (WAO) were tested for their moderating effects in this study. According to the study's findings, the link between SAD and PD was moderated by WAO but not by psychological safety. The findings of this study underscore the importance of conducting additional research on the challenges faced by people with social anxiety in the workplace and the steps that can be taken by employers to better accommodate them.
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Affiliation(s)
- Khalid Khan
- Department of Business Administration, Federal Urdu University of Arts, Sciences and Technology Islamabad, Islamabad, Pakistan
| | - Umm e-Habiba
- Department of Management Sciences, Bahria University Islamabad, Islamabad, Pakistan
| | - Shahab Aziz
- Department of Management Sciences, Bahria University Islamabad, Islamabad, Pakistan
- Interdisciplinary Research Center (IRC) for Finance and Digital Economy, KFUPM Business School, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
| | - Zara Sabeen
- Department of Islamic Art and Architecture, International Islamic University Islamabad, Islamabad, Pakistan
| | - Asma Zeeshan
- Department of Management Studies, Bahria Business School, Bahria University, Islamabad, Pakistan
| | - Zareen Naz
- Department of Management Studies, Bahria Business School, Bahria University, Islamabad, Pakistan
| | - Muhammad Waseem
- Department of Business Administration, Federal Urdu University of Arts, Sciences and Technology Islamabad, Islamabad, Pakistan
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15
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Bilgoe SC, Janse van Rensburg DC(C, Goedhart E, Orhant E, Kerkhoffs G, Gouttebarge V. Unmasking mental health symptoms in female professional football players: a 12-month follow-up study. BMJ Open Sport Exerc Med 2024; 10:e001922. [PMID: 38756700 PMCID: PMC11097812 DOI: 10.1136/bmjsem-2024-001922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2024] [Indexed: 05/18/2024] Open
Abstract
Objective To calculate the prevalence rates of mental health symptoms among female professional football players over a 12-month period and to explore the associations of severe injury and related surgery with mental health symptoms among female professional footballers. Methods An observational prospective cohort study was conducted over a 12-month follow-up period by distributing an electronic questionnaire three times. The questionnaire was based on validated screening tools for assessing mental health symptoms. Results A total of 74 female professional football players participated in this study. Mental health symptoms ranged from 1% for substance misuse to 65% for sport-psychological distress at baseline, from 6% for anxiety to 53% for sport-psychological distress 6 months postbaseline and from 3% for substance misuse to 55% for sport-psychological distress 12 months postbaseline. The prevalence of disordered eating remained between 15% and 20% over the 12-month period. Only one of the associations was statistically significant. Female professional football players were nearly twice as likely to report sport-related psychological distress following every surgery. Conclusions The substantial prevalence of mental health symptoms among female professional football players emphasises the need for increased attention, awareness and interventions. Additionally, female professional football players are nearly twice as likely to report sport-related psychological distress after each surgery. Sports medicine physicians and mental health professionals working in female football should provide standard care, which involves identifying, monitoring and implementing tailored interventions for mental health symptoms.
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Affiliation(s)
- Sharaisha Chanita Bilgoe
- Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, Netherlands
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, Netherlands
| | | | - Edwin Goedhart
- Royal Netherlands Football Association (KNVB), FIFA Medical Center of Excellence, Zeist, Netherlands
| | - Emmanuel Orhant
- French Football Federation (FFF), Clairefontaine Medical Centre, FIFA Medical Center of Excellence, Clairefontaine, France
| | - Gino Kerkhoffs
- Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, Netherlands
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, Netherlands
- Amsterdam Movement Sciences, Musculoskeletal Health, Sports, Ageing & Vitaly, Amsterdam, Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, Netherlands
| | - Vincent Gouttebarge
- Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, Netherlands
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, Netherlands
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Amsterdam Movement Sciences, Musculoskeletal Health, Sports, Ageing & Vitaly, Amsterdam, Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, Netherlands
- Football Players Worldwide (FIFPRO), Hoofddorp, Netherlands
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16
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Graeme LG, Hall K, Olive LS, Greenwood CJ, Couston N, Mattingley S, Francis LM, Hoare E, Rice S, Bos J, Harris E, Youssef GJ. Comparing the healthy development of youth Australian Rules Footballers across talent development and community settings. BMJ Open Sport Exerc Med 2024; 10:e001799. [PMID: 38736643 PMCID: PMC11086475 DOI: 10.1136/bmjsem-2023-001799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2024] [Indexed: 05/14/2024] Open
Abstract
Objectives This study aimed to compare talent development athletes to community-level athletes in Australian Rules Football across various markers of healthy youth development. Methods Survey data were collected from 363 youth athletes (126 women, 232 men, 5 not reported; Mage=18.69 years, SDage=2.62 years, age range 16-25 years) playing Australian Rules Football at a talent development (recruited from Australian Football League Talent Pathway, n=220) or community (n=143) level. Measures included markers of physical health (eg, general health, risk-taking behaviours), psychological and emotional well-being (eg, mental health symptoms, life satisfaction), family and social relationships (eg, social support, relationship status), educational and occupational attainment/engagement (eg, career satisfaction, education), ethical behaviour (eg, moral self-image), civic engagement, life skills (eg, self-mastery, coping), and demographics. Results Based on regression models, relative to community-level athletes, talent development athletes reported better physical health (d=0.51), lower injury rates (OR=0.50) and less problematic drug use (d=-0.46). Talent development athletes also reported better psychological and emotional well-being, evidenced by lower stress (d=-0.30), higher life satisfaction (d=0.47) and less problematic gambling (d=-0.34). Additionally, talent development athletes reported higher family support (d=0.49), lower likelihood of poor educational outcomes (less than expected educational stage; OR=0.37), lower intention to complete less than year 12 education (OR=0.18), higher career satisfaction (d=0.42), higher self-mastery (d=0.37) and higher perfectionistic striving (d=0.59). Conclusion Findings demonstrate markers of healthier development within talent development athletes relative to community athlete peers. Investment in community-level sports may be warranted to improve healthy development. However, further causal evidence is required.
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Affiliation(s)
- Liam G Graeme
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
| | - Kate Hall
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
- Australian Football League, Melbourne, Victoria, Australia
| | - Lisa S Olive
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
- Institute for Mental and Physical Health and Clinical Translation, Faculty of Health, Deakin University, Geelong, Victoria, Australia
- Elite Sports Mental Health, Orygen, Parkville, Melbourne, Victoria, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Christopher J Greenwood
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
- Centre for Adolescent Health, Murdoch Children’s Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Nicky Couston
- Australian Football League, Melbourne, Victoria, Australia
| | - Sophie Mattingley
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
| | - Lauren M Francis
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
| | - Erin Hoare
- Australian Football League, Melbourne, Victoria, Australia
- Institute for Mental and Physical Health and Clinical Translation, Faculty of Health, Deakin University, Geelong, Victoria, Australia
| | - Simon Rice
- Elite Sports Mental Health, Orygen, Parkville, Melbourne, Victoria, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Jason Bos
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
| | - Emma Harris
- Australian Football League, Melbourne, Victoria, Australia
| | - George J Youssef
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia
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17
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Noh YE, Zaki F, Danaee M. The impact of religious-psychological factors on self-perceived sport performance among religious athletes in Malaysia. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 72:102612. [PMID: 38369268 DOI: 10.1016/j.psychsport.2024.102612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/27/2024] [Accepted: 02/13/2024] [Indexed: 02/20/2024]
Abstract
OBJECTIVE The purpose of this study was to explore the extent to which religious-psychological factors contribute to self-perceived sport performance among religious athletes. METHODS The participants consisted of 612 athletes (310 males, 302 females) aged 12-70 years (mean age = 25.33; SD = 8.99) who were competing in sport competitions at the time, either individually or in a team, or both, and who had formally registered in local, regional, or national sport federations in Malaysia. They completed the Athletic Religious Faith Scale (ARFS) and a self-perceived sport performance questionnaire. RESULTS The results showed that religious-psychological factors explain around 21% of the variance in self-perceived sport performance among religious athletes. Only three religious-psychological factors (i.e., religious coping, athletic identity, and religious dietary practices) contributed to the stimulation of self-perceived sport performance; in particular, religious coping was the most predictable factor, whereas the other factors (i.e., dependence on faith, flow, religious mental healing, and religious psychological effects) had no meaningful relationship with self-perceived sport performance. CONCLUSIONS This finding suggests that sport psychologists, coaches, and other professionals should consider the importance of religious faith and help religious athletes practice positive religious coping (e.g., religious social support or religious meditation) to enhance athletes' well-being and athletic performance.
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Affiliation(s)
- Young-Eun Noh
- Faculty of Sports and Exercise Science, Universiti Malaya, 50603 Kuala Lumpur, Malaysia.
| | - Fariz Zaki
- Faculty of Sports and Exercise Science, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Mahmoud Danaee
- Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
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Trinidad A. Variables e instrumentos para evaluar la salud mental en nadadores de competición: una revisión narrativa. F1000Res 2024; 12:1281. [PMID: 38799244 PMCID: PMC11116940 DOI: 10.12688/f1000research.140504.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/04/2024] [Indexed: 05/29/2024] Open
Abstract
Background Mental health issues are becoming increasingly prevalent among elite athletes, and during the Tokyo 2020 Olympic Games, this issue became a pressing concern. In particular, several athletes complained about their mental health in relation to the highly demanding demands of their sport. High-performance swimming exposes athletes to a variety of stressors due to the physical, technical and mental demands of the sport. The study has carried out a narrative review of the main variables related to mental health, their dimensions and evaluations in competitive swimmers. Methods Clearly planned and ordered potential studies were identified using combined search methods. The search was carried out in different bibliographic databases (Dialnet, Web of Science and Scopus) between 1990 and 2023. Google Scholar was used to manually search the reference lists of the retrieved studies to identify potentially eligible studies that were not included in the electronic searches. The studies were examined from three different perspectives. Firstly, the methodology, sample, swimming categories and their relationship with mental health were analysed. Secondly, the variables related to mental health symptoms and disorders. Finally, the main mental health analysis tools and the conclusions of the studies. Results The concept of mental health in competitive swimmers needs to be clarified in the scientific literature, as different variables have been analysed and multiple instruments have been used with small samples of swimmers, without any intervention and prevention protocol. In addition, the bodies and institutions involved should work in an interdisciplinary and collaborative manner, establishing specific programmes to ensure effective prevention and care. Conclusions Studies are needed to fill this gap and it is necessary to work under the same consensus and in collaboration with specified technical teams. In order to monitor, evaluate and provide services through detection tests and support to swimmers in their training and competitions.
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Affiliation(s)
- Alfonso Trinidad
- Aqualab Research Group, Campus Madrid, European University, Madrid, Community of Madrid, 28670, Spain
- Education and Humanities, Campus Madrid, European University, Madrid, Community of Madrid, 28670, Spain
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Bonet L, Benito A, Usó H, Peraire M, Haro G, Almodóvar-Fernández I. Mental Health in First- and Second-Division Soccer Players: A Cross-Sectional Study. Sports (Basel) 2024; 12:106. [PMID: 38668574 PMCID: PMC11054069 DOI: 10.3390/sports12040106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/04/2024] [Accepted: 04/08/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND The benefits of sport in mental health have been broadly studied. However, few studies have examined these outcomes in high-performance athletes. We aimed to analyze the state of the mental health of the Villarreal Soccer Club's first- (FD) and second-division (SD) players and the possible mediating effects of sex and professional category. METHODS This was a cross-sectional study with an initial sample of 108 soccer players (final sample n = 54). Data from MINI, HARS, HDRS, BARRAT-11 and SCSRQ questionnaires were analyzed. RESULTS The mean age was 23.41 years (SD = 4.56) and 61.1% (n = 33) were men. A proportion of 24.1% (n = 13) stated that they had undergone mental health treatment, 7.4% (n = 4) had taken psychotropic drugs, and 2.1% (n = 1) had made a suicide attempt. Differences were observed between the FD and SD players in terms of the sensitivity to punishment (t = -2.2; p = 0.033), overall impulsivity (t = -3.1; p = 0.003), unplanned impulsivity (t = 3.4; p = 0.001), and the HDRS (U = -110.5; p = 0.004), HARS-Total (U = -104.0; p = 0.006) and HARS-Psychological subscale scores (U = -104.0; p = 0.001). Differences were also observed between the female and male SD players for the HARS-Somatic subscale (U = 136.5; p = 0.028). CONCLUSION The low values obtained in the clinical scales, together with the reported psychopathological histories, suggested that the Villareal players showed better mental health than the general population.
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Affiliation(s)
- Lucía Bonet
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain (M.P.); (G.H.)
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Ana Benito
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain (M.P.); (G.H.)
- Mental Health Unit Torrente, University General Hospital of Valencia, 46014 Valencia, Spain
| | - Héctor Usó
- Director of Health Department, Villarreal Football Club, 12540 Villareal, Spain;
| | - Marc Peraire
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain (M.P.); (G.H.)
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Gonzalo Haro
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain (M.P.); (G.H.)
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Isabel Almodóvar-Fernández
- Nursing Department, Jaume I University, 12006 Castellón, Spain;
- Villarreal Football Club Research Department, 12540 Villareal, Spain
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Stevens M, Cruwys T, Olive L, Rice S. Understanding and Improving Athlete Mental Health: A Social Identity Approach. Sports Med 2024; 54:837-853. [PMID: 38407748 PMCID: PMC11052891 DOI: 10.1007/s40279-024-01996-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2024] [Indexed: 02/27/2024]
Abstract
Understanding and positively influencing athlete mental health have become key goals for researchers and sporting stakeholders (e.g. coaches, support staff, clubs and governing bodies). In this article, we outline a novel perspective for tackling these challenges, drawing on an influential theory of group processes. This social identity approach can, we argue, help explain when and why the characteristics and demands of sport, which is typically a collective endeavour, pose a threat to athlete mental health and provide a guiding framework for efforts to protect and enhance athlete mental health. Here, we seek to illustrate the value of a social identity analysis of athlete mental health through three key points that speak to its analytical and practical value. Specifically, we propose: (1) that social identities can act as psychological resources that support athlete mental health, (2) that social identities are critical to athlete mental health during and after sporting transitions and (3) that leadership informed by a social identity approach can facilitate athlete mental health. With a view to maximising the value of our analysis both for those working with athletes and for researchers, we also identify practical steps that relevant stakeholders could take to support athlete mental health, and key avenues for future research to further test our propositions and advance understanding. Our analysis provides a new lens through which all those invested in understanding and supporting athlete mental health can approach these challenges, and a foundation for novel solutions.
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Affiliation(s)
- Mark Stevens
- School of Medicine and Psychology, The Australian National University, Canberra, ACT, 2601, Australia.
| | - Tegan Cruwys
- School of Medicine and Psychology, The Australian National University, Canberra, ACT, 2601, Australia
| | - Lisa Olive
- School of Psychology, Deakin University, Geelong, VIC, 3220, Australia
- IMPACT Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia
| | - Simon Rice
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Elite Sports and Mental Health, Orygen, 35 Poplar Road, Melbourne, VIC, Australia
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Ahmad CS, Hellwinkel JE, Ahmed R, Alexander FJ, Reynolds AW, Piasecki DP, Bottiglieri TS, Lynch TS, Popkin CA, Saltzman BM, Trofa DP. Impacts of the Early COVID-19 Pandemic on Depressive Symptoms and Mental Health Among Student-Athletes. Open Access J Sports Med 2024; 15:19-28. [PMID: 38523629 PMCID: PMC10959820 DOI: 10.2147/oajsm.s392977] [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: 01/10/2023] [Accepted: 07/06/2023] [Indexed: 03/26/2024] Open
Abstract
Objective Social distancing protocols due to the COVID-19 pandemic resulted in premature ending of athletic seasons and cancellation of upcoming seasons, placing significant stress on young athletes. Inability to play or forced early retirement has significant consequences on athlete's mental health, as demonstrated by an extensive body of injury literature. We hypothesize that premature suspension and cancellation of athletic events due to the COVID-19 pandemic leads to higher incidence of depressive symptoms among high-school and collegiate athletes. Further, athletes who strongly derive their sense of self-worth centered around athletics would have higher rates of depressive symptoms. Methods High school and collegiate athletes were evaluated for depressive symptoms, emotional health and athletic identity measures through validated assessment instruments from May 2020 through July 2020. The Patient-Reported Outcomes Measurement Information System Depression Computer Adaptive Test (PROMIS-10 Depression CAT), Veterans RAND-12 (VR-12), which comprises both a physical and mental health component, and Athletic Identity Measurement Scale (AIMS) were utilized. Results Mental health assessments were completed by 515 athletes (52.4% male, 47.6% female; .84.5% collegiate, 15.5% high school). Female athletes scored significantly worse than males on VR-12 mental health assessments, as well as PROMIS-10 Depression scores; however, males scored significantly lower than females on VR-12 physical health assessments, irrespective of education level. Athletes who had strong associations with athletics as central to their personal identity exhibited worse psychologic impact on VR-12 mental health and PROMIS-10 Depression measures and female athletes in this cohort reported greater depressive symptoms than males. Conclusion Social distancing protocols due to the COVID-19 pandemic have limited athlete's ability to participate in sports at the training and competition level. Higher rates of depressive symptoms in high school and college athletes have resulted among female athletes and those who identify strongly as an athlete.
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Affiliation(s)
- Christopher S Ahmad
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Justin E Hellwinkel
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Rifat Ahmed
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Frank J Alexander
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Alan W Reynolds
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Dana P Piasecki
- Sports Medicine Center, OrthoCarolina, Charlotte, NC, 28207, USA
- Musculoskeletal Institute, Atrium Health, Charlotte, NC, 28207, USA
| | - Thomas S Bottiglieri
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - T Sean Lynch
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Charles A Popkin
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
| | - Bryan M Saltzman
- Sports Medicine Center, OrthoCarolina, Charlotte, NC, 28207, USA
- Musculoskeletal Institute, Atrium Health, Charlotte, NC, 28207, USA
| | - David P Trofa
- Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA
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22
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Montero A, Baranoff J, Adams R, Drummond M. Athletic retirement: factors contributing to sleep and mental health problems. Front Psychol 2024; 15:1350925. [PMID: 38558779 PMCID: PMC10978592 DOI: 10.3389/fpsyg.2024.1350925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 02/26/2024] [Indexed: 04/04/2024] Open
Abstract
Introduction The aim of this investigation was to determine which factors were associated with symptoms of sleep and mental health disorders in former athletes. Methods Former athletes (N = 173, 50% women) who retired from any competition level within the last 20 years participated in an online survey. The survey consisted of the Athlete Sleep Screening Questionnaire (ASSQ), Personal Wellbeing Index-Adult (PWI-A), Center for Epidemiologic Studies Depression Scale-Revised (CESD-R), and Generalised Anxiety Disorder Assessment (GAD-7). Results Binary logistic regressions revealed that both age (OR = 0.95 [95% CI:0.92, 0.99], p = 0.007) and gender (OR = 2.28 [95% CI:1.09, 4.79], p = 0.029) were associated with anxiety, with women and younger ex-athletes presenting greater risk of anxiety symptoms. Higher body mass was associated with an increased risk for sleep difficulty (OR = 1.13 [95% CI:1.03, 1.23], p = 0.008), sleep disordered breathing (OR = 1.20 [95% CI:1.10, 1.30], p < 0.001), and compromised wellbeing (OR = 0.89 [95% CI:0.83, 0.96], p = 0.001). Athletes who subjectively placed a lower priority on sport while competing presented greater risk of sleep disordered breathing (OR = 2.00[95% CI:1.05, 3.80], p = 0.035). No associations between recency retirement and any outcome measures were observed. Discussion Findings suggest potential predictive factors for difficulty transitioning out of sport. Future longitudinal research should consider the interplay between sport re-engagement and the incidence and chronicity of sleep and mental health disorders.
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Affiliation(s)
- Ashley Montero
- College of Education, Psychology and Social Work, Flinders University, Bedford Park, SA, Australia
- Sport, Health, Activity, Performance and Exercise (SHAPE) Research Centre, Flinders University, Bedford Park, SA, Australia
- Flinders Health and Medical Research Institute (FHMRI) Sleep Health, Bedford Park, SA, Australia
| | - John Baranoff
- School of Psychology, The University of Adelaide, Adelaide, SA, Australia
| | - Robert Adams
- Flinders Health and Medical Research Institute (FHMRI) Sleep Health, Bedford Park, SA, Australia
| | - Murray Drummond
- College of Education, Psychology and Social Work, Flinders University, Bedford Park, SA, Australia
- Sport, Health, Activity, Performance and Exercise (SHAPE) Research Centre, Flinders University, Bedford Park, SA, Australia
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23
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Beisecker L, Harrison P, Josephson M, DeFreese JD. Depression, anxiety and stress among female student-athletes: a systematic review and meta-analysis. Br J Sports Med 2024; 58:278-285. [PMID: 38233087 DOI: 10.1136/bjsports-2023-107328] [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] [Accepted: 01/03/2024] [Indexed: 01/19/2024]
Abstract
OBJECTIVE To identify, quantify and analyse determinants of depression, anxiety and stress symptoms among female student-athletes. DESIGN Systematic review and meta-analysis. DATA SOURCES Five online databases (PubMed, CINAHL, PsychInfo, SportDiscus and Web of Science) searched from inception through 14 September 2023. Hand-searches and contacting authors for eligible studies. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Articles were included if they were published in English, included female student-athletes competing at National Collegiate Athletic Association institutions, and measured symptom-level depression, anxiety and/or stress. RESULTS AND SUMMARY We screened 2415 articles; 52 studies (N=13 849) were included in the systematic review with 13 studies qualifying for meta-analysis. Seventeen determinants were identified including injury (eg, concussions), health (eg, sleep hygiene) and social factors (eg, social support). As data specific to female student-athletes was delineated from studies that included other populations, we observed 16 studies (30.7%) reported that identifying as female was a meaningful determinant of depression, anxiety and stress in athletes. Results of the meta-analysis (k=13, N=5004) suggested a small but significant association (r=0.15, 95% CI 0.05 to 0.24, p=0.004) between other determinants and depression, anxiety, and stress among female student-athletes. CONCLUSION Coaches, trainers and clinicians are key contributors in supporting female student-athlete mental health, with responsibilities for integrating mental skill training, sleep hygiene education and regular assessments. Comprehensive mental health and tailored education programmes considering determinants such as injury, health and social factors specific to female student-athletes are needed to enhance mental health equity in sport. PROSPERO REGISTRATION NUMBER CRD42022362163.
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Affiliation(s)
- Ling Beisecker
- Department of Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Human Movement Science Curriculum, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Patrick Harrison
- Department of Psychology and Neuroscience, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Marzia Josephson
- College of Education, University of Kentucky, Lexington, Kentucky, USA
| | - J D DeFreese
- Human Movement Science Curriculum, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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24
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Walton CC, Purcell R, Pilkington V, Hall K, Kenttä G, Vella S, Rice SM. Psychological Safety for Mental Health in Elite Sport: A Theoretically Informed Model. Sports Med 2024; 54:557-564. [PMID: 37737542 PMCID: PMC10978613 DOI: 10.1007/s40279-023-01912-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2023] [Indexed: 09/23/2023]
Abstract
Elite sports contexts are highly pressurised and frequently enforce a win-at-all-costs approach. This narrow focus on performance outcomes can potentially contribute in negative ways to the mental health of those within these environments. In this Current Opinion paper, we propose a model that outlines how key elements contributing to psychologically safe or unsafe environments may contribute to better or worse mental health outcomes, respectively. In an environment in which individuals feel safe to show their authentic selves rather than 'wear a mask', different experiences of mental health are likely to be normalised, help-seeking behaviour increased, and thus, mental health outcomes enhanced. We outline how sports teams and organisations can contribute to this through the creation of appropriate policies and procedures, in addition to leaders modelling and reinforcing positive cultural norms. It is intended that the theoretical model can inform stakeholders in elite sport as well as future research directions.
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Affiliation(s)
- Courtney C Walton
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
- Elite Sports and Mental Health, Orygen, Melbourne, Australia.
| | - Rosemary Purcell
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Vita Pilkington
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Kate Hall
- Australian Football League, Melbourne, Australia
- School of Psychology, Deakin University, Geelong, Australia
| | - Göran Kenttä
- The Swedish School of Sport and Health Sciences, Stockholm, Sweden
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
| | - Stewart Vella
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Wollongong, Australia
| | - Simon M Rice
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
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Mountjoy M, Schamasch P, Murray A, Hawkes R, Hospel T, Thomas B, Samson E, Junge A. Inequities in the Training Environment and Health of Female Golfers Participating in the 2022 International Golf Federation World Amateur Team Championships. Clin J Sport Med 2024; 34:127-134. [PMID: 37702628 DOI: 10.1097/jsm.0000000000001186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 08/06/2023] [Indexed: 09/14/2023]
Abstract
OBJECTIVE To assess health problems and training environment of female golfers participating in the 2022 World Amateur Team Championships (WATC) and to compare golfers (a) with and without health problems prior the WATC and (b) living and training in countries ranking in the upper versus lower 50% of the team results at the 2022 WATC. DESIGN Cross-sectional cohort study using an anonymous questionnaire. SETTING International Golf Federation WATC. PARTICIPANTS One hundred sixty-two female golfers from 56 countries. INTERVENTIONS N/A. MAIN OUTCOME MEASURES Golfers' answers on the presence and characteristics of health problems, their training environment, and to the Oslo Sport Trauma Research Centre Questionnaire. RESULTS Almost all golfers (n = 162; 96%) answered the questionnaire. In the 4 weeks before the WATC, 101 golfers (63.1%) experienced 186 musculoskeletal complaints, mainly at the lumbar spine/lower back, wrist, or shoulder. Just half of the golfers (50.6%) performed injury prevention exercises always or often. More than a third (37.4%) of the golfers reported illness complaints and 32.5% mental health problems in the 4 weeks preceding the WATC. General anxiety, performance anxiety, and low mood/depression were the most frequent mental health problems. Golfers with injury complaints rated their daily training environment poorer. Golfers ranking in the lower 50% at the WATC had significantly less support staff, rated their training environment poorer, and had a higher prevalence of illness complaints and mental health problems. CONCLUSIONS Effective illness and injury prevention programs should be implemented and better access to education and health support in the daily training environment provided.
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Affiliation(s)
- Margo Mountjoy
- Department of Family Medicine, McMaster University, Hamilton, Canada
- International Golf Federation (IGF), Lausanne, Switzerland
- International Olympic Committee (IOC), Games Group Lausanne, Switzerland
| | | | - Andrew Murray
- International Golf Federation (IGF), Lausanne, Switzerland
- European Tour Health and Performance Institute, Virginia Water, United Kingdom
- Sport and Exercise Department, University of Edinburgh, Edinburgh, United Kingdom
| | - Roger Hawkes
- International Golf Federation (IGF), Lausanne, Switzerland
- European Disability Golf Association, Wassenaar, The Netherlands
| | - Tomas Hospel
- International Golf Federation (IGF), Lausanne, Switzerland
- Professional Golfers' Association Tour
| | - Bruce Thomas
- International Golf Federation (IGF), Lausanne, Switzerland
- Ladies Professional Golfers' Association, Daytona Beach, Florida
| | - Ethan Samson
- School of Biomedical Engineering, McMaster University, Hamilton, Canada; and
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McLoughlin E, Arnold R, Moore LJ, Slavich GM, Fletcher D. A qualitative exploration of how lifetime stressor exposure influences sport performers' health, well-being, and performance. ANXIETY, STRESS, AND COPING 2024; 37:233-250. [PMID: 37665577 PMCID: PMC11216060 DOI: 10.1080/10615806.2023.2246023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 06/12/2023] [Accepted: 07/31/2023] [Indexed: 09/05/2023]
Abstract
BACKGROUND AND OBJECTIVES Recent research has shown that lifetime stressor exposure can negatively impact sport performers. However, this work has predominantly relied on quantitative methods, which has provided limited information regarding how stressors occurring over the life course affect health, well-being, and performance. This study aimed to explore how relatively high levels of lifetime (non-sport and sport-specific) stressor exposure influenced sport performers' health, well-being, and performance. METHODS AND DESIGN To identify participants who had experienced high lifetime (non-sport and sport-specific) stressors, we used criterion-based purposeful sampling from a prior study. Subsequently, semi-structured interviews, complemented by timelining, were conducted with 22 sport performers (17 female; Mage = 25.89, SD = 10.20). RESULTS We used reflexive thematic analysis to develop three overarching themes that illustrate how high lifetime (non-sport and sport-specific) stressor exposure influences sport performers' health, well-being, and performance. These were: psychological (e.g., maladaptive coping strategies), social (e.g., difficulties in building relationships), and behavioral (e.g., risky behaviors) factors. CONCLUSIONS These findings can help practitioners identify sport performers at risk of developing stress-related health, well-being, and performance problems, and may aid the development of effective interventions.
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Affiliation(s)
- Ella McLoughlin
- Department for Health, University of Bath, Bath, UK
- School of Science and Technology, Nottingham Trent University, Nottingham, UK
| | | | - Lee J. Moore
- Department for Health, University of Bath, Bath, UK
| | - George M. Slavich
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA
| | - David Fletcher
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
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27
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Identeg F, Nigicser I, Edlund K, Forsberg N, Sansone M, Tranaeus U, Hedelin H. Mental health problems, sleep quality and overuse injuries in advanced Swedish rock-climbers - the CLIMB study. BMC Sports Sci Med Rehabil 2024; 16:46. [PMID: 38347620 PMCID: PMC10863219 DOI: 10.1186/s13102-024-00826-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 01/25/2024] [Indexed: 02/15/2024]
Abstract
OBJECTIVES To examine the prevalence of mental health problems (depression, anxiety, and stress), sleep quality, and disability due to overuse injuries in advanced and elite rock-climbers. The rock-climbers were compared to a group of non-climbing controls. METHODS A self-selected sample of advanced and elite Swedish rock-climbing athletes was recruited through the Swedish Rock-climbing Federation, local rock-climbing gyms and through social media. A control group, matched in size was recruited. Participants in the control group answered an online survey of validated questionnaires, examining symptoms of stress, anxiety, depression, sleep quality. The climbing participants answered the same survey as the non-climbing controls but with additional questions regarding musculoskeletal problems and disabilities related to these. Outcome measures used were the Depression Anxiety Stress Scale, Pittsburgh Sleep Quality Index and The Oslo Sports Trauma Research Center Overuse Injury Questionnaire. RESULTS A total of 183 participants were included in the rock-climbing group, and 180 participants in the control group. In the rock-climbing group the mean age (SD) was 28.2 (8.3) years among women and 30.5 (9.6) years in men. The mean BMI of women was 21.2 (2.2) and 22.8 (2.1) in men. A total of 30.6% of the rock-climbing group (26.7% of men, 35.9% of women) reported at least moderate levels of symptoms of depression and 23.1% (17.2% men, 30.8% women) at least moderate levels of symptoms of anxiety. A total of 48.4% of rock-climbers (39.1% men, and 61.6% women) reported at least moderate levels of symptoms of stress. Among the rock-climbers, 45.0% reported having poor sleep quality. There were no statistical significant differences (p = 0.052-0.96) in mental health problems or sleeping problems between the rock-climbers and the controls. Among rock-climbers, reports of one-week prevalence of injury related problems was: Finger and hand (49.5%), Shoulder (35.2%), Knee (29.1%), Lumbar back (26.4%), Arm (25.3%), Thoracic back and neck (17.0%), and Foot and lower leg (12.1%). CONCLUSION The overall results indicate high levels of symptoms of mental health problems and poor sleep quality in both rock-climbers and controls. Although no significant differences between the climbing group and the control group was displayed, symptoms that warrant clinical attention is high. Overuse injuries were commonly reported among the rock-climbers in all examined injury locations. Previous studies reporting mental health problems to be more prevalent among athletes were contradicted in this study. The results display the need for a broader perspective regarding climbers general health and the need to provide structured care and adequate support in order to come to terms with these concerns.
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Affiliation(s)
- Fredrik Identeg
- Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
| | - Isabel Nigicser
- Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Klara Edlund
- Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77, Stockholm, Sweden
- Musculoskeletal and Sports Injury Epidemiology Center, Department of Health Promotion, Sciences, Sophiahemmet University, Stockholm, Sweden
| | | | - Mikael Sansone
- Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ulrika Tranaeus
- Department of Physiology, Nutrition, Biomechanics, Sport Performance & Exercise Research & Innovation Center - Stockholm, SPERIC-S, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
- Unit of Intervention and Implementation for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Henrik Hedelin
- Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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28
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Frost J, Walton CC, Purcell R, Fisher K, Gwyther K, Kocherginsky M, Rice SM. The Mental Health of Elite-Level Coaches: A Systematic Scoping Review. SPORTS MEDICINE - OPEN 2024; 10:16. [PMID: 38341831 PMCID: PMC10859359 DOI: 10.1186/s40798-023-00655-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 11/01/2023] [Indexed: 02/13/2024]
Abstract
BACKGROUND Elite-level coaches are exposed to multiple performance, organisational and personal stressors which may contribute to reduced mental health and wellbeing. This systematic scoping review examined the current body of evidence to explore what is known about the mental health of elite-level coaches (i.e. wellbeing and mental ill-health), the risk and protective factors that influence coach mental health, and the relationship between mental health and coaching effectiveness. METHODS The review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A systematic search was undertaken and updated in September 2022 using six electronic databases. RESULTS 12,376 studies were identified and screened, with 42 studies satisfying the inclusion criteria. Despite the paucity of high-quality research, findings indicated that 40% of the included studies examined themes connected to wellbeing, with 76% assessing the nature or prevalence of mental ill-health in elite-level coaches. Among studies exploring mental ill-health, coach burnout was the primary focus, while scant research examined symptoms associated with clinical disorders (e.g. anxiety and depression). Overall, psychological outcomes for elite-level coaches were shaped by risk and protective factors operating at the individual, interpersonal, organisational and societal level. Preliminary evidence was also found to suggest that poor mental health may contribute to reduced coaching effectiveness. It is proposed that coaching effectiveness could therefore be employed as a 'hook' to engage elite-level coaches in greater consideration of their mental health needs. CONCLUSION Alongside the development of methodologically robust research, there is a need to examine dynamic individual (e.g. psychological skills), interpersonal (e.g. strong social supports) and organisational (e.g. workload) factors that aim to preserve the mental health and optimise the efficacy of elite-level coaches.
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Affiliation(s)
- Joshua Frost
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.
- Elite Sports and Mental Health, Orygen, Melbourne, Australia.
| | - Courtney C Walton
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Rosemary Purcell
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
| | - Krista Fisher
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
| | - Kate Gwyther
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
| | - Michael Kocherginsky
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
| | - Simon M Rice
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
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Heller HC, Herzog E, Brager A, Poe G, Allada R, Scheer FAJL, Carskadon M, de la Iglesia HO, Jang R, Montero A, Wright K, Mouraine P, Walker MP, Goel N, Hogenesch J, Van Gelder RN, Kriegsfeld L, Mah C, Colwell C, Zeitzer J, Grandner M, Jackson CL, Prichard JR, Kay SA, Paul K. The Negative Effects of Travel on Student Athletes Through Sleep and Circadian Disruption. J Biol Rhythms 2024; 39:5-19. [PMID: 37978840 PMCID: PMC11262807 DOI: 10.1177/07487304231207330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Collegiate athletes must satisfy the academic obligations common to all undergraduates, but they have the additional structural and social stressors of extensive practice time, competition schedules, and frequent travel away from their home campus. Clearly such stressors can have negative impacts on both their academic and athletic performances as well as on their health. These concerns are made more acute by recent proposals and decisions to reorganize major collegiate athletic conferences. These rearrangements will require more multi-day travel that interferes with the academic work and personal schedules of athletes. Of particular concern is additional east-west travel that results in circadian rhythm disruptions commonly called jet lag that contribute to the loss of amount as well as quality of sleep. Circadian misalignment and sleep deprivation and/or sleep disturbances have profound effects on physical and mental health and performance. We, as concerned scientists and physicians with relevant expertise, developed this white paper to raise awareness of these challenges to the wellbeing of our student-athletes and their co-travelers. We also offer practical steps to mitigate the negative consequences of collegiate travel schedules. We discuss the importance of bedtime protocols, the availability of early afternoon naps, and adherence to scheduled lighting exposure protocols before, during, and after travel, with support from wearables and apps. We call upon departments of athletics to engage with sleep and circadian experts to advise and help design tailored implementation of these mitigating practices that could contribute to the current and long-term health and wellbeing of their students and their staff members.
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Affiliation(s)
- H. Craig Heller
- Department of Biology, Stanford University, Stanford, California, USA
| | - Erik Herzog
- Department of Biology, Washington University, St. Louis, Missouri, USA
| | - Allison Brager
- U.S. Army John F. Kennedy Special Warfare Center and School, Fort Bragg, North California, USA
| | - Gina Poe
- UCLA Brain Research Institute, Los Angeles, California, USA
| | - Ravi Allada
- Department of Neurobiology, Northwestern University, Chicago, Illinois, USA
| | - Frank A. J. L. Scheer
- Medical Chronobiology Program, Brigham and Women’s Hospital, Boston, Massachusetts, USA
| | - Mary Carskadon
- Department of Psychiatry and Human Behavior, Bradley Hospital, Brown University, Providence, Rhode Island, USA
| | | | - Rockelle Jang
- UCLA Brain Research Institute, Los Angeles, California, USA
| | - Ashley Montero
- Department of Psychology, Flinders University, Adelaide, SA, Australia
| | - Kenneth Wright
- Integrative Physiology, University of Colorado, Boulder, Colorado, USA
| | - Philippe Mouraine
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA
| | - Matthew P. Walker
- Department of Psychology, University of California, Berkeley, California, USA
| | - Namni Goel
- Department of Psychiatry and Behavioral Sciences, Rush University, Chicago, Illinois, USA
| | - John Hogenesch
- Department of Genetics, Cincinnati University, Cincinnati, Ohio, USA
| | | | - Lance Kriegsfeld
- Department of Psychology, University of California, Berkeley, California, USA
| | - Cheri Mah
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA
| | - Christopher Colwell
- Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles, California, USA
| | - Jamie Zeitzer
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA
| | | | - Chandra L. Jackson
- Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA
- Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, USA
| | | | - Steve A. Kay
- Keck School of Medicine, University of Southern California, Los Angeles, California, USA
| | - Ketema Paul
- Integrative Biology and Physiology, University of California, Los Angeles, California, USA
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Baumann L, Schneeberger AR, Currie A, Iff S, Seifritz E, Claussen MC. Mental Health in Elite Coaches. Sports Health 2024:19417381231223472. [PMID: 38246889 DOI: 10.1177/19417381231223472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024] Open
Abstract
CONTEXT Coaches play an important role in promoting mental health in elite sports. However, they themselves are exposed to risks affecting their mental health, and their fears and worries are often overlooked. Moreover, it remains unclear how coaches' mental health affects their athletes' mental health. OBJECTIVE To create a compilation of the literature on (1) elite coaches' mental health and (2) how coaches' mental health influences elite athletes' mental health. Building on this, recommendations for improving coaches' psychological well-being should be elaborated upon and discussed. DATA SOURCES A literature search was conducted up to November 30, 2021, using the following databases: PubMed, PsycINFO, Scopus, Web of Science, and SportDiscus. STUDY SELECTION Studies reporting elite coaches' mental health symptoms and disorders and the influence of elite coaches' mental health on elite athletes' mental health were included. STUDY DESIGN Scoping review. LEVEL OF EVIDENCE Level 4. DATA EXTRACTION Data regarding elite coaches' mental health, as well as their influence on athletes' mental health and performance, were included in a descriptive analysis. The PRISMA guidelines were used to guide this review. RESULTS Little research has been done on elite coaches' mental health disorders, although studies confirm that they do experience, for example, symptoms of burnout, anxiety, and depression. The influence of coaches' mental health on their athletes is underinvestigated, with research focused mainly on the influence of coaches' stress. CONCLUSION Knowledge about coaches' mental health is still limited. Coaches' poor mental health diminishes coaching performance and might impair athletes' mental health. Coaches should receive more support, including sports psychiatric care and education on the importance of mental health. This could improve the mental health of both coaches and athletes, and positively affect athlete performance.
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Affiliation(s)
- Laura Baumann
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | | | - Alan Currie
- Regional Affective Disorders Service, Cumbria Northumberland Tyne and Wear NHS Foundation Trust, Newcastle, UK
- Exercise Sport and Rehabilitation Therapies, University of Sunderland, Sunderland, UK
| | - Samuel Iff
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
- Institute for Social and Preventive Medicine, University of Bern, Bern, Switzerland
| | - Erich Seifritz
- 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
- Clinic for Depression and Anxiety, Psychiatric Centre Münsingen, Switzerland
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Kegelaers J, Trotter MG, Watson M, Pedraza-Ramirez I, Bonilla I, Wylleman P, Mairesse O, Van Heel M. Promoting mental health in esports. Front Psychol 2024; 15:1342220. [PMID: 38312393 PMCID: PMC10836213 DOI: 10.3389/fpsyg.2024.1342220] [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: 11/21/2023] [Accepted: 01/04/2024] [Indexed: 02/06/2024] Open
Abstract
There is growing recognition of the demands and health challenges experienced by esports athletes. The purpose of this perspective paper is to draw specific attention to the mental health of competitive gamers and spur on both future research and applied initiatives focussing on this important but under-addressed topic. We will briefly discuss the prevalence of mental health concerns, domain-specific stressors, and the need for comprehensive mental health support systems tailored to the esports context. It is our hope that, with this perspective paper, we can help set a new research agenda addressing mental health in esports.
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Affiliation(s)
| | | | | | | | - Iván Bonilla
- Universitat Autònoma de Barcelona, Barcelona, Spain
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Kader M, Pasternak B, Lim CE, Neovius M, Forssblad M, Svanström H, Ludvigsson JF, Ueda P. Depression and anxiety-related disorders and suicide among Swedish male elite football players: a nationwide cohort study. Br J Sports Med 2024; 58:66-72. [PMID: 37857446 PMCID: PMC10804025 DOI: 10.1136/bjsports-2023-107286] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/02/2023] [Indexed: 10/21/2023]
Abstract
OBJECTIVE To assess whether male elite football players, during and after their active career, were at increased risk of depression and anxiety-related disorders and suicide, as compared with the general male population. METHODS We included male football players active in the Swedish top division 1924-2019 and general male population (matched to football players based on age and region of residence) aged <65 years in 1997. Using nationwide registers, we followed the football players from their first season in the top division (or the date of their first registered residency in Sweden) or 1 January 1997, and compared the risk of depression and anxiety-related disorders (captured through diagnoses from hospital admissions and outpatient visits, and use of prescription drugs) among football players versus controls. In a secondary analysis using data from death certificates, we compared the risk of suicide between football players and general population males who were alive in 1969 (when cause of death became available) . RESULTS During follow-up through 31 December 2020, 504 (13.6%) of 3719 football players and 7455 (22.3%) of 33 425 general population males had a depression or anxiety-related disorder. In analyses accounting for age, region of residence and calendar time, the risk of anxiety and depression-related disorders was lower among football players versus general population males (HR 0.61, 95% CI 0.55 to 0.66). The protective association was attenuated with increasing age, and from around age 70 years the risk was similar in the two groups. The risk of suicide was lower among football players versus general population males (HR 0.48, 95% CI 0.32 to 0.72). CONCLUSIONS In this nationwide cohort study in Sweden, elite male football players had a lower risk of depression and anxiety-related disorders and suicide as compared with the general population.
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Affiliation(s)
- Manzur Kader
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
| | - Björn Pasternak
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
- Department of Epidemiology Research, Statens Serum Institut, Kobenhavn, Denmark
| | - Carl-Emil Lim
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
| | - Martin Neovius
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
| | - Magnus Forssblad
- Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden
| | - Henrik Svanström
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
- Department of Epidemiology Research, Statens Serum Institut, Kobenhavn, Denmark
| | - Jonas F Ludvigsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Department of Pediatrics, Örebro University Hospital, Orebro, Sweden
| | - Peter Ueda
- Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
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Gorczynski P, Aron CM, Moore M, Reardon CL. The Epidemiology of Mental Health Symptoms and Disorders Among Elite Athletes and the Evolution of Mental Health Literacy. Clin Sports Med 2024; 43:1-11. [PMID: 37949504 DOI: 10.1016/j.csm.2023.06.001] [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: 11/12/2023]
Abstract
Within elite sport, epidemiological evidence is needed concerning the incidence and prevalence of mental health symptoms and disorders in relation to athlete demographic factors such as (dis)ability, race, ethnicity, sexual orientations, and different genders. Mental health promotion campaigns are often based on mental health literacy strategies. Such strategies aim to increase knowledge of mental health symptoms and disorders, address aspects of self- and public stigma, and promote help-seeking behaviors. Sporting organizations need to take responsibility to ensure that policies, practices, and services reflect organizational values concerning mental health. Organizational mental health literacy ensures that information is culturally competent and responsive, easy to find, straightforward, and offers simple, legitimate opportunities to access support.
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Affiliation(s)
- Paul Gorczynski
- Psychology and Counselling, School of Human Sciences, University of Greenwich, Old Royal Naval College, Spinnaker Building, Cambridge Road, Park Row, Greenwich SE10 9LS, UK; Ascend Consultation in Healthcare, 737 North Michigan Avenue #1925, Chicago, IL 60611, USA.
| | - Cindy Miller Aron
- Ascend Consultation in Healthcare, 737 North Michigan Avenue #1925, Chicago, IL 60611, USA; Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, 6001 Research Park Boulevard, Madison, WI 53719, USA
| | - Matt Moore
- Department of Social Work, Ball State University, Health Professions Building, Room 501, Muncie, IN 47306, USA; Department of Family Science and Social Work, Miami University, McGuffey Hall, Room 101C, Oxford, OH 45056, USA
| | - Claudia L Reardon
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, 6001 Research Park Boulevard, Madison, WI 53719, USA
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Abstract
There is growing understanding of the extent of mental health problems, and related mental health needs, among elite athletes. However, far less attention has been paid to mental health among elite coaches and high-performance support staff, the latter including strength and conditioning coaches, physiotherapists, sport psychologists, and other allied health workers in the daily training environment (high-performance support staff are referred to collectively as "entourage" throughout this article). The scarcity of research examining mental health among elite coaches and entourage warrants urgent attention, particularly given these individuals share similar performance demands and role-related stressors as elite athletes. This article reviews the available literature on this topic, including (1) an empirical study conducted by the authors with a sample of coaches and entourage from Australia's national high-performance sport system and (2) a case example to illustrate sport-specific and general risk factors that are likely to impact mental health in elite sporting environments. Avenues for supporting mental health among coaches and entourage are discussed.
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Affiliation(s)
- Rosemary Purcell
- The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Elite Sports and Mental Health, Orygen, 35 Poplar Road, Parkville, Victoria 3052, Australia.
| | - Joshua Frost
- The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Elite Sports and Mental Health, Orygen, 35 Poplar Road, Parkville, Victoria 3052, Australia
| | - Vita Pilkington
- The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Elite Sports and Mental Health, Orygen, 35 Poplar Road, Parkville, Victoria 3052, Australia
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Beable SE. Depressive Disorders in Athletes. Clin Sports Med 2024; 43:53-70. [PMID: 37949514 DOI: 10.1016/j.csm.2023.06.011] [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: 11/12/2023]
Abstract
Depressive disorders in athletes are thought to be at least as common as the general population. However, athletes have a unique set of risk factors that can affect the likelihood of developing depression. Screening tools have been developed specifically for athletes such as the Sport Mental Health Assessment Tool (SMHAT). The management of the depressed athlete should involve an individualized approach, with methods such as counseling, interpersonal therapy, or cognitive behavioral therapy being used. Some may require antidepressant medication. Depressive disorders are also linked to sucidality in athletes, and the team physician and sporting organisation should have a crisis management plan in place for mental health emergencies. Tackling the stigma that remains in sport is a key part to improving mental wellbeing for all athletes.
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Affiliation(s)
- Sarah E Beable
- High Performance Sport New Zealand, Axis Sports Medicine Specialists, 15/5 Hawthorne Drive, Queenstown 9304, New Zealand.
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Smith A, Buadze A, Colangelo J, Liebrenz M. A Review of Mental Health Issues in High-Performance and Elite-Level Cycling. Int J Sports Med 2023; 44:1034-1042. [PMID: 37524113 DOI: 10.1055/a-2145-6355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Abstract
Despite the public health benefits of cycling in the general population, mental health issues may be evident in high-performance and elite-level competitive domains. With prominent riders disclosing their experiences with psychiatric symptoms, distinctive socioenvironmental factors could exacerbate psychopathological vulnerabilities. This suggests a need for greater mental health awareness amongst stakeholders, supplemented by actions from international and national federations and regulators. To synthesise relevant observations about psychiatric concerns in high-performance and elite-level cycling, we conducted a keyword search of articles in APA PsycINFO, PubMed, and Scopus based on specified exclusion criteria. Thirteen papers were identified that examined mental health issues in high-performance and/or elite-level cycling per classifications from the World Health Organization's International Classification of Diseases 11th Revision. A large proportion of articles illustrated eating disorder symptomatology, but others discussed attention deficit/hyperactivity disorder, anxiety disorder, depression, sleep wake disorders, and substance use disorder. Existing literature underlines important considerations for all stakeholders within the cycling community around mental health initiatives and care provisions, which are currently lacking across the sport. Such programmes could incorporate consensus statements, psychiatric screening, psychoeducation, stigma-reducing policies, and athlete advocacy. These can help mitigate socioenvironmental risk factors and prioritise athlete wellbeing over performance-centred motivations.
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Affiliation(s)
- Alexander Smith
- Department of Forensic Psychiatry, University of Bern, Bern, Switzerland
| | - Ana Buadze
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, Zurich, Switzerland
| | - Jill Colangelo
- Department of Forensic Psychiatry, University of Bern, Bern, Switzerland
| | - Michael Liebrenz
- Department of Forensic Psychiatry, University of Bern, Bern, Switzerland
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Chrétien A, D’arripe-Longueville F, Haffner K, Hayotte M, Bernier M, Vuillemin A. Using a socioecological approach to explore healthy lifestyle in elite sport: a qualitative study of French athletes', coaches', and managers' perspectives. Int J Qual Stud Health Well-being 2023; 18:2251235. [PMID: 37674351 PMCID: PMC10599688 DOI: 10.1080/17482631.2023.2251235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 08/18/2023] [Indexed: 09/08/2023] Open
Abstract
Elite athletes are continually subjected to a range of constraints specific to high performance, and these can have a negative impact on their health. Although many studies have explored the individual factors related to risky behaviours and disorders in elite sport contexts, few have focused on health promotion. Consequently, the interpersonal, institutional, and policy factors of the health-related behaviours of elite athletes are still poorly explored. Based on the socioecological model, this study aimed to identify the factors involved in the health-related lifestyle of elite athletes. Semi-structured interviews were conducted with 45 participants: athletes (N = 32), their coaches (N = 6) and the managers of elite sport centres (N = 7). Both deductive and inductive thematic analyses were performed. Our results highlight the views of the actors. Regarding intrapersonal factors, resilience qualities and health literacy appeared as key factors in influencing the health-related lifestyle of elite athletes. At the interpersonal level, parents and coaches emerged as the main sources of educational support. Regarding institutional factors, the health policies of the elite sport centres were key factors in supporting the athletes' healthy lifestyle. These results encourage the development of health promotion programs at different levels of intervention.
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Affiliation(s)
- Aurélia Chrétien
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
| | | | - Kevin Haffner
- Faculté des Sciences du Sport et de l’éducation, Université de Bretagne Occidentale, CREAD, Brest, France
| | - Meggy Hayotte
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
| | - Marjorie Bernier
- Faculté des Sciences du Sport et de l’éducation, Université de Bretagne Occidentale, CREAD, Brest, France
| | - Anne Vuillemin
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
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38
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Aguiar AS. Cannabis Is Not Doping. Cannabis Cannabinoid Res 2023; 8:949-954. [PMID: 37279460 DOI: 10.1089/can.2023.0012] [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: 06/08/2023] Open
Abstract
The World Anti-Doping Agency (WADA) classifies cannabis, all phytocannabinoids, and synthetics as doping, except for CBD. For agency, a method for doping substance must meet two criteria: performance enhancement (ergogenicity), health risk, or violation of the spirit of sports. Cannabis is neither ergogenic nor ergolytic (performance worsens), and the health risks for athletes are overestimated after 20 years of research. The significant problem remains in the complex (and difficult interpretation) definition of the spirit of sports, which transcends the objectives of sports excellence (performance and injury prevention) for moral policing. This perspective presents an evidence-based counterargument recommending the removal of cannabis and phytocannabinoids from the WADA Prohibited List.
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Affiliation(s)
- Aderbal Silva Aguiar
- Laboratory of Exercise Biology, Department of Health Sciences, Federal University of Santa Catarina-UFSC, Araranguá, Brazil
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Johansson H, Malmborg JS, Ekengren J, Lind J, Ivarsson A. Skating on thin ice? Mental health and well-being in women's ice hockey. BMJ Open Sport Exerc Med 2023; 9:e001746. [PMID: 38022763 PMCID: PMC10661067 DOI: 10.1136/bmjsem-2023-001746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives First, to map the prevalence of symptoms of positive mental health, anxiety, depression and sleep difficulties, along with the coexistence of these symptoms, among players in the Swedish Women's Hockey League (SDHL). Second, to investigate relationships between these mental health symptoms and demographic variables (ie, age, injuries, dual careers), social support and psychological flexibility. Methods Players from nine teams in SDHL (n=182; mean age 22.3±SD 4.8, range 16-35) participated in this cross-sectional study. An online survey, including validated self-assessment questionnaires, conducted data collection. The questionnaires were distributed just before the play-offs started in the 2022-2023 season. Mental health variables were presented as descriptive statistics, and associations were investigated through multivariate binary logistic regression analyses. Results The response rate was 91%. Moderate or severe symptoms were reported among 29.7% for sleep difficulties, 20.9% for anxiety and 18.1% for depression. Nineteen per cent reported comorbidities. Sixty percent reported flourishing mental health. Lower psychological flexibility was associated with lower odds of flourishing mental health and higher odds of symptoms of anxiety, depression and sleep difficulties. Social support was associated with higher odds of flourishing mental health and lower odds of sleep difficulties. Conclusion 6 of every 10 players reported not reaching the ideal state of mental health (ie, flourishing mental health without mental illness). Mental health symptoms were statistically significantly associated with psychological flexibility and social support, suggesting that these factors will be beneficial to consider when preventing mental illness and promoting mental health in this population.
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Affiliation(s)
- Hanna Johansson
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Julia S Malmborg
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Johan Ekengren
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - John Lind
- Swedish Ice Hockey Association, Stockholm, Sweden
| | - Andreas Ivarsson
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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40
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Niering M, Monsberger T, Seifert J, Muehlbauer T. Effects of Psychological Interventions on Performance Anxiety in Performing Artists and Athletes: A Systematic Review with Meta-Analysis. Behav Sci (Basel) 2023; 13:910. [PMID: 37998657 PMCID: PMC10669558 DOI: 10.3390/bs13110910] [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: 09/18/2023] [Revised: 10/26/2023] [Accepted: 11/03/2023] [Indexed: 11/25/2023] Open
Abstract
Levels of state and trait anxiety are relevant for performing artists and professional athletes to obtain optimal performance outcomes. However, evidence-based knowledge regarding the effectiveness of psychological interventions on performance anxiety is currently minimal. Thus, the objective of this systematic review with meta-analysis was to characterize, aggregate, and quantify intervention effects on measures of state and trait performance anxiety in performing artists and professional athletes. A systematic search of the literature according to the PRISMA guidelines was conducted on the databases PubMed, Medline, SPORTDiscus, PsycInfo, Embase, and Web of Science from 1 January 1960 to 9 November 2022. The search only included controlled studies employing pre-post measures and excluded performing arts fields that do not depend on fine motor skills. Initially, 1022 articles were identified; after removing duplicates and assessing abstracts and full texts, 20 articles were used to calculate weighted standardized mean differences (SMDs). In terms of state performance anxiety, our results revealed a large overall effect (SMD = 0.88), a medium effect (SMD = 0.62) for studies using scales with total scores (i.e., MPAI-A, STAI), and large effects (cognitive anxiety: SMD = 0.93, somatic anxiety: SMD = 0.92, self-confidence: SMD = 0.97) for studies applying scales with sub-scores (i.e., CSAI-2R)-all in favour of the intervention groups. Regarding trait performance anxiety (e.g., SCAT), we detected a small effect (SMD = 0.32), also favouring the intervention groups. Interventions to reduce performance anxiety in performing artists and professional athletes revealed varying levels of effectiveness ranging from small (trait) to large (state). Therefore, future studies should investigate modalities to increase intervention efficacy, especially for the small-sized changes in trait performance anxiety.
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Affiliation(s)
- Marc Niering
- Institute of Biomechanics and Neurosciences, Nordic Science, 30173 Hannover, Germany; (M.N.); (J.S.)
| | - Teresa Monsberger
- Institute of Neuroscience and Psychology, University of Glasgow, Glasgow G12 8QQ, UK
| | - Johanna Seifert
- Institute of Biomechanics and Neurosciences, Nordic Science, 30173 Hannover, Germany; (M.N.); (J.S.)
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Medical School Hannover, 30625 Hannover, Germany
| | - Thomas Muehlbauer
- Division of Movement and Training Sciences/Biomechanics of Sport, University of Duisburg-Essen, 45141 Essen, Germany
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Willson E, Buono S, Kerr G, Stirling A. Maltreatment experiences and mental health indicators among elite athletes. PSYCHOLOGY OF SPORT AND EXERCISE 2023; 69:102493. [PMID: 37665928 DOI: 10.1016/j.psychsport.2023.102493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 05/24/2023] [Accepted: 07/12/2023] [Indexed: 09/06/2023]
Abstract
This study explored the relationships between athletes' experiences of maltreatment and mental health indicators. Canadian National Team athletes completed an online, anonymous survey that assessed reported experiences of maltreatment (psychological, physical, sexual harm and neglect), and mental health indicators of well-being, eating disorders and self-harming behaviours. All forms of maltreatment had a significant, positive correlation with eating disorder and self-harming behaviours, and a negative correlation with well-being. The relationships between maltreatment and mental health indicators differed based on identity characteristics of the athletes. Further work is needed on the prevention and intervention of maltreatment in sport to reduce the behaviours associated with negative health outcomes.
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Affiliation(s)
- Erin Willson
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St, Toronto, Ontario, Canada.
| | - Stephanie Buono
- Ontario Institute for Studies in Education, University of Toronto, 252 Bloor St. W, Toronto, Ontario, Canada
| | - Gretchen Kerr
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St, Toronto, Ontario, Canada
| | - Ashley Stirling
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St, Toronto, Ontario, Canada
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42
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Mountjoy M, Junge A, Bindra A, Blauwet C, Budgett R, Currie A, Engebretsen L, Hainline B, McDuff D, Purcell R, Putukian M, Reardon CL, Soligard T, Gouttebarge V. Surveillance of athlete mental health symptoms and disorders: a supplement to the International Olympic Committee's consensus statement on injury and illness surveillance. Br J Sports Med 2023; 57:1351-1360. [PMID: 37468210 DOI: 10.1136/bjsports-2022-106687] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2023] [Indexed: 07/21/2023]
Abstract
In 2019, the International Olympic Committee (IOC) published a consensus statement outlining the principles for recording and reporting injury and illness in elite sport. The authors encouraged sport federations to adapt the framework to their sport-specific context. Since this publication, several sports have published extensions to the IOC consensus statement.In response to a paucity of epidemiological data on athlete mental health, the IOC mental health working group adapted the IOC consensus statement on injury and illness surveillance to improve the capturing of athlete mental health data. In addition to the members of the working group, other experts and athlete representatives joined the project team to address gaps in expertise, and to add stakeholder perspective, respectively. Following an in-person meeting, the authors worked remotely, applying the scientific literature on athlete mental health to the IOC injury and illness surveillance framework. A virtual meeting was held to reach consensus on final recommendations.Practical outcomes based on the analysis of the scientific literature are provided with respect to surveillance design, data collection and storage, data analysis and reporting of athlete mental health data. Mental health-specific report forms for athlete and health professional utilisation are included for both longitudinal and event-specific surveillance.Ultimately, this publication should encourage the standardisation of surveillance methodology for mental health symptoms and disorders among athletes, which will improve consistency in study designs, thus facilitating the pooling of data and comparison across studies. The goal is to encourage systematic surveillance of athlete mental health.
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Affiliation(s)
- Margo Mountjoy
- Family Medicine, McMaster University Michael G DeGroote School of Medicine, Waterloo, Ontario, Canada
- Medical and Scientific Department-Games Group, International Olympic Committee, Lausanne, Switzerland
| | - Astrid Junge
- Center for Health in Performing Arts, MSH Medical School Hamburg, Hamburg, Germany
| | - Abhinav Bindra
- Olympic Champion and IOC Athletes Commission Member, Deharadun, Punjab, India
| | - C Blauwet
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
| | - Richard Budgett
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Alan Currie
- Northumberland Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK
- Exercise, Sport and Rehabilitation Therapies, University of Sunderland, Sunderland, UK
| | - Lars Engebretsen
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Brian Hainline
- National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA
| | - David McDuff
- Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Rosemary Purcell
- Elite Sport and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia
| | - Margot Putukian
- Chief Medical Officer, Major League Soccer, Princeton, New Jersey, USA
| | - Claudia L Reardon
- Department of Psychiatry, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Torbjørn Soligard
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Vincent Gouttebarge
- Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
- Section Sports Medicine, University of Pretoria, Pretoria, South Africa
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, The Netherlands
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Leguizamo F, Núñez A, Gervilla E, Olmedilla A, Garcia-Mas A. Exploring attributional and coping strategies in competitive injured athletes: a qualitative approach. Front Psychol 2023; 14:1287951. [PMID: 37965668 PMCID: PMC10641461 DOI: 10.3389/fpsyg.2023.1287951] [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: 09/03/2023] [Accepted: 10/10/2023] [Indexed: 11/16/2023] Open
Abstract
Introduction This study explores the attributions and coping strategies of athletes who experienced psychological impact from sport injuries or illness from a qualitative methodology. Purpose To understand athletes' unique perspectives on injury and recovery, framed in the Global Model of Sport Injuries, and contribute to the development of effective interventions and support programs for athletes. Methods A qualitative research approach was employed, conducting semi-structured interviews with an ad hoc sample of 16 athletes, representing diverse backgrounds and competitive levels. Interviews were transcribed and analyzed using NVivo software, identifying themes and codes related to attributions and coping strategies. Results Athletes attributed their sport injury mostly to bad luck, routine deviations, and negative mental states, while coping strategies used included cognitive restructuring, emotional calming, seeking social support, mental withdrawal, and behavioral risk. Factors such as training deviations, social support, psychological responses, and injury diagnosis seems to have influenced the coping strategies employed. Conclusions Sport injuries and illnesses significantly impact athletes' careers and wellbeing. Support and effective communication from coaching staff and healthcare professionals were identified as crucial for athletes' wellbeing. These findings contribute to understanding the psychological processes and experiences involved in sport injury recovery and highlight key elements for prevention and intervention protocols. Future research should explore communication patterns in sports contexts and assess attributions and coping strategies at different stages of injury recovery.
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Affiliation(s)
- Federico Leguizamo
- Department of Psychology, University of the Balearic Islands, Palma, Spain
- Research Group in Data Analysis (GRAD), Department of Psychology, University of the Balearic Islands, Palma, Spain
- Statistical and Psychometric Procedures Applied in Health Sciences (PSICOMEST), Health Research Institute Foundation of the Balearic Islands, Palma, Spain
| | - Antonio Núñez
- Research Group of Sports Sciences (GICAFE), Department of Psychology, University of the Balearic Islands, Palma, Spain
| | - Elena Gervilla
- Department of Psychology, University of the Balearic Islands, Palma, Spain
- Research Group in Data Analysis (GRAD), Department of Psychology, University of the Balearic Islands, Palma, Spain
- Statistical and Psychometric Procedures Applied in Health Sciences (PSICOMEST), Health Research Institute Foundation of the Balearic Islands, Palma, Spain
| | - Aurelio Olmedilla
- Department of Personality, Evaluation, and Psychological Treatment, Regional Campus of Excellence Mare Nostrum, University of Murcia, Murcia, Spain
| | - Alejandro Garcia-Mas
- Department of Psychology, University of the Balearic Islands, Palma, Spain
- Research Group of Sports Sciences (GICAFE), Department of Psychology, University of the Balearic Islands, Palma, Spain
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44
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Assa R, Reizer A. Professional Athletes' Well-Being: New Challenges in Post-COVID-19 Times. Behav Sci (Basel) 2023; 13:831. [PMID: 37887481 PMCID: PMC10604620 DOI: 10.3390/bs13100831] [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: 07/05/2023] [Revised: 10/02/2023] [Accepted: 10/09/2023] [Indexed: 10/28/2023] Open
Abstract
The COVID-19 period was characterized as a traumatic period throughout the world. During the pandemic, sports organizations had to adapt to government rules and social distancing measures frequently and faced a challenging and complex period in keeping their athletes on a normal routine. Many athletes faced uncertainty regarding their present and future competitive context and personal worries, similar to society during the pandemic. Consequently, adverse effects on the mental health and well-being of athletes were reported in individual and team sports. This review seeks to explore the perceived impact of COVID-19 on athletes' well-being and future considerations. This review suggests professional athletes' well-being should receive more attention and will be addressed in the future for the benefit of the athletes and not just in favor of performance. Moreover, the emphasis on evidence-based psychological support such as stress management and athletes' well-being in a high-performance sport context should increase. The post-COVID-19 period highlights the importance of broadening athletic identity into a more holistic scope that includes life-performance balance and personal values outside the sporting context. Lastly, developing and fostering resilience is complex yet fundamental for systems, when considering athletes' personal context and providing them with professional skills outside of their professional domain.
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Affiliation(s)
- Ran Assa
- Department of Psychology and Behavioral Sciences, Ariel University, Ariel 40700, Israel;
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45
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Thuany M, Viljoen C, Gomes TN, Knechtle B, Scheer V. Mental Health in Ultra-Endurance Runners: A Systematic Review. Sports Med 2023; 53:1891-1904. [PMID: 37535248 DOI: 10.1007/s40279-023-01890-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2023] [Indexed: 08/04/2023]
Abstract
BACKGROUND Among ultra-endurance runners (UER), the mental, behavioral, and physical demands of training/competition can result in maladaptive outcomes. Mental health issues are common in athletes and can impact psychology, physical health, and performance. OBJECTIVE To synthesize information regarding the incidence/prevalence and factors associated with mental health issues among UER. METHODS Systematic searches were performed in PubMed, SPORTDiscus, Scopus, Cochrane databases, CINAHL, Web of Science, and Medline Ovid using key terms related to UER (e.g., trail running, road running) and psychological issues (e.g., exercise addiction, depression). Inclusion criteria included original articles published in peer-reviewed journals in English, using qualitative or quantitative approaches. We considered papers reporting incidence/prevalence and associated factors with mental health outcomes in UER of both sexes, all ages, and levels of competition (e.g., elite, nonprofessional runners). The Joanna Briggs Institute Analytical Cross-Sectional Studies critical appraisal tool was used for quality assessment. RESULTS A total of 282 studies were identified, and 11 studies were included in the final selection. A total of 3670 UER were included in the studies. The prevalence of mental health issues among UER ranged between 32.0% and 62.5% for eating disorders, from 11.5% to 18.2% for exercise addiction, 18.6% for depressive symptoms, and 24.5% for sleep disturbance. Exercise addiction was not related to weekly volume, but a strong relationship with exercise in an unstructured space, age, and body mass index was shown. CONCLUSION Mental health issues among UER are common, especially eating disorders, exercise addiction, sleep disturbances, and depressive symptoms. Further high-quality studies are needed to examine underlying factors and find preventative strategies to protect UER. REGISTRATION The protocol of this systematic review was registered at the PROSPERO-CRD42022338743.
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Affiliation(s)
- Mabliny Thuany
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal.
| | - Carel Viljoen
- Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Thayse Natacha Gomes
- Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
- Department of Physical Education, Federal University of Sergipe, São Cristóvão, Brazil
| | - Beat Knechtle
- Medbase St. Gallen am Vadianplatz, St. Gallen, Switzerland
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Volker Scheer
- Ultra Sports Science Foundation, Pierre-Bénite, France
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46
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Tao Y, Lv X. Research hotspots and trends on sports medicine of athletes: A scientometric analysis from 2003 to 2023. Medicine (Baltimore) 2023; 102:e35254. [PMID: 37773802 PMCID: PMC10545246 DOI: 10.1097/md.0000000000035254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 08/25/2023] [Indexed: 10/01/2023] Open
Abstract
This study aims to demonstrate current research priorities and predict future trends of sports medicine of athletes by scientometric analysis. We collected nearly 20 years (2003 to 2023) of publications related to Sports medicine of athletes in the Web of Science database, Citespace was applied to evaluate the knowledge mapping. There are 4820 manuscripts about post-cesarean section in total, and faster growth after 2018. The country, institution, and author posted the most are the USA, Harvard University, and Engebretsen, Lars. Brit J Sport Med publishes the most articles of this type. In addition, the most key cited reference is Hopkins WG (2009). Sports medicine of athletes research, including blood, biomedical imaging informatics, and activity monitor has been a research hotspots in recent years. Through scientometric analysis of the past 20 years, we know the blood, biomedical imaging informatics, and activity monitor is the focus of future research. The USA, Australia, and England have become the main research forces in this field with high publication rates and centrality. This is important for accurately and quickly locating trends in this field.
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Affiliation(s)
- Ye Tao
- Department of Physical Education, Beijing University of Posts and Telecommunications, Haidian district, Beijing, China
| | - Xiongce Lv
- Department of Physical Education, Beijing University of Posts and Telecommunications, Haidian district, Beijing, China
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47
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Voorheis P, Silver M, Consonni J. Adaptation to life after sport for retired athletes: A scoping review of existing reviews and programs. PLoS One 2023; 18:e0291683. [PMID: 37733723 PMCID: PMC10513329 DOI: 10.1371/journal.pone.0291683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 09/02/2023] [Indexed: 09/23/2023] Open
Abstract
Retirement from sport is a life transition that has significant implications for athletes' physical and mental health, as well as their social and professional development. Although extensive work has been done to review the retirement experiences of athletes, relatively less work has been done to examine and reflect on this expansive body of literature with a pragmatic aim of deciding what needs to happen to better support retiring athletes. This study used scoping review methodology to review current academic reviews, gray literature articles, and support programs on athletic retirement. This review followed the Joanna Briggs Institute reviewer's manual guide on scoping reviews and adhered to the PRISMA-ScR checklist. Academic articles were identified from PubMed, Embase, Web of Science and Scopus. Gray literature articles and support programs were identified using advanced Google searches. This study identified 23 academic reviews, 44 gray literature articles, and 15 support programs. Generally, the results suggest that athletic retirement encompasses a drastic shift in identity, a loss of social networks, a lack of career ambitions, and potential risks to physical and mental health. While there was a gap in the academic literature regarding practical strategies to support retiring athletes, the gray literature suggests many creative ideas. Stepwise programming may be beneficial to help athletes: (a) make sense of their athletic experience and see retirement as an ongoing process; (b) develop a well-rounded sense of self identity and understand how to apply their unique skills and strengths in new ways; (3) gain control over their retirement transition by establishing a clear plan and adjusting to new routines and opportunities; and (4) normalize the transition experience by "living in the next" and building confidence in new life directions. Future research may benefit from developing and evaluating more programming to support athletes through the retirement transition.
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Affiliation(s)
- Paula Voorheis
- Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Michelle Silver
- Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada
- Department of Health & Society, University of Toronto, Scarborough, ON, Canada
| | - Josie Consonni
- College of Social and Applied Human Sciences, University of Guelph, Guelph, ON, Canada
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48
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Burger JW, Mafuze B. Getting psyched up: Developing the field of Sport and Exercise Psychiatry in South Africa. SOUTH AFRICAN JOURNAL OF SPORTS MEDICINE 2023; 35:v35i1a16352. [PMID: 38249763 PMCID: PMC10798610 DOI: 10.17159/2078-516x/2023/v35i1a16352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024] Open
Abstract
Elite athletes and their entourage are exposed to intense stressors and commonly experience mental health symptoms and disorders. While there is limited literature on prevalence rates in a South African setting, initial data show that both current and retired athletes may experience these symptoms, but with low treatment rates. There is a need to improve mental health literacy and mental health care in athletes. Athletes may benefit from systematic mental health surveillance and additional screening during high-risk periods, such as injury or retirement. This commentary brings athlete mental health into focus and advocates for the inclusion of sport and exercise psychiatry into the athlete entourage and broader mental health team, in order to close the treatment gap. We provide seven recommendations for the initial way forward for sport and exercise psychiatry in South Africa.
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Affiliation(s)
- JW Burger
- HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town,
South Africa
| | - B Mafuze
- Department of Psychiatry and Mental Health, Nelson R Mandela School of Medicine, University of KwaZulu-Natal,
South Africa
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49
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Hooper N, Reiber C, Cheatham S. The psychological effects of sports disruptions in NCAA Division I and II athletes during the COVID-19 pandemic: a mixed methods analysis. J Sports Med Phys Fitness 2023; 63:1014-1024. [PMID: 37314437 DOI: 10.23736/s0022-4707.23.14565-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Improving mental health outcomes in college athletics requires better understanding of how student-athletes respond to stress-inducing events. METHODS Using a cross-sectional design, this study aimed to assess student-athletes' mental health status during the COVID-19 pandemic. Eligible participants (N.=489) included Division I and II student-athletes at least 18 years of age with plans to compete in the 2020-2021 sport season. Participants completed an online battery of psychological health surveys. RESULTS Survey results suggested high psychological strain (APSQ: 20.58±8.08), mild symptoms of anxiety (GAD-7: 7.66±5.51) and depression (PHQ-9: 7.51±5.65), and burnout (ABQ: 2.37±0.96). CONCLUSIONS A subset of student-athletes reported symptoms of psychological strain, depression, and anxiety warranting follow-up clinical evaluation and/or treatment according to scoring guidelines. Findings encourage psychological screening, particularly during sport-disrupting events, to better support athletes' mental health during high-stress conditions.
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Affiliation(s)
- Nicholas Hooper
- Department of General Surgery, Virginia Commonwealth University, Richmond, VA, USA -
| | - Curtis Reiber
- Department of Emergency Medicine, Emory University, Atlanta, GA, USA
| | - Seth Cheatham
- Department of Orthopedic Surgery, Virginia Commonwealth University, Richmond, VA, USA
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50
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Mountjoy M, Ackerman KE, Bailey DM, Burke LM, Constantini N, Hackney AC, Heikura IA, Melin A, Pensgaard AM, Stellingwerff T, Sundgot-Borgen JK, Torstveit MK, Jacobsen AU, Verhagen E, Budgett R, Engebretsen L, Erdener U. 2023 International Olympic Committee's (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). Br J Sports Med 2023; 57:1073-1097. [PMID: 37752011 DOI: 10.1136/bjsports-2023-106994] [Citation(s) in RCA: 47] [Impact Index Per Article: 47.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2023] [Indexed: 09/28/2023]
Abstract
Relative Energy Deficiency in Sport (REDs) was first introduced in 2014 by the International Olympic Committee's expert writing panel, identifying a syndrome of deleterious health and performance outcomes experienced by female and male athletes exposed to low energy availability (LEA; inadequate energy intake in relation to exercise energy expenditure). Since the 2018 REDs consensus, there have been >170 original research publications advancing the field of REDs science, including emerging data demonstrating the growing role of low carbohydrate availability, further evidence of the interplay between mental health and REDs and more data elucidating the impact of LEA in males. Our knowledge of REDs signs and symptoms has resulted in updated Health and Performance Conceptual Models and the development of a novel Physiological Model. This Physiological Model is designed to demonstrate the complexity of either problematic or adaptable LEA exposure, coupled with individual moderating factors, leading to changes in health and performance outcomes. Guidelines for safe and effective body composition assessment to help prevent REDs are also outlined. A new REDs Clinical Assessment Tool-Version 2 is introduced to facilitate the detection and clinical diagnosis of REDs based on accumulated severity and risk stratification, with associated training and competition recommendations. Prevention and treatment principles of REDs are presented to encourage best practices for sports organisations and clinicians. Finally, methodological best practices for REDs research are outlined to stimulate future high-quality research to address important knowledge gaps.
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Affiliation(s)
- Margo Mountjoy
- Family Medicine, McMaster University Michael G DeGroote School of Medicine, Waterloo, Ontario, Canada
- Games Group, International Olympic Committee, Lausanne, Switzerland
| | - Kathryn E Ackerman
- Wu Tsai Female Athlete Program, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA
| | | | - Louise M Burke
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - Naama Constantini
- Sports Medicine Center, Shaare Zedek Medical Center, The Hebrew University, Jerusalem, Israel
| | - Anthony C Hackney
- Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Ida Aliisa Heikura
- Canada Sport Institute Pacific, Victoria, British Columbia, Canada
- Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Anna Melin
- Department of Sport Science - Swedish Olympic Committee Research Fellow, Linnaeus University, Kalmar, Sweden
| | - Anne Marte Pensgaard
- Department of Sport and Social Sciences, Norwegian School of Sports Sciences, Oslo, Norway
| | - Trent Stellingwerff
- Canada Sport Institute Pacific, Victoria, British Columbia, Canada
- Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada
| | | | | | | | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Science, Amsterdam UMC Locatie VUmc, Amsterdam, The Netherlands
| | - Richard Budgett
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Lars Engebretsen
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Uğur Erdener
- Department of Ophthalmology, Hacettepe University, Ankara, Turkey
- World Archery, Lausanne, Switzerland
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