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Bu D, Zhang CQ, Liu JD, Han Z, Wang X, Huang Z. Mental health literacy, mental health experiences and help-seeking behaviours of Chinese elite athletes: a qualitative study. Front Public Health 2024; 12:1391597. [PMID: 38813417 PMCID: PMC11133729 DOI: 10.3389/fpubh.2024.1391597] [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: 02/26/2024] [Accepted: 04/15/2024] [Indexed: 05/31/2024] Open
Abstract
Introduction Elite athletes' help-seeking on mental health might be influenced by their mental health literacy (MHL) and mental health experiences. The current study aimed to explore the MHL, experiences and help-seeking behaviours among elite athletes using a qualitative approach. Methods Face-to-face semi-structured interviews were conducted among 20 Chinese elite athletes, 12 coaches, and 5 team officials. Interview data was analyzed using content analysis. Results Seven main themes emerged from the analysis. The current study revealed that Chinese elite athletes suffered from various mental health issues and athletes' MHL levels, help-seeking attitudes and intentions, Chinese sports environments, and Chinese cultural background could impact their help-seeking behaviours. Conclusion Support for Chinese elite athletes' mental health and help-seeking requires improvement.
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Affiliation(s)
- Danran Bu
- School of Physical Education, Hubei University, Wuhan, China
| | - Chun-Qing Zhang
- Department of Psychology, Sun Yat-sen University, Guangzhou, China
| | - Jing-Dong Liu
- Department of Physical Education, Sun Yat-sen University, Guangzhou, China
| | - Zhe Han
- Key Laboratory of General Administration of Sport of China, Hubei Institute of Sport Science, Wuhan, China
| | - Xiang Wang
- The Department of Sport, Physical Education and Health, Faculty of Social Science, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China
| | - Zhijian Huang
- School of Physical Education, Hubei University, Wuhan, China
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Rossi A, Calogiuri G, Maffi S, Pedreschi D, Clifton DA, Morelli D. Physiological recovery among workers in long-distance sleddog races: A case study on female veterinarians in Finnmarksløpet. Work 2022; 71:749-760. [DOI: 10.3233/wor-210331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: During Finnmarksløpet (FL, one of the longest distance sleddog races in the world), veterinarians are exposed to extreme environmental conditions and tight working schedules, with little and fragmented sleep. OBJECTIVE: The aim of this case study was to examine cardiovascular parameters and sleep-wake patterns among veterinarians working within FL, during and after (for a month) the end of the race. METHODS: Six female veterinarians volunteered for the study. The participants wore a wrist device for a total of eight weeks in order to passively and semi-continuously record physiological responses throughout the day (i.e., heart rate, heart rate variability, number of steps, and sleep quality). Moreover, perceived sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) at three time-points. RESULTS: During and for one month after completion of the FL, most veterinarians presented an alteration of cardiovascular parameters and sleep quality. The heart rate circadian rhythm returned to pre-race values within about two weeks. CONCLUSIONS: The long-lasting alteration of the veterinarians’ cardiovascular parameters and sleep-wake patterns might have negative consequences for their health in the long-term, especially if similar experiences are repeated more times though the course of a year or season. More research is needed in order to understand the health risks, as well as how to prevent them, among veterinarians in long-distance sleddog races or other similar events.
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Affiliation(s)
- Alessio Rossi
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - Giovanna Calogiuri
- Centre for Health and Technology, Department of Nursing and Health Sciences, Faculty of Social and Health Sciences, University of South-Eastern Norway, Drammen, Norway
- Department of Public Health and Sport Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
| | - Sergio Maffi
- Clinica Veterinaria Dott. Maffi Sergio, Palazzolo sull’Oglio, Italy
| | - Dino Pedreschi
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - David A. Clifton
- Department of Engineering Science, Institute of Biomedical Engineering, Oxford, UK
| | - Davide Morelli
- Department of Engineering Science, Institute of Biomedical Engineering, Oxford, UK
- Huma Therapeutics Limited, London, UK
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Hainline B, Reardon CL. Breaking a taboo: why the International Olympic Committee convened experts to develop a consensus statement on mental health in elite athletes. Br J Sports Med 2019; 53:665-666. [PMID: 31097449 DOI: 10.1136/bjsports-2019-100681] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2019] [Indexed: 12/20/2022]
Affiliation(s)
- Brian Hainline
- Sport Science Institute, National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA
| | - Claudia L Reardon
- Department of Psychiatry, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA
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Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br J Sports Med 2019; 53:667-699. [DOI: 10.1136/bjsports-2019-100715] [Citation(s) in RCA: 349] [Impact Index Per Article: 69.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2019] [Indexed: 11/03/2022]
Abstract
Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.
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Samson DR, Manus MB, Krystal AD, Fakir E, Yu JJ, Nunn CL. Segmented sleep in a nonelectric, small-scale agricultural society in Madagascar. Am J Hum Biol 2017; 29. [DOI: 10.1002/ajhb.22979] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 10/25/2016] [Accepted: 01/16/2017] [Indexed: 11/06/2022] Open
Affiliation(s)
- David R. Samson
- Department of Evolutionary Anthropology; Duke University; Durham North Carolina 27708
| | - Melissa B. Manus
- Duke Global Health Institute, Duke University; Durham North Carolina 27708
| | - Andrew D. Krystal
- Psychiatry and Behavioral Sciences; Duke University; Durham North Carolina 27708
| | - Efe Fakir
- Bahcesehir University, School of Medicine; Istanbul Turkey
| | - James J. Yu
- Department of Evolutionary Anthropology; Duke University; Durham North Carolina 27708
| | - Charles L. Nunn
- Department of Evolutionary Anthropology; Duke University; Durham North Carolina 27708
- Duke Global Health Institute, Duke University; Durham North Carolina 27708
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Hadza sleep biology: Evidence for flexible sleep-wake patterns in hunter-gatherers. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2017; 162:573-582. [DOI: 10.1002/ajpa.23160] [Citation(s) in RCA: 65] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Revised: 12/13/2016] [Accepted: 12/15/2016] [Indexed: 01/01/2023]
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Calogiuri G, Weydahl A. Health challenges in long-distance dog sled racing: A systematic review of literature. Int J Circumpolar Health 2017; 76:1396147. [PMID: 29096589 PMCID: PMC5678425 DOI: 10.1080/22423982.2017.1396147] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Accepted: 10/19/2017] [Indexed: 11/03/2022] Open
Abstract
Long-distance dog sled races, e.g. Iditarod (Alaska) and Finnmarksløpet (Northern Norway), are extremely demanding sporting events that might expose mushers, handlers and a large number of organisers and volunteers to risks for their health. The purpose of this systematic literature review (PROSPERO registration n. CRD42017069136) was to identify and summarise all available scientific literature relative to health issues connected to participating in these races. Using a literature search strategy in line with PRISMA guidelines, 117 scientific studies, sought through databases (Google Scholar and PubMed, between 2nd and 9th May 2017) and scrutiny of reference lists, were screened. Studies published in English treating any health issues assessed during or after a long-distance dog sled race were included, with no restriction in relation to their study design or the characteristics of participants studied. The quality of the studies was assessed using a standardised checklist. Ten studies met the criteria for being included in a qualitative analysis. The data synthesis showed that participants underwent strenuous psychophysical load, with insufficient sleep/rest and inadequate energy intake. Findings on hydrations are mixed. The risk of incurring in life-threatening injuries or infections was low, although injuries and infections of minor severity were common. No alterations of blood markers were observed from before to after the races. These findings will help planning prevention and treatment strategies in long-distance dog sled races. However, more research is needed in this field in the future.
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Affiliation(s)
- Giovanna Calogiuri
- Department of Dental Care and Public Health, Inland Norway University of Applied Sciences, Elverum, Norway
| | - Andi Weydahl
- School of Sport Sciences, UiT – The Arctic University of Norway, Alta, Norway
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Peng HL, Lorenz RA, Chang YP. Sleep Quality in Family Caregivers of Individuals With Dementia. Clin Nurs Res 2015; 25:448-64. [DOI: 10.1177/1054773815610747] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Poor sleep quality in family caregivers may impact their health status and cause quality of life to decline. Nurses are conducting an increasing number of studies that use sleep quality or related concepts as a main indicator to assess caregiver’s sleep. Therefore, a clear understanding of sleep quality and how it is different from other relevant sleep domains is essential. This article aimed to analyze the concept of sleep quality using the steps outlined by Walker and Avant. Findings include (a) attributes of sleep quality including subjective perception of sleep, sleep hours, and evaluation of activity after awaking; (b) antecedents of sleep quality including the ability to get naturally into the sleep cycle and status of conscious state; and (c) consequences of sleep quality including bio-psycho-social and global dimensions of health. This article intends to help clinicians and researchers better understand and define sleep quality in dementia caregivers.
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Affiliation(s)
- Hsi-Ling Peng
- Cardinal Tien Junior College of Healthcare and Management, New Taipei City, Taiwan
| | | | - Yu-Ping Chang
- The State University of New York, University at Buffalo, NY, USA
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Thomas KA, Burr RL, Spieker S. Maternal and infant activity: Analytic approaches for the study of circadian rhythm. Infant Behav Dev 2015; 41:80-7. [PMID: 26360916 DOI: 10.1016/j.infbeh.2015.08.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 08/10/2015] [Accepted: 08/13/2015] [Indexed: 01/01/2023]
Abstract
The study of infant and mother circadian rhythm entails choice of instruments appropriate for use in the home environment as well as selection of analytic approach that characterizes circadian rhythm. While actigraphy monitoring suits the needs of home study, limited studies have examined mother and infant rhythm derived from actigraphy. Among this existing research a variety of analyses have been employed to characterize 24-h rhythm, reducing ability to evaluate and synthesize findings. Few studies have examined the correspondence of mother and infant circadian parameters for the most frequently cited approaches: cosinor, non-parametric circadian rhythm analysis (NPCRA), and autocorrelation function (ACF). The purpose of this research was to examine analytic approaches in the study of mother and infant circadian activity rhythm. Forty-three healthy mother and infant pairs were studied in the home environment over a 72h period at infant age 4, 8, and 12 weeks. Activity was recorded continuously using actigraphy monitors and mothers completed a diary. Parameters of circadian rhythm were generated from cosinor analysis, NPCRA, and ACF. The correlation among measures of rhythm center (cosinor mesor, NPCRA mid level), strength or fit of 24-h period (cosinor magnitude and R(2), NPCRA amplitude and relative amplitude (RA)), phase (cosinor acrophase, NPCRA M10 and L5 midpoint), and rhythm stability and variability (NPCRA interdaily stability (IS) and intradaily variability (IV), ACF) was assessed, and additionally the effect size (eta(2)) for change over time evaluated. Results suggest that cosinor analysis, NPCRA, and autocorrelation provide several comparable parameters of infant and maternal circadian rhythm center, fit, and phase. IS and IV were strongly correlated with the 24-h cycle fit. The circadian parameters analyzed offer separate insight into rhythm and differing effect size for the detection of change over time. Findings inform selection of analysis and circadian parameters in the study of maternal and infant activity rhythm.
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Affiliation(s)
- Karen A Thomas
- Department of Family and Child Nursing, University of Washington, Seattle, WA 98195-7262, United States.
| | - Robert L Burr
- Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA 98195-7266, United States
| | - Susan Spieker
- Barnard Center for Infant Mental Health & Development, Department of Family and Child Nursing, University of Washington, Seattle, WA 98195-7262, United States
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