Rates and Correlates of Mental Health Symptoms in Currently Competing Elite Athletes from the Australian National High-Performance Sports System.
Identifieur interne : 000160 ( Main/Exploration ); précédent : 000159; suivant : 000161Rates and Correlates of Mental Health Symptoms in Currently Competing Elite Athletes from the Australian National High-Performance Sports System.
Auteurs : Rosemary Purcell [Australie] ; Simon Rice [Australie] ; Matt Butterworth [Australie] ; Matti Clements [Australie]Source :
- Sports medicine (Auckland, N.Z.) [ 1179-2035 ] ; 2020.
Abstract
AIMS
Elite athletes are at risk of mental ill-health via exposure to sports-related stressors and the overlap in competitive playing years with the peak age of onset of mental ill-health. Despite this risk, there is a paucity of robust empirical data on mental health symptoms in currently competing athletes. The purpose of this study was to assess the prevalence and correlates of mental health symptoms in a representative, national sample of elite athletes and to compare rates against published community norms.
METHODS
A cross-sectional, anonymous, online survey was administered to all categorised (e.g. highest level) athletes, aged 17 years and older, registered with the Australian Institute of Sport (n = 1566). Main outcomes were self-reported scores on validated measures of psychological distress, probable 'caseness' (i.e. the experience of mental health symptoms that would usually warrant a need for care by a health professional), risky alcohol consumption, body weight and shape dissatisfaction, self-esteem, life satisfaction and problem gambling. Correlates of outcomes included demographic, individual vulnerability (e.g. social support, coping style) and sport-related variables.
RESULTS
The participation rate was 51.7% (n = 810), of whom 749 athletes completed most or all outcomes measures. Compared to published community norms, athletes were significantly more likely to report 'high to very high' psychological distress (9.5% vs 17.7%, respectively) and to meet the threshold for 'probable caseness' (19% vs 35%). In contrast, athletes reported significantly lower rates of risky alcohol consumption, problem gambling and body dissatisfaction compared to community norms, and conversely higher self-esteem and life satisfaction. The adjusted odds of psychological distress and caseness were increased in athletes who reported prior treatment for a mental health problem (OR = 1.28-2.84), inadequate social support (OR = - 2.59 to 0.37) and more recent adverse life events (OR = 0.61-1.32); while, the odds of risky alcohol consumption were lower in female athletes (OR = - 1.36) and para-athletes (OR = - 1.20).
CONCLUSIONS
In a representative and national sample of currently competing elite athletes, inclusive of gender and para-status, psychological distress and probable caseness were elevated relative to community norms, although other aspects of functioning were as good as, if not better than, community peers. Sports medicine and mental health professionals working with elite athletes should screen for psychological distress in athletes who may otherwise appear to be well-functioning, to provide timely, optimal treatment.
DOI: 10.1007/s40279-020-01266-z
PubMed: 32026315
Affiliations:
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(État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052, Australia. rosie.purcell@orygen.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation></author><author><name sortKey="Rice, Simon" sort="Rice, Simon" uniqKey="Rice S" first="Simon" last="Rice">Simon Rice</name><affiliation wicri:level="4"><nlm:affiliation>The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The Centre for Youth Mental Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation></author><author><name sortKey="Butterworth, Matt" sort="Butterworth, Matt" uniqKey="Butterworth M" first="Matt" last="Butterworth">Matt Butterworth</name><affiliation wicri:level="1"><nlm:affiliation>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce</wicri:regionArea><wicri:noRegion>Bruce</wicri:noRegion></affiliation></author><author><name sortKey="Clements, Matti" sort="Clements, Matti" uniqKey="Clements M" first="Matti" last="Clements">Matti Clements</name><affiliation wicri:level="1"><nlm:affiliation>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce</wicri:regionArea><wicri:noRegion>Bruce</wicri:noRegion></affiliation></author></analytic><series><title level="j">Sports medicine (Auckland, N.Z.)</title><idno type="eISSN">1179-2035</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>Elite athletes are at risk of mental ill-health via exposure to sports-related stressors and the overlap in competitive playing years with the peak age of onset of mental ill-health. Despite this risk, there is a paucity of robust empirical data on mental health symptoms in currently competing athletes. The purpose of this study was to assess the prevalence and correlates of mental health symptoms in a representative, national sample of elite athletes and to compare rates against published community norms.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional, anonymous, online survey was administered to all categorised (e.g. highest level) athletes, aged 17 years and older, registered with the Australian Institute of Sport (n = 1566). Main outcomes were self-reported scores on validated measures of psychological distress, probable 'caseness' (i.e. the experience of mental health symptoms that would usually warrant a need for care by a health professional), risky alcohol consumption, body weight and shape dissatisfaction, self-esteem, life satisfaction and problem gambling. Correlates of outcomes included demographic, individual vulnerability (e.g. social support, coping style) and sport-related variables.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The participation rate was 51.7% (n = 810), of whom 749 athletes completed most or all outcomes measures. Compared to published community norms, athletes were significantly more likely to report 'high to very high' psychological distress (9.5% vs 17.7%, respectively) and to meet the threshold for 'probable caseness' (19% vs 35%). In contrast, athletes reported significantly lower rates of risky alcohol consumption, problem gambling and body dissatisfaction compared to community norms, and conversely higher self-esteem and life satisfaction. The adjusted odds of psychological distress and caseness were increased in athletes who reported prior treatment for a mental health problem (OR = 1.28-2.84), inadequate social support (OR = - 2.59 to 0.37) and more recent adverse life events (OR = 0.61-1.32); while, the odds of risky alcohol consumption were lower in female athletes (OR = - 1.36) and para-athletes (OR = - 1.20).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>In a representative and national sample of currently competing elite athletes, inclusive of gender and para-status, psychological distress and probable caseness were elevated relative to community norms, although other aspects of functioning were as good as, if not better than, community peers. Sports medicine and mental health professionals working with elite athletes should screen for psychological distress in athletes who may otherwise appear to be well-functioning, to provide timely, optimal treatment.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32026315</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1179-2035</ISSN><JournalIssue CitedMedium="Internet"><Volume>50</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Sports medicine (Auckland, N.Z.)</Title><ISOAbbreviation>Sports Med</ISOAbbreviation></Journal><ArticleTitle>Rates and Correlates of Mental Health Symptoms in Currently Competing Elite Athletes from the Australian National High-Performance Sports System.</ArticleTitle><Pagination><MedlinePgn>1683-1694</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s40279-020-01266-z</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Elite athletes are at risk of mental ill-health via exposure to sports-related stressors and the overlap in competitive playing years with the peak age of onset of mental ill-health. Despite this risk, there is a paucity of robust empirical data on mental health symptoms in currently competing athletes. The purpose of this study was to assess the prevalence and correlates of mental health symptoms in a representative, national sample of elite athletes and to compare rates against published community norms.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional, anonymous, online survey was administered to all categorised (e.g. highest level) athletes, aged 17 years and older, registered with the Australian Institute of Sport (n = 1566). Main outcomes were self-reported scores on validated measures of psychological distress, probable 'caseness' (i.e. the experience of mental health symptoms that would usually warrant a need for care by a health professional), risky alcohol consumption, body weight and shape dissatisfaction, self-esteem, life satisfaction and problem gambling. Correlates of outcomes included demographic, individual vulnerability (e.g. social support, coping style) and sport-related variables.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The participation rate was 51.7% (n = 810), of whom 749 athletes completed most or all outcomes measures. Compared to published community norms, athletes were significantly more likely to report 'high to very high' psychological distress (9.5% vs 17.7%, respectively) and to meet the threshold for 'probable caseness' (19% vs 35%). In contrast, athletes reported significantly lower rates of risky alcohol consumption, problem gambling and body dissatisfaction compared to community norms, and conversely higher self-esteem and life satisfaction. The adjusted odds of psychological distress and caseness were increased in athletes who reported prior treatment for a mental health problem (OR = 1.28-2.84), inadequate social support (OR = - 2.59 to 0.37) and more recent adverse life events (OR = 0.61-1.32); while, the odds of risky alcohol consumption were lower in female athletes (OR = - 1.36) and para-athletes (OR = - 1.20).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In a representative and national sample of currently competing elite athletes, inclusive of gender and para-status, psychological distress and probable caseness were elevated relative to community norms, although other aspects of functioning were as good as, if not better than, community peers. Sports medicine and mental health professionals working with elite athletes should screen for psychological distress in athletes who may otherwise appear to be well-functioning, to provide timely, optimal treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Purcell</LastName><ForeName>Rosemary</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia. rosie.purcell@orygen.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052, Australia. rosie.purcell@orygen.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rice</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Elite Sports and Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Butterworth</LastName><ForeName>Matt</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clements</LastName><ForeName>Matti</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Australian Institute of Sport, Athlete Wellbeing and Engagement, Bruce, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Sports Med</MedlineTA><NlmUniqueID>8412297</NlmUniqueID><ISSNLinking>0112-1642</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32026315</ArticleId><ArticleId IdType="doi">10.1007/s40279-020-01266-z</ArticleId><ArticleId IdType="pii">10.1007/s40279-020-01266-z</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country><region><li>Victoria (État)</li></region><settlement><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Purcell, Rosemary" sort="Purcell, Rosemary" uniqKey="Purcell R" first="Rosemary" last="Purcell">Rosemary Purcell</name></region><name sortKey="Butterworth, Matt" sort="Butterworth, Matt" uniqKey="Butterworth M" first="Matt" last="Butterworth">Matt Butterworth</name><name sortKey="Clements, Matti" sort="Clements, Matti" uniqKey="Clements M" first="Matti" last="Clements">Matti Clements</name><name sortKey="Purcell, Rosemary" sort="Purcell, Rosemary" uniqKey="Purcell R" first="Rosemary" last="Purcell">Rosemary Purcell</name><name sortKey="Rice, Simon" sort="Rice, Simon" uniqKey="Rice S" first="Simon" last="Rice">Simon Rice</name><name sortKey="Rice, Simon" sort="Rice, Simon" uniqKey="Rice S" first="Simon" last="Rice">Simon Rice</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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