Mental health surveillance in elite Para athletes: early identification and follow-up of athletes at risk of mental health problems.

Autor:	Meidl V; Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany., Dallmann P; Centre for Psychosocial Medicine, Department of General Psychiatry, University Hospital Heidelberg, Heidelberg, Baden-Württemberg, Germany., Steffen K; 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., Bretthauer B; Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany., Busch A; 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., Kubosch EJ; Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany., Leonhart R; Department of Psychology, Albert-Ludwigs-Universitat Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany., Hirschmueller A; Department of Orthopedic and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany anja.hirschmueller@uniklinik-freiburg.de.; ALTIUS Swiss Sportmed Center AG, Rheinfelden, Switzerland.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2024 Jul 31; Vol. 58 (16), pp. 902-909. Date of Electronic Publication: 2024 Jul 31.
DOI:	10.1136/bjsports-2023-107995
Abstrakt:	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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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