Prevalence of symptoms of depression and generalized anxiety disorder in field hockey players of German first and lower leagues.
elite athletes
indoor hockey
mental health
outdoor hockey
team sport
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
13
04
2023
received:
28
11
2022
accepted:
25
05
2023
medline:
9
8
2023
pubmed:
13
6
2023
entrez:
13
6
2023
Statut:
ppublish
Résumé
While several studies on mental health of elite athletes were published in recent years, few compared the prevalence with the general population and none included field hockey players. To analyze the prevalence of symptoms of depression and generalized anxiety disorder in field hockey players of different skill levels and to compare it to the general population. Male and female hockey players from different leagues were asked to answer questions on player characteristics, the Centre of Epidemiologic Studies Depression Scale (CES-D) and the Generalized Anxiety Disorder-7 (GAD-7). One hundred and eighty-seven players (incl. 54 first and 28 second league players) participated in the study (response rate 97.4%). More than a third (n = 64; 35.0%) reported to be affected by an injury/health complaint, but 157 (86.3%) were able to train and play without limitations. The CES-D score indicated depression symptoms in more female (n = 15; 18.3%) than male (n = 5; 4.8%) players (χ2=8.8; p < 0.01). No male and one female player had symptoms of generalized anxiety disorder. Players who played 60 or more matches in the previous 12 months had on average significantly higher depression (t = 2.3; p < 0.05) and generalized anxiety scores (t = 4.2; p < 0.001) than players who played fewer matches. The prevalence of depression and of generalized anxiety symptoms was similar to or lower than in the general population. Although 20 (10.7%) players had depression symptoms, only 4 (2.2%) received psychological counseling or psychotherapy. It is recommended to provide routine screening of mental health problems and low-threshold access to adequate treatment for elite athletes.
Sections du résumé
BACKGROUND
BACKGROUND
While several studies on mental health of elite athletes were published in recent years, few compared the prevalence with the general population and none included field hockey players.
AIMS
OBJECTIVE
To analyze the prevalence of symptoms of depression and generalized anxiety disorder in field hockey players of different skill levels and to compare it to the general population.
METHODS
METHODS
Male and female hockey players from different leagues were asked to answer questions on player characteristics, the Centre of Epidemiologic Studies Depression Scale (CES-D) and the Generalized Anxiety Disorder-7 (GAD-7).
RESULTS
RESULTS
One hundred and eighty-seven players (incl. 54 first and 28 second league players) participated in the study (response rate 97.4%). More than a third (n = 64; 35.0%) reported to be affected by an injury/health complaint, but 157 (86.3%) were able to train and play without limitations. The CES-D score indicated depression symptoms in more female (n = 15; 18.3%) than male (n = 5; 4.8%) players (χ2=8.8; p < 0.01). No male and one female player had symptoms of generalized anxiety disorder. Players who played 60 or more matches in the previous 12 months had on average significantly higher depression (t = 2.3; p < 0.05) and generalized anxiety scores (t = 4.2; p < 0.001) than players who played fewer matches. The prevalence of depression and of generalized anxiety symptoms was similar to or lower than in the general population. Although 20 (10.7%) players had depression symptoms, only 4 (2.2%) received psychological counseling or psychotherapy.
CONCLUSION
CONCLUSIONS
It is recommended to provide routine screening of mental health problems and low-threshold access to adequate treatment for elite athletes.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1866-1873Subventions
Organisme : German Federal Institute for Sport Science
Informations de copyright
© 2023 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.
Références
Reardon C, Hainline B, Aron CM, et al. Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br J Sports Med. 2019;53:667-699.
Gouttebarge V, Castaldelli-Maia JM, Gorczynski P, et al. Occurrence of mental health symptoms and disorders in current and former elite athletes: a systematic review and meta-analysis. Br J Sports Med. 2019;53(11):700-706.
Rice SM, Purcell R, De Silva S, et al. The mental health of elite athletes: a narrative systematic review. Sports Med. 2016;46(9):1333-1353.
Golding L, Gillingham RG, Perera NKP. The prevalence of depressive symptoms in high-performance athletes: a systematic review. Phys Sportsmed. 2020;48(3):247-258.
Gorczynski PF, Coyle M, Gibson K. Depressive symptoms in high-performance athletes and non-athletes: a comparative meta-analysis. Br J Sports Med. 2017;51(18):1348-1354.
Gulliver A, Griffiths KM, Mackinnon A, Batterham PJ, Stanimirovic R. The mental health of Australian elite athletes. J Sci Med Sport. 2015;18(3):255-261.
Junge A, Feddermann-Demont N. Prevalence of depression and anxiety in top-level male and female football players. BMJ Open Sport Exerc Med. 2016;2(1):e000087.
Junge A, Prinz B. Depression and anxiety symptoms in 17 teams of female football players including 10 German first league teams. Br J Sports Med. 2019;53:471-477.
Li H, Moreland JJ, Peek-Asa C, Yang J. Preseason anxiety and depressive symptoms and prospective injury risk in collegiate athletes. Am J Sports Med. 2017;45:2148-2155.
Wolanin A, Gross M, Hong E. Depression in athletes: prevalence and risk factors. Curr Sports Med Rep. 2015;14:56-60.
Yang J, Peek-Asa C, Corlette JD, Cheng G, Foster DT, Albright J. Prevalence of and risk factors associated with symptoms of depression in competitive collegiate student athletes. Clin J Sport Med. 2007;17(6):481-487.
Nixdorf I, Frank R, Hautzinger M, Beckmann J. Prevalence of depressive symptoms and correlating variables among German elite athletes. J Clin Sport Psychol. 2013;7:313-326.
Rice SM, Gwyther K, Santesteban-Echarri O, et al. Determinants of anxiety in elite athletes: a systematic review and meta-analysis. Br J Sports Med. 2019;53(11):722-730.
Mason J, Wellmann K, Groll A, et al. Game exposure, playing position and neuromuscular performance influence injury risk in professional and youth field hockey players. Orth J Sports Med. 2021;9(4):2325967121995167.
Hollander K, Wellmann K, Eulenburg CZ, et al. Epidemiology of injuries in outdoor and indoor hockey players over one season: a prospective cohort study. Br J Sports Med. 2018;52:1091-1096.
Mason J, Rahlf AL, Groll A, Wellmann K, Junge A, Zech A. The interval between matches significantly influences injury risk in field hockey. Int J Sports Med. 2022;43(3):262-268.
Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psych Meas. 1977;1(3):385-401.
Hautzinger M. Die CES-D skala: ein depressionsmessinstrument für untersuchungen in der allgemeinbevölkerung. Diagnostica. 1988;34:167-173.
Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-1097.
Löwe B, Decker O, Müller S, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care. 2008;46(3):266-274.
Vilagut G, Forero CG, Barbaglia G, Alonso J. Screening for depression in the general population with the Center for Epidemiologic Studies Depression (CES-D): a systematic review with meta-analysis. PLoS One. 2016;11(5):e0155431.
Hautzinger M, Bailer M, Hofmeister D, et al. ADS - Allgemeine Depressionskala. Manual. 2. überarbeitete und neu normierte Auflage. Manual. Hogrefe Verlag. 2012.
Sahni M, Bhogal G. Anxiety, depression and perceived sporting performance among professional cricket players. Br J Sports Med. 2017;10:bjsports-2017-097827.5.
Gouttebarge V, Bindra A, Blauwet C, et al. International Olympic Committee (IOC) sport mental health assessment tool 1 (SMHAT-1) and sport mental health recognition tool 1 (SMHRT-1): towards better support of athletes' mental health. Br J Sports Med. 2021;55(1):30-37.
Proctor S, Boan-Lenzo C. Prevalence of depressive symptoms in male intercollegiate student-athletes and nonathletes. J Clin Sport Psychol. 2010;4(3):204-220.
Du Preez EJ, Graham KS, Gan TY, et al. Depression, anxiety, and alcohol use in elite Rugby league players over a competitive season. Clin J Sport Med. 2017;27(6):530-535.
Li C, Fan R, Sun J, Li G. Risk and protective factors of generalized anxiety disorder of elite collegiate athletes: a cross-sectional study. Front Public Health. 2021;10(9):607800.
Mountjoy M, Junge A, Magnusson C, et al. Beneath the surface: mental health, and harassment and abuse of athletes participating in the FINA (aquatics) world championships, 2019. Clin J Sport Med. 2022;32(2):95-102.
Gulliver A, Griffiths KM, Christensen H. Barriers and facilitators to mental health help-seeking for young elite athletes: a qualitative study. BMC Psychiatry. 2012;12:157.
Putukian M. The psychological response to injury in student athletes: a narrative review with a focus on mental health. Br J Sports Med. 2016;50:145-148.
Arruda AF, Carling C, Zanetti V, et al. Effects of a very congested match schedule on body-load impacts, accelerations, and running measures in youth soccer players. Int J Sports Physiol Perform. 2015;10(2):248-252.
Ekstrand J, Waldén M, Hägglund M. A congested football calendar and the wellbeing of players: correlation between match exposure of European footballers before the world cup 2002 and their injuries and performances during that world cup. Br J Sports Med. 2004;38(4):493-497.
Saidi K, Ben Abderrahman A, Boullosa D, et al. The interplay between plasma hormonal concentrations, physical fitness, workload and mood state changes to periods of congested match play in professional soccer players. Front Physiol. 2020;21(11):835.