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Mental health in elite athletes: International Olympic Committee consensus statement (2019)

Published on Jun 1, 2019in British Journal of Sports Medicine 11.64
· DOI :10.1136/bjsports-2019-100715
Claudia L. Reardon11
Estimated H-index: 11
(UW: University of Wisconsin-Madison),
Brian Hainline15
Estimated H-index: 15
(Philippines National Collegiate Athletic Association)
+ 24 AuthorsLars Engebretsen63
Estimated H-index: 63
Cite
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.
  • References (714)
  • Citations (5)
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References714
Newest
Published on Sep 28, 2018in Journal of Clinical Sport Psychology
Emily Kroshus15
Estimated H-index: 15
(Seattle Children's Research Institute),
Sara P.D. Chrisman8
Estimated H-index: 8
(Seattle Children's Research Institute)
+ 1 AuthorsStanley A. Herring30
Estimated H-index: 30
(UW: University of Washington)
This study sought to identify factors that influence whether coaches support athletes struggling with depression and anxiety. Participants were U.S. public high school coaches who completed a writt...
Published on Mar 21, 2018in European Archives of Psychiatry and Clinical Neuroscience 3.19
Andreas Ströhle50
Estimated H-index: 50
(Humboldt University of Berlin)
Sports psychiatry has developed for the past 3 decades as an emerging field within psychiatry and sports medicine. An International society has been established in 1994 and also national interest groups were implemented, mostly within the national organizations for psychiatry, some also containing the topic of exercise treatment of mental disorders. Where are we now 30 years later? We systematically but also selectively review the medical literature on exercise, sport, psychiatry, mental health ...
Published on Mar 24, 2018in British Journal of Sports Medicine 11.64
Sean Carmody1
Estimated H-index: 1
,
Christopher Jones1
Estimated H-index: 1
+ 2 AuthorsImtiaz Ahmad1
Estimated H-index: 1
Retired professional footballers are at a significantly increased risk of several health problems including osteoarthritis,1 mental health conditions2 and difficulties pertaining to suboptimal lifestyle choices.3 The aim of this editorial is to highlight the health issues faced by players in retirement, to advance the concept of the ‘exit health examination’ (EHE) and to promote the duty of care that clinicians, clubs and governing bodies have to ensure that the risk of poor long-term health out...
Published on Jun 1, 2019in Journal of Gambling Studies 2.56
Fanni Bányai3
Estimated H-index: 3
(ELTE: Eötvös Loránd University),
Mark D. Griffiths85
Estimated H-index: 85
(NTU: Nottingham Trent University)
+ 1 AuthorsZsolt Demetrovics36
Estimated H-index: 36
(ELTE: Eötvös Loránd University)
Recently, the skill involved in playing and mastering video games has led to the professionalization of the activity in the form of ‘esports’ (electronic sports). The aim of the present paper was to review the main topics of psychological interest about esports and then to examine the similarities of esports to professional and problem gambling. As a result of a systematic literature search, eight studies were identified that had investigated three topics: (1) the process of becoming an esport p...
Published on Sep 14, 2018in British Journal of Sports Medicine 11.64
Spencer Stuart Haines Roberts1
Estimated H-index: 1
(Deakin University),
Wei-Peng Teo12
Estimated H-index: 12
(Deakin University),
Stuart A. Warmington12
Estimated H-index: 12
(Deakin University)
Objectives To characterise the sleep of elite athletes and to identify factors associated with training and competition that negatively affect sleep. Design Prognosis systematic review. Data sources Three databases (PubMed, SCOPUS and SPORTDiscus) were searched from inception to 26 February 2018. Eligibility criteria for selecting studies Included studies objectively reported total sleep time (TST) and/or sleep efficiency (SE) in elite athletes. Studies were required to be observational or to in...
Published on Feb 2, 2018in British Journal of Sports Medicine 11.64
Astrid Junge62
Estimated H-index: 62
,
Birgit Prinz2
Estimated H-index: 2
Background Information on the prevalence of mental health problems of elite athletes is inconclusive, most probably due to methodological limitations, such as low response rates, heterogeneous samples. Aims To evaluate the prevalence and risk factors of depression and anxiety symptoms in high-level female football players. Methods Female football players of 10 German first league (Bundesliga) and 7 lower league teams were asked to answer a questionnaire on players’ characteristics, the Center of...
Published on Feb 1, 2019in JAMA Neurology 12.32
Michael Fralick9
Estimated H-index: 9
(Harvard University),
Eric Sy1
Estimated H-index: 1
(U of S: University of Saskatchewan)
+ 3 AuthorsTodd Karsies3
Estimated H-index: 3
(Nationwide Children's Hospital)
Importance Concussion is the most common form of traumatic brain injury (TBI). While most patients fully recover within 1 week of injury, a subset of patients might be at a higher risk of suicide. Objective To assess the risk of suicide after concussion. Data Sources We performed a systematic search of Medline (PubMed), Embase, PsycINFO, and Published International Literature on Traumatic Stress (PILOTS) from 1963 to May 1, 2017. We also searched Google Scholar and conference proceedings and con...
Published on Jan 1, 2019in British Journal of Sports Medicine 11.64
Margo Mountjoy25
Estimated H-index: 25
(McMaster University)
> As it turns out… Dr Nassar was not a doctor, he in fact is, was, and forever shall be, a child molester and a monster of a human being. End of story. He abused my trust, he abused my body and he left scars on my psyche that may never go away. > > McKayla Maroney, Olympic Gold Medallist, London 2012. Dr Larry Nassar was sentenced on 24 January 2018 to 40–125 years in prison in Eaton County and 40–175 years in Ingham County, Michigan, USA, for first-degree criminal sexual conduct in addition to ...
Published on Dec 1, 2018in Sports Medicine - Open
Mikalyn T. DeFoor1
Estimated H-index: 1
(Georgia Regents University),
Lara M. Stepleman10
Estimated H-index: 10
(Georgia Regents University),
Paul C. Mann1
Estimated H-index: 1
(Georgia Regents University)
In comparison to their heterosexual peers, lesbian, gay, and bisexual (LGB) student-athletes encounter substantial challenges during their intercollegiate and professional athletic careers including detrimental stereotypes, harassment, and discrimination. Such non-inclusive environments promoted throughout the current Western culture of sport are notably associated with higher incidences of mental health and substance use disorders among LGB athletes across youth, collegiate, and professional sp...
Published on Dec 1, 2018in BMC Public Health 2.57
Epiphany Munetsi3
Estimated H-index: 3
,
Victoria Simms19
Estimated H-index: 19
(Lond: University of London)
+ 8 AuthorsRicardo Araya50
Estimated H-index: 50
('KCL': King's College London)
Background Suicidal ideation may lead to deliberate self-harm which increases the risk of death by suicide. Globally, the main cause of deliberate self-harm is depression. The aim of this study was to explore prevalence of, and risk factors for, suicidal ideation among men and women with common mental disorder (CMD) symptoms attending public clinics in Zimbabwe, and to determine whether problem solving therapy delivered by lay health workers can reduce common mental disorder symptoms among peopl...
Cited By5
Newest
Published on Jul 2, 2019in Early Intervention in Psychiatry 3.32
Courtney C. Walton (UQ: University of Queensland), Rosemary Purcell35
Estimated H-index: 35
(University of Melbourne),
Simon M. Rice14
Estimated H-index: 14
(University of Melbourne)
Published on Jun 21, 2019in British Journal of Sports Medicine 11.64
Claudia L. Reardon11
Estimated H-index: 11
,
Brian Hainline15
Estimated H-index: 15
(Philippines National Collegiate Athletic Association)
+ 24 AuthorsAlan Currie1
Estimated H-index: 1
(Northumberland, Tyne and Wear NHS Foundation Trust)
![Figure][1] 1. 1. Reardon CL, 2. Hainline B, 3. Aron CM, et al . Mental health in elite athletes: international Olympic Committee consensus statement (2019). Br J Sports Med2019;53:667–99.[doi:10.1136/bjsports-2019-100715][2] [OpenUrl][3][Abstract/FREE Full
Published on May 16, 2019in British Journal of Sports Medicine 11.64
Emily Kroshus15
Estimated H-index: 15
(Seattle Children's Research Institute),
Jessica Wagner (Philippines National Collegiate Athletic Association)+ 9 AuthorsJessica M Mohler (United States Naval Institute)
Sleep is an important determinant of collegiate athlete health, well-being and performance. However, collegiate athlete social and physical environments are often not conducive to obtaining restorative sleep. Traditionally, sleep has not been a primary focus of collegiate athletic training and is neglected due to competing academic, athletic and social demands. Collegiate athletics departments are well positioned to facilitate better sleep culture for their athletes. Recognising the lack of evid...
Published on May 16, 2019in British Journal of Sports Medicine 11.64
Leslie Swartz37
Estimated H-index: 37
(Stellenbosch University),
Xanthe Hunt4
Estimated H-index: 4
(Stellenbosch University)
+ 2 AuthorsClaudia L. Reardon11
Estimated H-index: 11
(UW: University of Wisconsin-Madison)
Objectives This narrative review summarises the literature on the mental health of Paralympic athletes, explores possible reasons for the paucity of research in this area and suggests directions for future research. Methods A systematic search of PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, Scopus, and Cochrane databases was conducted using search terms related to disability, sport and mental health. Results The search yielded 665 publications. Of thes...
Published on May 16, 2019in British Journal of Sports Medicine 11.64
Brian Hainline15
Estimated H-index: 15
(Philippines National Collegiate Athletic Association),
Claudia L. Reardon11
Estimated H-index: 11
(UW: University of Wisconsin-Madison)
Mental health symptoms and disorders are ubiquitous in society and are too often underdiagnosed and undermanaged—or worse, ignored. We speak of mental health symptoms and disorders as if they are somehow separate from other ‘physical’ symptoms, injuries and illnesses. Mental health symptoms and disorders and other physical symptoms, injuries and illnesses are intertwined yet artificially separated by diagnostic criteria that perpetuate a mind–body dualism. This dualism ignores brain circuits and...
Simon M. Rice14
Estimated H-index: 14
(University of Melbourne),
Alexandra Parker22
Estimated H-index: 22
(University of Melbourne)
+ 7 AuthorsPatrick D. McGorry104
Estimated H-index: 104
(University of Melbourne)
There is growing interest in the area of elite athlete mental health, however brief, valid and reliable screening instruments designed to identify early indictors of athlete-specific distress and potential mental health symptoms are lacking. This study sought to develop a brief screening instrument for athlete populations – the Athlete Psychological Strain Questionnaire (APSQ) – and examine convergent, divergent and construct validity. A two-stage psychometric validation study was undertaken. Se...