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Mental health symptom burden in elite ice hockey players and its association with self-reported concussive events

Andersson, Mitchell LU orcid ; Kenttä, Göran ; Claesdotter-Knutsson, Emma LU and Håkansson, Anders C LU (2024) In BMC Sports Science, Medicine and Rehabilitation 16. p.1-14
Abstract
Some studies suggest that elite athletes experience adverse mental health symptoms at rates commensurate with the general population, despite the well-established buffering effects of exercise. Within contact sports, such as ice-hockey, recurrent concussions may be a source of this discrepancy. We compared the point prevalence of various mental health outcomes with other athlete and general population samples, as well as investigated their relationship with concussive events.

Methods
We surveyed 648 active ice hockey players from the top two men’s tiers and the top women’s tier in Swedish elite ice hockey on lifetime concussive events, hazardous alcohol use, problematic social media use, depression, anxiety, and... (More)
Some studies suggest that elite athletes experience adverse mental health symptoms at rates commensurate with the general population, despite the well-established buffering effects of exercise. Within contact sports, such as ice-hockey, recurrent concussions may be a source of this discrepancy. We compared the point prevalence of various mental health outcomes with other athlete and general population samples, as well as investigated their relationship with concussive events.

Methods
We surveyed 648 active ice hockey players from the top two men’s tiers and the top women’s tier in Swedish elite ice hockey on lifetime concussive events, hazardous alcohol use, problematic social media use, depression, anxiety, and burnout.

Results
Hazardous alcohol use was more prevalent among male ice hockey players (29.5% AUDIT-C ≥ 6) compared to other athlete and general population samples, while other mental health symptoms were less common. Female ice hockey players reported higher hazardous alcohol consumption (36.4% AUDIT-C ≥ 4) than another athlete sample and more burnout (19.1%) than the general population. After adjusting for covariates, athletes with 3+ concussive events had 2.1 times the odds of elevated depressive symptoms and 3.5 times the odds of elevated burnout symptoms compared to those with no concussion history. Treating lifetime concussive events as a continuous predictor revealed positive correlations with all outcomes except for hazardous alcohol use.

Conclusions
Mental health outcome rates among active elite ice hockey athletes differ from those of other athlete and general population samples, whilst concussive events may be particularly linked to elevated symptoms of depression and burnout. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Sports Science, Medicine and Rehabilitation
volume
16
article number
197
pages
1 - 14
publisher
BioMed Central (BMC)
external identifiers
  • pmid:39313839
ISSN
2052-1847
DOI
10.1186/s13102-024-00989-0
project
Risk Factors and Prevalence of Mental Health Symptoms in Athlete Populations
language
English
LU publication?
yes
id
b22b027c-09c8-411e-a62f-d478e89966a5
date added to LUP
2024-09-25 12:52:15
date last changed
2024-09-26 03:00:02
@article{b22b027c-09c8-411e-a62f-d478e89966a5,
  abstract     = {{Some studies suggest that elite athletes experience adverse mental health symptoms at rates commensurate with the general population, despite the well-established buffering effects of exercise. Within contact sports, such as ice-hockey, recurrent concussions may be a source of this discrepancy. We compared the point prevalence of various mental health outcomes with other athlete and general population samples, as well as investigated their relationship with concussive events.<br/><br/>Methods<br/>We surveyed 648 active ice hockey players from the top two men’s tiers and the top women’s tier in Swedish elite ice hockey on lifetime concussive events, hazardous alcohol use, problematic social media use, depression, anxiety, and burnout.<br/><br/>Results<br/>Hazardous alcohol use was more prevalent among male ice hockey players (29.5% AUDIT-C ≥ 6) compared to other athlete and general population samples, while other mental health symptoms were less common. Female ice hockey players reported higher hazardous alcohol consumption (36.4% AUDIT-C ≥ 4) than another athlete sample and more burnout (19.1%) than the general population. After adjusting for covariates, athletes with 3+ concussive events had 2.1 times the odds of elevated depressive symptoms and 3.5 times the odds of elevated burnout symptoms compared to those with no concussion history. Treating lifetime concussive events as a continuous predictor revealed positive correlations with all outcomes except for hazardous alcohol use.<br/><br/>Conclusions<br/>Mental health outcome rates among active elite ice hockey athletes differ from those of other athlete and general population samples, whilst concussive events may be particularly linked to elevated symptoms of depression and burnout.}},
  author       = {{Andersson, Mitchell and Kenttä, Göran and Claesdotter-Knutsson, Emma and Håkansson, Anders C}},
  issn         = {{2052-1847}},
  language     = {{eng}},
  month        = {{09}},
  pages        = {{1--14}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Sports Science, Medicine and Rehabilitation}},
  title        = {{Mental health symptom burden in elite ice hockey players and its association with self-reported concussive events}},
  url          = {{http://dx.doi.org/10.1186/s13102-024-00989-0}},
  doi          = {{10.1186/s13102-024-00989-0}},
  volume       = {{16}},
  year         = {{2024}},
}