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Prevalence and comorbidity of psychiatric disorders among treatment-seeking elite athletes and high-performance coaches

Åkesdotter, Cecilia ; Kenttä, Göran ; Eloranta, Sandra ; Håkansson, Anders LU and Franck, Johan (2022) In BMJ Open Sport and Exercise Medicine 8(1).
Abstract

Objectives Few studies have evaluated the prevalence of psychiatric disorders among treatment-seeking elite athletes (EA) or high-performance coaches (HPC) in psychiatric outpatient settings. Methods Descriptive overview of EA and HPC with psychiatric disorders at two publicly funded psychiatric outpatient treatment clinics in Stockholm and Malmö, Sweden. Co-occurring psychiatric disorders were illustrated using Venn diagrams for EA and HPC, and male and female EA separately, among patients from the Stockholm clinic (SC) that used standardised diagnostic interviews. Results Overall, most patients were EA (n=221) compared with HPC (n=34). The mean age was 23.5 (±5.9) years for EA and 42.8 (±8.8) for HPC. Anxiety disorders were most... (More)

Objectives Few studies have evaluated the prevalence of psychiatric disorders among treatment-seeking elite athletes (EA) or high-performance coaches (HPC) in psychiatric outpatient settings. Methods Descriptive overview of EA and HPC with psychiatric disorders at two publicly funded psychiatric outpatient treatment clinics in Stockholm and Malmö, Sweden. Co-occurring psychiatric disorders were illustrated using Venn diagrams for EA and HPC, and male and female EA separately, among patients from the Stockholm clinic (SC) that used standardised diagnostic interviews. Results Overall, most patients were EA (n=221) compared with HPC (n=34). The mean age was 23.5 (±5.9) years for EA and 42.8 (±8.8) for HPC. Anxiety disorders were most common at the SC in EA and HPC (69% vs 91%, respectively). Stress-related disorders were found in 72% of HPC compared with 25% of EA. Affective disorders were found in 51% of EA and 52% of HPC. Eating disorders were common among EA (26%), especially females (37%). Substance use disorders were found in 17% of HPC. Comorbidity was generally common between affective and anxiety disorders. Conclusion Stress and adjustment disorders were found in nearly three of the four HPC compared with one in four EA. Eating disorders were prevalent in around one in four athletes and about one in six HPC had a substance use disorder.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anxiety, depression, eating disorders, psychiatry, stress
in
BMJ Open Sport and Exercise Medicine
volume
8
issue
1
article number
001264
publisher
BMJ Publishing Group
external identifiers
  • scopus:85137734104
  • pmid:35444812
ISSN
2055-7647
DOI
10.1136/bmjsem-2021-001264
language
English
LU publication?
yes
additional info
Funding Information: The study was funded by the Swedish School of Sport and Health Sciences and Region Stockholm. Publisher Copyright: © 2022 BMJ Publishing Group. All rights reserved.
id
e79d653e-fa9e-4765-8406-da90ff45109f
date added to LUP
2022-12-30 13:17:11
date last changed
2024-06-11 08:27:56
@article{e79d653e-fa9e-4765-8406-da90ff45109f,
  abstract     = {{<p>Objectives Few studies have evaluated the prevalence of psychiatric disorders among treatment-seeking elite athletes (EA) or high-performance coaches (HPC) in psychiatric outpatient settings. Methods Descriptive overview of EA and HPC with psychiatric disorders at two publicly funded psychiatric outpatient treatment clinics in Stockholm and Malmö, Sweden. Co-occurring psychiatric disorders were illustrated using Venn diagrams for EA and HPC, and male and female EA separately, among patients from the Stockholm clinic (SC) that used standardised diagnostic interviews. Results Overall, most patients were EA (n=221) compared with HPC (n=34). The mean age was 23.5 (±5.9) years for EA and 42.8 (±8.8) for HPC. Anxiety disorders were most common at the SC in EA and HPC (69% vs 91%, respectively). Stress-related disorders were found in 72% of HPC compared with 25% of EA. Affective disorders were found in 51% of EA and 52% of HPC. Eating disorders were common among EA (26%), especially females (37%). Substance use disorders were found in 17% of HPC. Comorbidity was generally common between affective and anxiety disorders. Conclusion Stress and adjustment disorders were found in nearly three of the four HPC compared with one in four EA. Eating disorders were prevalent in around one in four athletes and about one in six HPC had a substance use disorder.</p>}},
  author       = {{Åkesdotter, Cecilia and Kenttä, Göran and Eloranta, Sandra and Håkansson, Anders and Franck, Johan}},
  issn         = {{2055-7647}},
  keywords     = {{anxiety; depression; eating disorders; psychiatry; stress}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{1}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open Sport and Exercise Medicine}},
  title        = {{Prevalence and comorbidity of psychiatric disorders among treatment-seeking elite athletes and high-performance coaches}},
  url          = {{http://dx.doi.org/10.1136/bmjsem-2021-001264}},
  doi          = {{10.1136/bmjsem-2021-001264}},
  volume       = {{8}},
  year         = {{2022}},
}