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

Åkesdotter, Cecilia (author)
Karolinska Institute,Swedish School of Sport and Health Sciences,Karolinska Institutet,Gymnastik- och idrottshögskolan,Institutionen för fysiologi, nutrition och biomekanik,Karolinska Inst, Clin Neurosci, Stockholm, Sweden
Kenttä, Göran, 1965- (author)
Swedish School of Sport and Health Sciences,Gymnastik- och idrottshögskolan,Institutionen för fysiologi, nutrition och biomekanik,Univ Ottawa, Sch Human Kinet, Ottawa, ON, Canada,University of Ottawa
Eloranta, Sandra (author)
Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Med Clin Epidemiol, Stockholm, Sweden
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Håkansson, Anders (author)
Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Clinical addiction research unit,Lund University Research Groups,Clinical Sports and Mental Health Unit
Franck, Johan (author)
Karolinska Institute,Karolinska Institutet,Karolinska Inst, Clin Neurosci, Stockholm, Sweden
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 (creator_code:org_t)
2022-03-29
2022
English.
In: BMJ Open Sport & Exercise Medicine. - : BMJ Publishing Group Ltd. - 2398-9459 .- 2055-7647. ; 8:1
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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 Malmo, 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)

Keyword

anxiety
depression
eating disorders
psychiatry
stress
EATING-DISORDERS
MENTAL-HEALTH
SYMPTOMS
SPORT
Medicin/Teknik
Medicine/Technology
anxiety
depression
eating disorders
psychiatry
stress

Publication and Content Type

ref (subject category)
art (subject category)

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