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Int J Sports Med 2017; 38(11): 864-870
DOI: 10.1055/s-0043-114010
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

Symptoms Of Common Mental Disorders In Professional Rugby: An International Observational Descriptive Study

Vincent Gouttebarge
1   Academic Center for Evidence based Sports medicine (ACES), Academic Medical Center, Amsterdam, Netherlands
,
Phil Hopley
2   Division of Surgery, UCL, London, United Kingdom of Great Britain and Northern Ireland
,
Gino Kerkhoffs
3   Amsterdam Collaboration for Health & Safety in Sports (ACHSS), Academic Medical Center / VU University Medical Center, Amsterdam, Netherlands
,
Evert Verhagen
4   EMGO Institute, VU University Medical Centre, Amsterdam, Netherlands
,
Wayne Viljoen
5   South African Rugby Union (SARU), Cape Town, South Africa
,
Paul Wylleman
6   Vrije Universiteit Brussel, Brussels, Belgium
,
Mike I. Lambert
7   Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
› Institutsangaben
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accepted after revision 06. Mai 2017

Publikationsdatum:
11. September 2017 (online)

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Abstract

The aim of the study was to determine the prevalence of symptoms of common mental disorders among professional rugby players across countries. A cross-sectional analysis of the baseline questionnaires from an ongoing prospective cohort study was conducted. Nine national players’ associations and three rugby unions distributed questionnaires based on validated scales for assessing symptoms of common mental disorders. Among the whole study sample (N=990; overall response rate of 28%), prevalence (4-week) of symptoms of common mental disorders ranged from 15% for adverse alcohol use to 30% for anxiety/depression. These findings support the prevalence rates of symptoms of common mental disorders found in previous studies among professional (i. e., elite) athletes across other sports, and suggestions can be made that the prevalence of symptoms of anxiety/depression seems slightly higher in professional rugby than in other general/occupational populations. Awareness of the prevalence of symptoms of common mental disorders should be improved in international rugby, and an interdisciplinary approach including psychological attention should be fostered in the medical care of professional rugby players. Adequate supportive measures to enhance awareness and psychological resilience would lead not only to improved health and quality of life among rugby players but arguably to enhanced performance in rugby.

 

  • References

  • 1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: Am Psychiat Press; 2013: 43
    Google Scholar
  • 2 Arnold R, Fletcher D. A research synthesis and taxonomic classification of the organizational stressors encountered by sport performers. J Sport Exerc Psychol 2012; 34: 397-429
    CrossrefPubMedGoogle Scholar
  • 3 Braam C, van Oostrom SH, Terluin B, Vasse R, de Vet HC, Anema JR. Validation of a distress screener. J Occup Rehab 2009; 19: 231-237
    CrossrefPubMedGoogle Scholar
  • 4 Brown JC, Lambert MI, Verhagen E, Readhead C, van Mechelen W, Viljoen W. The incidence of rugby-related catastrophic injuries (including cardiac events) in South Africa from 2008 to 2011: a cohort study. BMJ Open 2013; 3: e002475
    CrossrefPubMedGoogle Scholar
  • 5 Bültmann U, Kant I, Kasl SV. Fatigue and psychological distress in the working population: psychometrics, prevalence, and correlates. J Psychosom Res 2002; 52: 445-452
    CrossrefPubMedGoogle Scholar
  • 6 Buysse DJ, Yu L, Moul DE, Germain A, Stover A, Dodds NE, Johnston KL, Shablesky-Cade MA, Pilkonis PA. Development and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairments. Sleep 2010; 33: 781-792
    CrossrefPubMedGoogle Scholar
  • 7 Cotton M, Ball C, Robinson P. Four simple questions can help screen for eating disorders. J Gen Intern Med 2003; 18: 53-56
    CrossrefPubMedGoogle Scholar
  • 8 Dawson DA, Grant BF, Stinson FS, Zhou Y. Effectiveness of the derived alcohol use disorders identification test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the general population. Alcohol Clin Exp Res 2005; 29: 844-854
    CrossrefPubMedGoogle Scholar
  • 9 De Meneses-Gaya C, Waldo Zuardi A, Loureiro SR, Crippa JAS. Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychol Neurosci 2009; 2: 83-97
    CrossrefPubMedGoogle Scholar
  • 10 Fuller CW, Sheerin K, Targett S. Rugby World Cup 2011: International rugby board injury surveillance study. Br J Sports Med 2013; 47: 1184-1191
    Google Scholar
  • 11 Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997; 27: 191-197
    CrossrefPubMedGoogle Scholar
  • 12 Gouttebarge V, Aoki H, Kerkhoffs G. Symptoms of common mental disorders and adverse health behaviours in male professional soccer players. J Hum Kinet 2015; 49: 277-286
    CrossrefPubMedGoogle Scholar
  • 13 Gouttebarge V, Backx F, Aoki H, Kerkhoffs G. Symptoms of common mental disorders in professional football (soccer) across five European countries. J Sports Sci Med 2015; 14: 811-818
    PubMedGoogle Scholar
  • 14 Gouttebarge V, Frings-Dresen MHW, Sluiter JK. Mental and psychosocial health among current and former professional football players. Occup Med 2015; 65: 190-196
    CrossrefPubMedGoogle Scholar
  • 15 Gouttebarge V, Aoki H, Ekstrand J, Verhagen E, Kerkhoffs G. Are severe joint and muscle injuries related to symptoms of common mental disorders among male European professional footballers?. Knee Surg Sports Traumatol Arthrosc 2016; 24: 3934-3942
    CrossrefPubMedGoogle Scholar
  • 16 Gouttebarge V, Jonkers R, Moen M, Verhagen E, Wyllemanf P, Kerkhoffs G. The prevalence and risk indicators of symptoms of common mental disorders among current and former Dutch elite athletes. J Sports Sci 2016; DOI: org/10.1080/02640414.2016.1258485.
    PubMedGoogle Scholar
  • 17 Gouttebarge V, Kerkhoffs G, Lambert M. Prevalence and determinants of symptoms of common mental disorders in retired professional Rugby Union players. Eur J Sport Sci 2016; 16: 595-602
    CrossrefPubMedGoogle Scholar
  • 18 Gouttebarge V, Tol J, Kerkhoffs G. Epidemiology of symptoms of common mental disorders among elite Gaelic athletes: A prospective cohort study. Phys Sportsmed 2016; 44: 283-289
    CrossrefPubMedGoogle Scholar
  • 19 Gulliver A, Griffiths KM, Mackinnon A, Batterham PJ, Stanimirovic R. The mental health of Australian elite athletes. J Sci Med Sport 2015; 18: 255-261
    CrossrefPubMedGoogle Scholar
  • 20 Harriss DJ, Atkinson G. Ethical standards in sports and exercise science research: 2016 update. Int J Sports Med 2015; 36: 1121-1124
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 21 Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, Bedirhan Üstün TB, Wang PS. The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys. Epidemiologia e Psichiatria Sociale 2009; 18: 23-33
    CrossrefPubMedGoogle Scholar
  • 22 King M, Nazareth I, Levy G, Walker C, Morris R, Weich S, Bellón-Saameño JA, Moreno B, Svab I, Rotar D, Rifel J, Maaroos HI, Aluoja A, Kalda R, Neeleman J, Geerlings MI, Xavier M, de Almeida MC, Correa B, Torres-Gonzales F. Prevalence of common mental disorders in general practice attendees across Europe. Br J Psychia 2008; 192: 362-367
    PubMedGoogle Scholar
  • 23 Korten A, Henderson S. The Australian national survey of mental health and well-being. Br J Psychiatry 2000; 177: 325-330
    CrossrefPubMedGoogle Scholar
  • 24 Krueger RF, Caspi A, Moffit TE, Silva PA. The structure and stability of common mental disorders (DSM-III-R): A longitudinal – epidemiological study. J Abnorm Psychol 1998; 107: 216-227
    CrossrefPubMedGoogle Scholar
  • 25 Salama-Younes M, Montazeri A, Ismaïl A, Roncin C. Factor structure and internal consistency of the 12-item General Health Questionnaire (GHQ-12) and the Subjective Vitality Scale (VS), and the relationship between them: A study from France. Health Qual Life Outcomes 2009; 7: 22
    CrossrefPubMedGoogle Scholar
  • 26 Schaal K, Tafflet M, Nassif H, Thibault V, Pichard C, Alcotte M, Guillet T, El Helou N, Berthelot G, Simon S, Toussaint JF. Psychological balance in high level athletes: Gender-based differences and sport-specific patterns. PLOS One 2011; 6: e19007
    CrossrefPubMedGoogle Scholar
  • 27 Schuring N, Kerkhoffs G, Gray J, Gouttebarge V. The Federation of International Cricketers’ Associations (FICA) and players’ mental wellbeing: a pilot-study in South Africa. Under review.
    PubMed
  • 28 Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, Silove D. The global prevalence of common mental disorders: A systematic review and meta-analysis 1980–2013. Int J Epidemiol 2014; 2: 476-493
    PubMedGoogle Scholar
  • 29 Tedstone Doherty D, Moran R, Kartalova-O’Doherty Y. Psychological distress, mental health problems and use of health services in Ireland. HRB Research Series 5. Dublin: Health Research Board; 2008
    Google Scholar
  • 30 Terluin B, Van Marwijk HWJ, Adèr HJ, de Vet HC, Penninx BW, Hermens ML, van Boeijen CA, van Balkom AJ, van der Klink JJ, Stalman WA. The Four-Dimensional Symptom Questionnaire (4DSQ): A validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry 2006; 6: 34
    CrossrefPubMedGoogle Scholar
  • 31 Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M. STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). Epidemiol 2007; 18: 805-835
    CrossrefPubMedGoogle Scholar
  • 32 Verhaak PF, Hoeymans N, Garssen AA, Westert GP. Mental health in the Dutch population and in general practice: 1987–2001. Br J Gen Pract 2005; 519: 770-775
    PubMedGoogle Scholar
  • 33 Williams S, Trewartha G, Kemp S, Stokes K. A meta-analysis of injuries in senior men’s professional Rugby Union. Sports Med 2013; 43: 1043-1055
    CrossrefPubMedGoogle Scholar
  • 34 Woodward M. Epidemiology. Study design and data analysis. 3rd ed. Boca Raton, FL: CRC Press; 2013: 11
    Google Scholar
  • 35 World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA 2013; 310: 2191-2194
    CrossrefPubMedGoogle Scholar
  • 36 Wylleman P, Rosier N, De Knop P. Transitional challenges and elite athletes’ mental health. In: Baker J, Safai P, Fraser-Thomas J. (eds) Health and Elite Sport. Is High Performance Sport a Healthy Pursuit?. Oxon: Routledge; 2015: 99-116
    Google Scholar
  • 37 Yu L, Buysse DJ, Germain A, Moul DE, Stover A, Dodds NE, Johnston KL, Pilkonis PA. Development of short forms from the PROMIS sleep disturbance and sleep-related impairment item banks. Behav Sleep Med 2011; 28: 6-24
    PubMedGoogle Scholar