Du Preez Etienne J, Graham Kenneth S, Gan Thomas Y, Moses Bassam, Ball Chris, Kuah Donald E
*Australasian College of Sport and Exercise Physicians, Sydney, Australia; †Applied Research Program, New South Wales Institute of Sport, Sydney, Australia; ‡Narrabeen Sports Medicine Centre, Sydney, Australia; §Southern Cross Orthopaedic and Sports Clinic, Sydney, Australia; ¶Sports Clinic NQ, North Ward, Australia; and ‖Sydney Sports Medicine Centre, New South Wales Institute of Sport, Sydney, Australia.
Clin J Sport Med. 2017 Nov;27(6):530-535. doi: 10.1097/JSM.0000000000000411.
To assess the prevalence of symptoms of depression, anxiety, and rates of alcohol misuse in elite rugby league players in Australasia.
A cross-sectional, epidemiological study with repeated measures.
Surveys were conducted during the 2015 preseason and in-season.
Four hundred four elite rugby league players participated preseason and 278 players in-season.
Symptoms of depression were measured using the Patient Health Questionnaire-9 scale, symptoms of generalized anxiety disorder (GAD) with the GAD-7 scale, and the Alcohol Use Disorders Identification Test Consumption scale was used to assess hazardous alcohol use.
The overall prevalence of depression was 12.6% preseason and 10.1% in-season. Generalized anxiety disorder had a prevalence of 14.6% and 10.1% for these 2 periods. Overall, 68.6% of players had hazardous levels of alcohol use preseason, and 62.8% in-season. There was no significant difference for any of the main outcomes between the periods. Players with a history of mental illnesses had 5.62 greater odds (95% confidence interval [CI], 2.62-12.04) of depression than those without during preseason, and 22.08 greater odds (95% CI, 7.77-62.71) in-season. Players reporting ≥3 previous concussions had 2.02 greater odds (95% CI, 1.07-3.82) of depression than those reporting ≤2 in the preseason sample.
Rugby league players have a lower prevalence of depression compared with studies of the general population and other athletes, but a higher prevalence of GAD, and high rates of alcohol misuse. Clubs may consider implementing regular screening for these conditions. Further prospective research to determine causality of independent factors is required.
评估澳大拉西亚地区精英橄榄球联盟球员中抑郁症状、焦虑症状的患病率以及酒精滥用率。
一项采用重复测量的横断面流行病学研究。
调查在2015赛季季前赛和赛季中进行。
404名精英橄榄球联盟球员参与了季前赛，278名球员参与了赛季中调查。
使用患者健康问卷-9量表测量抑郁症状，使用广泛性焦虑障碍量表（GAD-7）测量广泛性焦虑症（GAD）症状，并使用酒精使用障碍识别测试消费量表评估有害酒精使用情况。
抑郁的总体患病率在季前赛为12.6%，赛季中为10.1%。这两个时期广泛性焦虑症的患病率分别为14.6%和10.1%。总体而言，68.6%的球员在季前赛时有有害水平的酒精使用，赛季中这一比例为62.8%。两个时期之间任何主要观察指标均无显著差异。有精神疾病史的球员在季前赛时患抑郁症的几率比无精神疾病史的球员高5.62倍（95%置信区间[CI]，2.62 - 12.04），在赛季中高22.08倍（95% CI，7.77 - 62.71）。在季前赛样本中，报告有≥3次既往脑震荡的球员患抑郁症的几率比报告≤2次的球员高2.02倍（95% CI，1.07 - 3.82）。
与普通人群和其他运动员的研究相比，橄榄球联盟球员的抑郁症患病率较低，但广泛性焦虑症患病率较高，且酒精滥用率较高。俱乐部可考虑对这些情况进行定期筛查。需要进一步开展前瞻性研究以确定独立因素的因果关系。
