a Academic Center for Evidence based Sports medicine (ACES) , Academic Medical Center , Amsterdam , Netherlands.
b Department of Orthopaedic Surgery , Academic Medical Center , Amsterdam , Netherlands.
Eur J Sport Sci. 2018 Aug;18(7):1004-1012. doi: 10.1080/17461391.2018.1466914. Epub 2018 Apr 26.
The primary aims were to determine the 12-month incidence (and comorbidity) of symptoms of common mental disorders (CMD) among male professional rugby players and to explore their association with potential stressors. A secondary aim was to explore the view of male professional rugby players about the consequences of symptoms of CMD and related medical support/needs. An observational prospective cohort study with three measurements over a 12-month period was conducted among male professional rugby players from several countries. Symptoms of CMD (distress, anxiety/depression, sleep disturbance, eating disorders and adverse alcohol use) and stressors (adverse life events, rugby career dissatisfaction) were assessed through validated questionnaires. A total of 595 players (mean age of 26 years; mean career duration of 6 years) were enrolled, of which 333 completed the follow-up period. The incidence of symptoms of CMD were: 11% for distress, 28% for anxiety/depression, 12% for sleep disturbance, 11% for eating disorders and 22% for adverse alcohol use (13% for two simultaneous symptoms of CMD). Professional rugby players reporting recent adverse life events or career dissatisfaction were more likely to report symptoms of CMD but statistically significant associations were not found. Around 95% of the participants stated that symptoms of CMD can negatively influence rugby performances, while 46% mentioned that specific support measures for players were not available in professional rugby. Supportive and preventive measures directed towards symptoms of CMD should be developed to improve not only awareness and psychological resilience of rugby players but also their rugby performance and quality-of-life.
主要目的是确定男性职业橄榄球员常见心理障碍（CMD）症状的 12 个月发病率（和共病率），并探讨其与潜在应激源的关系。次要目的是探讨男性职业橄榄球员对 CMD 症状及其相关医疗支持/需求的后果的看法。一项为期 12 个月的观察性前瞻性队列研究，在来自多个国家的男性职业橄榄球员中进行了三次测量。通过验证问卷评估了 CMD 症状（痛苦、焦虑/抑郁、睡眠障碍、饮食障碍和不良酒精使用）和应激源（不良生活事件、橄榄球生涯不满）。共有 595 名球员（平均年龄 26 岁；平均职业生涯 6 年）入组，其中 333 名完成了随访期。CMD 症状的发病率为：痛苦 11%，焦虑/抑郁 28%，睡眠障碍 12%，饮食障碍 11%，不良酒精使用 22%（CMD 同时出现两种症状 13%）。报告近期不良生活事件或职业不满的职业橄榄球员更有可能报告 CMD 症状，但未发现统计学显著关联。约 95%的参与者表示 CMD 症状会对橄榄球表现产生负面影响，而 46%的参与者表示职业橄榄球中没有为球员提供特定的支持措施。应制定针对 CMD 症状的支持性和预防性措施，以提高橄榄球运动员的意识和心理韧性，提高他们的橄榄球表现和生活质量。
