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2017 年至 2021 年入学的一级大学运动员中的焦虑和抑郁患病率。

Anxiety and Depression Prevalence in Incoming Division I Collegiate Athletes From 2017 to 2021.

机构信息

Badger Athletic Performance, University of Wisconsin-Madison, Madison, Wisconsin.

Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin.

出版信息

Sports Health. 2024 Sep-Oct;16(5):776-782. doi: 10.1177/19417381231198537. Epub 2023 Sep 21.

DOI:10.1177/19417381231198537
PMID:37735922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346239/
Abstract

BACKGROUND

Young adults report increased rates of anxiety and depression than other age groups. Furthermore, young adult athletes experience additional stressors that may negatively impact their mental health. The aim of this study was to investigate the prevalence of anxiety and depression symptoms among Division I collegiate athletes and the influences of sex, sport type, and distance from home.

HYPOTHESIS

It was hypothesized that self-reported levels of anxiety and depression would increase among this population during this timeframe.

STUDY DESIGN

Cross-sectional.

LEVEL OF EVIDENCE

Level 3.

METHODS

Participants included 792 incoming Division I collegiate athletes. The Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scores were completed by all incoming student athletes at a single institution as part of their preparticipation examination over 5 years. Both survey scores were categorized into different levels of severity and separately compared with chi-square tests. Continuous scores were modeled separately using negative binomial regression models including year, sex, sport type, and home location as covariates.

RESULTS

Results showed consistent levels of anxiety and depression over time. Female athletes reported higher levels of both anxiety and depression than male athletes, and individual sport athletes reported higher levels of depression than team sport athletes. Distance from home was not associated with anxiety or depression levels.

CONCLUSION

Overall, levels of anxiety and depression did not change in this population over this time period. However, differences in anxiety and depression were seen between sexes and depression between sport types.

CLINICAL RELEVANCE

Understanding anxiety and depression risk factors among collegiate athletes can enhance early identification and intervention to improve mental health and allow for better allocation of resources to at-risk groups among Division I collegiate athletes.

摘要

背景

年轻人比其他年龄段的人报告有更高的焦虑和抑郁发生率。此外,年轻的成年运动员面临额外的压力源,这些压力源可能对他们的心理健康产生负面影响。本研究的目的是调查一级大学生运动员中焦虑和抑郁症状的发生率,以及性别、运动类型和离家距离的影响。

假设

在这段时间内,该人群中自我报告的焦虑和抑郁水平会增加。

研究设计

横断面研究。

证据水平

3 级。

方法

参与者包括 792 名即将进入一级大学的运动员。在 5 年内,作为其参赛前检查的一部分,所有即将入学的学生运动员都在一个机构完成了一般焦虑障碍-7 项(GAD-7)和患者健康问卷-9 项(PHQ-9)评分。这两个调查评分都分为不同的严重程度,并分别与卡方检验进行比较。使用负二项回归模型分别对连续评分进行建模,将年份、性别、运动类型和家庭位置作为协变量。

结果

结果表明,焦虑和抑郁水平随时间保持一致。女运动员报告的焦虑和抑郁水平均高于男运动员,而个人运动运动员报告的抑郁水平高于团队运动运动员。离家距离与焦虑或抑郁水平无关。

结论

总体而言,在这段时间内,该人群的焦虑和抑郁水平没有变化。然而,在性别之间和运动类型之间存在焦虑和抑郁的差异。

临床相关性

了解大学生运动员的焦虑和抑郁风险因素可以增强早期识别和干预,以改善心理健康,并为一级大学生运动员中的高危群体更好地分配资源。

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