Department of Kinesiology and Health, Wright State University, Fairborn, OH.
J Athl Train. 2023 Sep 1;58(9):722-732. doi: 10.4085/1062-6050-0334.22.
Increased attention continues to be placed on best practices for assisting student-athletes who show symptoms of a mental health illness. One of the most common mental health concerns for student-athletes is feeling overwhelmed or anxious. Early recognition of these symptoms can help student-athletes find early intervention.
To elucidate specific attributes associated with an increased likelihood of anxiety symptoms and treatment avoidance to help athletic trainers and other practitioners better identify and assist high-risk individuals.
Cross-sectional study.
Colleges and universities in the United States.
A total of 51 882 varsity athletes who completed the National College Health Assessment between 2011 and 2019.
MAIN OUTCOME MEASURE(S): Survey responses (self-report) to questions related to anxiety symptoms and disorders cross-sectioned into 9 predictors: year in school, gender, sexual orientation, race and ethnicity, international student status, school type, received information on stress reduction or depression or anxiety, anxiety about impeding academic performance, and history of mental health treatment in the last year.
More than three-fourths (82.9%, n = 43 016) of student-athletes reported feeling overwhelmed because of all that they had to do in their daily activities, whereas only half (47.5%, n = 24 645) of student-athletes described overwhelming anxiety as a symptom. Gender, sexual orientation, race and ethnicity, school type, and previous mental health treatment had large effects on these 2 symptoms. However, of the student-athletes who reported overwhelming anxiety as a symptom, only one-fourth (22.9%, n = 5649) indicated they received a diagnosis of anxiety with or without treatment.
Factors such as the year in school and availability of mental health information appeared to have little effect on the experience of anxiety-related symptoms and the propensity to seek treatment. However, other factors, including gender, sexual orientation, race and ethnicity, school type, and previous mental health treatment, did have important effects. Our study provides additional evidence that the stresses placed on collegiate student-athletes frequently led to feelings of being overwhelmed and, eventually, anxiety disorder diagnoses. However, most student-athletes experiencing anxiety-related symptoms still did not seek a diagnosis with or without treatment.
人们越来越关注协助出现心理健康问题的运动员的最佳实践。运动员最常见的心理健康问题之一是感到不知所措或焦虑。早期识别这些症状可以帮助运动员寻求早期干预。
阐明与焦虑症状和治疗回避的可能性增加相关的具体特征，以帮助运动训练员和其他从业者更好地识别和帮助高风险人群。
横断面研究。
美国的学院和大学。
2011 年至 2019 年间完成国家大学生健康评估的共有 51882 名大学运动员。
与焦虑症状和障碍相关的调查回答（自我报告）分为 9 个预测因素：在校年数、性别、性取向、种族和民族、国际学生身份、学校类型、接受关于减压或抑郁或焦虑的信息、对影响学业成绩的焦虑、以及去年的心理健康治疗史。
超过四分之三（82.9%，n=43016）的运动员报告说，由于他们在日常活动中必须做的所有事情，他们感到不知所措，而只有一半（47.5%，n=24645）的运动员将压倒性的焦虑描述为一种症状。性别、性取向、种族和民族、学校类型以及以前的心理健康治疗对这 2 种症状都有很大的影响。然而，在报告压倒性焦虑作为症状的运动员中，只有四分之一（22.9%，n=5649）表示他们接受了焦虑症的诊断，无论是否接受治疗。
在校年数和心理健康信息的可用性等因素似乎对与焦虑相关的症状的体验和寻求治疗的倾向几乎没有影响。然而，其他因素，包括性别、性取向、种族和民族、学校类型和以前的心理健康治疗，确实有重要影响。我们的研究提供了更多证据表明，大学生运动员所承受的压力经常导致他们感到不知所措，最终导致焦虑症的诊断。然而，大多数经历与焦虑相关的症状的运动员仍然没有寻求诊断，无论是否接受治疗。
