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全身心投入比赛!:运用生物心理社会结构框架对影响大学生运动员心理健康的因素进行综述。

Get your Head in the Game!: A Review of Factors that Impact Collegiate Student-Athlete Mental Health Using a Biopsychosocial-Structural Framework.

作者信息

Roberts Catherine E, Oseni Dolapo A, Bohle-Frankel Bettina, Reardon Claudia L

机构信息

Counseling and Psychological Services, Northwestern University, 633 Emerson Street, Evanston, IL, 60208, USA.

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, USA.

出版信息

Curr Psychiatry Rep. 2025 May;27(5):326-336. doi: 10.1007/s11920-025-01598-5. Epub 2025 Apr 3.

DOI:10.1007/s11920-025-01598-5
PMID:40175841
Abstract

PURPOSE OF REVIEW

Over 500,000 college students compete in the three divisions of the National Collegiate Athletic Association (NCAA) each year. The rates of most mental health issues among collegiate student-athletes approximate the rates among non-athlete college students. In recent years, greater attention has been given to recognizing and treating the mental health concerns of student-athletes. This paper examines some of the specific mental health considerations that may arise when working with student-athletes.

RECENT FINDINGS

Using a biopsychosocial-structural framework, we were able to identify several broad categories of factors that influence the mental health of student-athletes. Within those categories we identified specific diagnoses (such as physical injury), life events (such as early retirement from sport), ways of thinking (including stigma against mental health treatment), and external influences (such as racism and sexism) that impact the mental health of student-athletes. Mental health concerns among college students are common. When working with student-athletes, there are biopsychosocial-structural factors that affect the mental health of student-athletes in unique ways compared to their non-athlete college student counterparts.

摘要

综述目的

每年有超过50万名大学生参加美国全国大学生体育协会(NCAA)的三个组别比赛。大学生运动员中大多数心理健康问题的发生率与非运动员大学生相近。近年来,人们越来越重视认识和治疗学生运动员的心理健康问题。本文探讨了在与学生运动员合作时可能出现的一些具体心理健康问题。

最新研究结果

使用生物心理社会结构框架,我们能够确定影响学生运动员心理健康的几大类因素。在这些类别中,我们确定了具体诊断(如身体损伤)、生活事件(如提前结束运动生涯)、思维方式(包括对心理健康治疗的污名化)以及外部影响(如种族主义和性别歧视),这些都会影响学生运动员的心理健康。大学生的心理健康问题很常见。与非运动员大学生相比,在与学生运动员合作时,存在一些生物心理社会结构因素以独特方式影响他们的心理健康。

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本文引用的文献

1
Suicide in National Collegiate Athletic Association athletes: a 20-year analysis.美国大学生体育协会运动员中的自杀情况:一项为期20年的分析。
Br J Sports Med. 2024 May 2;58(10):531-537. doi: 10.1136/bjsports-2023-107509.
2
The social determinants of mental health and disorder: evidence, prevention and recommendations.心理健康与障碍的社会决定因素:证据、预防与建议。
World Psychiatry. 2024 Feb;23(1):58-90. doi: 10.1002/wps.21160.
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Anxiety Disorders in Athletes.运动员焦虑障碍。
Clin Sports Med. 2024 Jan;43(1):33-52. doi: 10.1016/j.csm.2023.06.002. Epub 2023 Jul 11.
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Eating Disorder Risk and Pathogenic Behaviors Among Collegiate Student-Athletes.大学生运动员的饮食障碍风险和致病行为。
J Athl Train. 2023 Oct 1;58(10):803-812. doi: 10.4085/1062-6050-0539.22.
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Trends in Collegiate Student-Athlete Mental Health in the National College Health Assessment, 2011-2019.2011-2019 年全国大学生健康评估中大学生运动员心理健康趋势。
J Athl Train. 2023 Apr 1;58(4):361-373. doi: 10.4085/1062-6050-0586.21.
6
Team Cohesion in Individual/Team Sports Athletes: Transformational Leadership and the Role of Social norms.个人/团队运动运动员的团队凝聚力:变革型领导与社会规范的作用
Healthcare (Basel). 2023 Mar 8;11(6):792. doi: 10.3390/healthcare11060792.
7
Improving inclusion and well-being of trans and gender nonconforming collegiate student-athletes: foundational concepts from the National Collegiate Athletic Association Summit on Gender Identity and Student-Athlete Participation.提高跨性别和性别不一致的大学生运动员的包容性和幸福感:来自全国大学生体育协会性别认同和学生运动员参与问题峰会的基础概念。
Br J Sports Med. 2023 May;57(10):564-570. doi: 10.1136/bjsports-2022-106392. Epub 2023 Mar 20.
8
The Mental Health of Athletes: Recreational to Elite.运动员的心理健康:从休闲到精英。
Curr Sports Med Rep. 2021 Dec 1;20(12):631-637. doi: 10.1249/JSR.0000000000000916.
9
Social Determinants of Health: Considerations for Athletic Health Care.社会决定因素与健康:运动员健康照护相关考量。
J Athl Train. 2022 Jun 1;57(6):521-531. doi: 10.4085/1062-6050-0010.21.
10
Depression Assessment: Challenges and Treatment Strategies in the Athlete.运动员的抑郁评估:挑战与治疗策略。
Psychiatr Clin North Am. 2021 Sep;44(3):381-392. doi: 10.1016/j.psc.2021.04.011. Epub 2021 Jul 6.