Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis

Vincent Gouttebarge, João Mauricio Castaldelli-Maia, Paul Gorczynski, Brian Hainline, Mary E. Hitchcock, Gino M. Kerkhoffs, Simon M. Rice, Claudia L. Reardon

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

Objectives To present an overview of the existing epidemiological evidence regarding the occurrence of mental health symptoms and disorders among current and former elite athletes. Design Systematic review and meta-analysis. Data sources Five electronic databases were searched from inception to November 2018: PubMed (MEDLINE), SportDiscus via EBSCO, PSycINFO via ProQuest, Scopus and Cochrane. Eligibility criteria for selecting studies We included original quantitative studies that were written in English, were conducted exclusively among current or former elite athletes, and presented incidence or prevalence rates of symptoms of mental disorders. Results Twenty-two relevant original studies about mental health symptoms and disorders among current elite athletes were included: they presented data especially on symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 2895 to 5555 current elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression. Fifteen relevant original studies about mental health symptoms and disorders among former elite athletes were included: they similarly presented data especially about symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 1579 to 1686 former elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 16% for distress to 26% for anxiety/depression. Conclusions Our meta-analyses showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression for current elite athletes, and from 16% for distress to 26% for anxiety/depression for former elite athletes.
Original languageEnglish
Pages (from-to)700-706
JournalBritish journal of sports medicine
Volume53
Issue number11
DOIs
Publication statusPublished - 2019

Cite this

Gouttebarge, Vincent ; Castaldelli-Maia, João Mauricio ; Gorczynski, Paul ; Hainline, Brian ; Hitchcock, Mary E. ; Kerkhoffs, Gino M. ; Rice, Simon M. ; Reardon, Claudia L. / Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis. In: British journal of sports medicine. 2019 ; Vol. 53, No. 11. pp. 700-706.
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title = "Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis",
abstract = "Objectives To present an overview of the existing epidemiological evidence regarding the occurrence of mental health symptoms and disorders among current and former elite athletes. Design Systematic review and meta-analysis. Data sources Five electronic databases were searched from inception to November 2018: PubMed (MEDLINE), SportDiscus via EBSCO, PSycINFO via ProQuest, Scopus and Cochrane. Eligibility criteria for selecting studies We included original quantitative studies that were written in English, were conducted exclusively among current or former elite athletes, and presented incidence or prevalence rates of symptoms of mental disorders. Results Twenty-two relevant original studies about mental health symptoms and disorders among current elite athletes were included: they presented data especially on symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 2895 to 5555 current elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 19{\%} for alcohol misuse to 34{\%} for anxiety/depression. Fifteen relevant original studies about mental health symptoms and disorders among former elite athletes were included: they similarly presented data especially about symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 1579 to 1686 former elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 16{\%} for distress to 26{\%} for anxiety/depression. Conclusions Our meta-analyses showed that the prevalence of mental health symptoms and disorders ranged from 19{\%} for alcohol misuse to 34{\%} for anxiety/depression for current elite athletes, and from 16{\%} for distress to 26{\%} for anxiety/depression for former elite athletes.",
author = "Vincent Gouttebarge and Castaldelli-Maia, {Jo{\~a}o Mauricio} and Paul Gorczynski and Brian Hainline and Hitchcock, {Mary E.} and Kerkhoffs, {Gino M.} and Rice, {Simon M.} and Reardon, {Claudia L.}",
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Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis. / Gouttebarge, Vincent; Castaldelli-Maia, João Mauricio; Gorczynski, Paul; Hainline, Brian; Hitchcock, Mary E.; Kerkhoffs, Gino M.; Rice, Simon M.; Reardon, Claudia L.

In: British journal of sports medicine, Vol. 53, No. 11, 2019, p. 700-706.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis

AU - Gouttebarge, Vincent

AU - Castaldelli-Maia, João Mauricio

AU - Gorczynski, Paul

AU - Hainline, Brian

AU - Hitchcock, Mary E.

AU - Kerkhoffs, Gino M.

AU - Rice, Simon M.

AU - Reardon, Claudia L.

PY - 2019

Y1 - 2019

N2 - Objectives To present an overview of the existing epidemiological evidence regarding the occurrence of mental health symptoms and disorders among current and former elite athletes. Design Systematic review and meta-analysis. Data sources Five electronic databases were searched from inception to November 2018: PubMed (MEDLINE), SportDiscus via EBSCO, PSycINFO via ProQuest, Scopus and Cochrane. Eligibility criteria for selecting studies We included original quantitative studies that were written in English, were conducted exclusively among current or former elite athletes, and presented incidence or prevalence rates of symptoms of mental disorders. Results Twenty-two relevant original studies about mental health symptoms and disorders among current elite athletes were included: they presented data especially on symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 2895 to 5555 current elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression. Fifteen relevant original studies about mental health symptoms and disorders among former elite athletes were included: they similarly presented data especially about symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 1579 to 1686 former elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 16% for distress to 26% for anxiety/depression. Conclusions Our meta-analyses showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression for current elite athletes, and from 16% for distress to 26% for anxiety/depression for former elite athletes.

AB - Objectives To present an overview of the existing epidemiological evidence regarding the occurrence of mental health symptoms and disorders among current and former elite athletes. Design Systematic review and meta-analysis. Data sources Five electronic databases were searched from inception to November 2018: PubMed (MEDLINE), SportDiscus via EBSCO, PSycINFO via ProQuest, Scopus and Cochrane. Eligibility criteria for selecting studies We included original quantitative studies that were written in English, were conducted exclusively among current or former elite athletes, and presented incidence or prevalence rates of symptoms of mental disorders. Results Twenty-two relevant original studies about mental health symptoms and disorders among current elite athletes were included: they presented data especially on symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 2895 to 5555 current elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression. Fifteen relevant original studies about mental health symptoms and disorders among former elite athletes were included: they similarly presented data especially about symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 1579 to 1686 former elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 16% for distress to 26% for anxiety/depression. Conclusions Our meta-analyses showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression for current elite athletes, and from 16% for distress to 26% for anxiety/depression for former elite athletes.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/31097451

U2 - 10.1136/bjsports-2019-100671

DO - 10.1136/bjsports-2019-100671

M3 - Review article

VL - 53

SP - 700

EP - 706

JO - BJSM Online

JF - BJSM Online

SN - 1473-0480

IS - 11

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