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Tachom Waffo B, Hauw D. Mental health of young talented football players in an African context: A cross-sectional observational study. Compr Psychiatry 2024; 135:152519. [PMID: 39068735 DOI: 10.1016/j.comppsych.2024.152519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 07/08/2024] [Accepted: 07/19/2024] [Indexed: 07/30/2024] Open
Abstract
BACKGROUND Elite sport is a potentially pathogenic environment due to stressors like dual-career, high training demands, and performance pressure. Recent evidence suggests that athletes are at high risk of mental health issues. Even though the FIFA is increasingly paying attention, efforts directed towards young talented footballers are scarce. Few studies have even been conducted on young talented footballers in Africa. The majority of epidemiological studies on athletes also suffer from an analytical approach that does not highlight athletes' mental health profiles. This study aims to describe the mental health profile and their prevalence of young talented footballers in three African representative countries. METHODS The study applied an observational-based cross-sectional research design with aspiring footballers from three sub-regions of Africa and aged between 10 and 23. The data was collected face-to-face from March to November 2022. Three screening tools were used to measure three mental health outcomes: Satisfaction With Life Scale (subjective well-being), Patient Health Questionnaire 9-item (depression), and Generalized Anxiety Disorder 7-item scale (anxiety). The mental health outcomes were rates and scores of well-being, depression, and anxiety, used in latent profile analysis. FINDINGS 507 male young talented footballers (263[51∙9%] Cameroonians, 73[14∙4%] Moroccans, and 171[33∙7%] Ivorians) were included in the analysis with a mean age of 15∙1 (SD 2∙37) years. Screening of mental health states revealed that 367(72∙3%) and 412(81∙8%) of these players experienced anxiety and depressive symptoms respectively and 155(30∙7%) experienced low well-being. Differences in mental health outcomes were noted between countries, age groups and competition levels. Three profiles of mental health condition were also identified, namely moderate mental health (Profile 1), languishing (Profile 2) and flourishing (Profile 3). INTERPRETATION The youth of football academies in the three African countries studied have a specific mental health profile, revealing a high prevalence of common mental disorders in the African context. These findings underline the need to enhance the awareness of mental health issues in young African players and provide tailored support. FUNDING FIFA.
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Affiliation(s)
| | - Denis Hauw
- Institute of Sport Sciences, University of Lausanne, Switzerland
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Kamra M, Dhaliwal S, Li W, Acharya S, Wong A, Zhu A, Vemulakonda J, Wilson J, Gibb M, Maskerine C, Spilg E, Tanuseputro P, Myran DT, Solmi M, Sood MM. Physician Posttraumatic Stress Disorder During COVID-19: A Systematic Review and Meta-Analysis. JAMA Netw Open 2024; 7:e2423316. [PMID: 39046740 PMCID: PMC11270139 DOI: 10.1001/jamanetworkopen.2024.23316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Accepted: 05/22/2024] [Indexed: 07/25/2024] Open
Abstract
Importance The COVID-19 pandemic placed many physicians in situations of increased stress and challenging resource allocation decisions. Insight into the prevalence of posttraumatic stress disorder in physicians and its risk factors during the COVID-19 pandemic will guide interventions to prevent its development. Objective To determine the prevalence of posttraumatic stress disorder (PTSD) among physicians during the COVID-19 pandemic and examine variations based on factors, such as sex, age, medical specialty, and career stage. Data Sources A Preferred Reporting Items for Systematic Reviews and Meta-analyses-compliant systematic review was conducted, searching MEDLINE, Embase, and PsychInfo, from December 2019 to November 2022. Search terms included MeSH (medical subject heading) terms and keywords associated with physicians as the population and PTSD. Study Selection Peer-reviewed published studies reporting on PTSD as a probable diagnosis via validated questionnaires or clinician diagnosis were included. The studies were reviewed by 6 reviewers. Data Extraction and Synthesis A random-effects meta-analysis was used to pool estimates of PTSD prevalence and calculate odds ratios (ORs) for relevant physician characteristics. Main Outcomes and Measures The primary outcome of interest was the prevalence of PTSD in physicians, identified by standardized questionnaires. Results Fifty-seven studies with a total of 28 965 participants and 25 countries were included (of those that reported sex: 5917 of 11 239 [52.6%] were male and 5322 of 11 239 [47.4%] were female; of those that reported career stage: 4148 of 11 186 [37.1%] were medical trainees and 7038 of 11 186 [62.9%] were attending physicians). The estimated pooled prevalence of PTSD was 18.3% (95% CI, 15.2%-22.8%; I2 = 97%). Fourteen studies (22.8%) reported sex, and it was found that female physicians were more likely to develop PTSD (OR, 1.93; 95% CI, 1.56-2.39). Of the 10 studies (17.5%) reporting age, younger physicians reported less PTSD. Among the 13 studies (22.8%) reporting specialty, PTSD was most common among emergency department doctors. Among the 16 studies (28.1%) reporting career stage, trainees were more prone to developing PTSD than attendings (OR, 1.33; 95% CI, 1.12-1.57). Conclusions and Relevance In this meta-analysis examining PTSD during COVID-19, 18.3% of physicians reported symptoms consistent with PTSD, with a higher risk in female physicians, older physiciansy, and trainees, and with variation by specialty. Targeted interventions to support physician well-being during traumatic events like pandemics are required.
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Affiliation(s)
- Mihir Kamra
- McMaster University, Hamilton, Ontario, Canada
| | - Shan Dhaliwal
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Wenshan Li
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | | | - Adrian Wong
- McMaster University, Hamilton, Ontario, Canada
| | - Andy Zhu
- McMaster University, Hamilton, Ontario, Canada
| | | | - Janet Wilson
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Maya Gibb
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | | | - Edward Spilg
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Peter Tanuseputro
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
- ICES, Ontario, Canada
- Bruyere Research Institute, Ottawa, Ontario, Canada
| | - Daniel T. Myran
- ICES, Ontario, Canada
- Bruyere Research Institute, Ottawa, Ontario, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada
| | - Marco Solmi
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada
- Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada
- Deptartment of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada
- Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany
| | - Manish M. Sood
- The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
- Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
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Chadli S, Nechba Bennis R, Madani N, El Fahime E, Abouqal R, Belayachi J. Psychological Distress Associated with Enforced Hospital Isolation Due to COVID-19 during the "Flatten the Curve" Phase in Morocco: A Single-Center Cross-Sectional Study. Healthcare (Basel) 2024; 12:548. [PMID: 38470659 PMCID: PMC10930375 DOI: 10.3390/healthcare12050548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 01/07/2024] [Accepted: 01/08/2024] [Indexed: 03/14/2024] Open
Abstract
(1) Background: although much research has highlighted the mental health challenges faced by patients in hospital isolation during the COVID-19 pandemic, data from low-middle-income countries, including Morocco, are lacking. The main objective of this study was to assess the psychological distress of patients undergoing enforced hospital isolation during the initial phase of the COVID-19 pandemic in Morocco. (2) Methods: we conducted a cross-sectional study between 1 April and 1 May 2020, among patients hospitalized in isolation for suspected or confirmed COVID-19 at the Ibn Sina University Hospital of Rabat, Morocco. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Binary logistic regression was performed to identify variables associated with anxiety and depression, with a cutoff of ≥8 used for both scales to create dichotomous variables. (3) Results: among 200 patients, 42.5% and 43% scored above the cut-off points for anxiety and depression, respectively. Multiple logistic regression identified female gender, a higher education level, a longer duration of isolation, and a poor understanding of the reasons for isolation as significant factors associated with anxiety. Conversely, female gender, chronic disease, a longer duration of isolation, and a poor understanding of the reasons for isolation were factors significantly associated with depression. (4) Conclusions: our study underscores high rates of anxiety and depression among patients forced into hospital isolation during the initial phase of COVID-19 in Morocco. We identified several factors associated with patients experiencing psychological distress that may inform future discussions on mental health and psychiatric crisis management.
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Affiliation(s)
- Sarra Chadli
- Acute Medical Unit, Ibn Sina University Hospital, Rabat 10056, Morocco; (S.C.); (R.A.)
| | - Rhita Nechba Bennis
- Acute Medical Unit, Ibn Sina University Hospital, Rabat 10056, Morocco; (S.C.); (R.A.)
- Laboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat 10100, Morocco
| | - Naoufel Madani
- Acute Medical Unit, Ibn Sina University Hospital, Rabat 10056, Morocco; (S.C.); (R.A.)
- Laboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat 10100, Morocco
| | - ElMostafa El Fahime
- Molecular Biology and Functional Genomics Platform, National Center for Scientific and Technical Research (CNRST), Rabat 10000, Morocco
- Neuroscience and Neurogenetics Research Team, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat 10100, Morocco
| | - Redouane Abouqal
- Acute Medical Unit, Ibn Sina University Hospital, Rabat 10056, Morocco; (S.C.); (R.A.)
- Laboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat 10100, Morocco
| | - Jihane Belayachi
- Acute Medical Unit, Ibn Sina University Hospital, Rabat 10056, Morocco; (S.C.); (R.A.)
- Laboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat 10100, Morocco
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Baldi ME, Laghrissi A, Marso Z, Chellat FZ, Berraho M, Tachfouti N, Fakir SE, Mellas S, Fahd AM, kohen J, Boulaguige F, Naamane J, Lahmadi K, Rhazi KE. Prevalence and associated factors of COVID-19 among Moroccan physicians: A cross-sectional study. PLoS One 2022; 17:e0277157. [PMID: 36322588 PMCID: PMC9629645 DOI: 10.1371/journal.pone.0277157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 10/20/2022] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND Coronavirus disease (COVID-19) has emerged and spread rapidly worldwide and established a global public health crisis in early 2020. The first Moroccan case was reported on March 2, 2020. Since then, healthcare workers (HCWs) played a major role in saving human lives threatened by COVID-19. This study aimed to assess the prevalence of COVID-19 infection among Moroccan physicians and to report associated risk factors prior vaccination campaign. METHODS A cross-sectional study was carried out in the Fez-Meknes region of Morocco, 545 physicians' data was collected using a self-reported online questionnaire. The data collection was done between December 1, 2020, and February 1, 2021. RESULTS The prevalence of COVID-19 among physicians was 27.3%. The mean age of the confirmed COVID-19 group was 38.4±12.9 years old. There was no association between COVID-19 infection and preventive measures compliance by physicians and healthcare authorities in the workplace. However, multivariate analysis strengthened the following factors such as increased risk of COVID-19 infection within men ☯aOR:1.896; 95% IC 1.272-2.828; p = 0.002]; the presence of at least one comorbidity ☯aOR:2.268; 95%IC 1.414-3.637; p = 0.001]; and working at a university or military hospitals ☯aOR:2.578; 95%IC 1.667-3.989; p = 0.001]. CONCLUSION This study allows comparing COVID-19 prevalence among healthcare workers before and after vaccination programs. This should support better preparation strategy for any future pandemics with appropriate and increased awareness for men, carrying comorbidity, and working environment with high COVID-19 disease management.
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Affiliation(s)
- Marwa El Baldi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Amina Laghrissi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Zakia Marso
- Regional Direction of Health, Fez Meknes Region, Morocco
| | | | - Mohamed Berraho
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Nabil Tachfouti
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Samira El Fakir
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Soufiane Mellas
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Amar Mohamed Fahd
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Jamal kohen
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Fouad Boulaguige
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Jamal Naamane
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Khalid Lahmadi
- Hematology Department, Moulay Ismail Military Hospital, Meknes, Morocco
| | - Karima El Rhazi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
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