1
|
Lima Y, Denerel N, Devran S, Rice S, Bayraktar B. Which athletes are more vulnerable to mental health symptoms during the COVID-19 crisis? A cross-sectional study. Res Sports Med 2024; 32:248-259. [PMID: 35860903 DOI: 10.1080/15438627.2022.2102917] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 06/20/2022] [Indexed: 10/17/2022]
Abstract
The present study evaluated the mental health (MH) of athletes according to a range of variables, including SARS-CoV-2 infection status and sport-specific factors. An online survey was sent to 1636 Turkish professional athletes incorporating standardized scales assessing athlete-specific stress, depression, and anxiety. A total of 579 professional athletes (29% SARS-CoV-2 positive) participated in the study. While female athletes reported higher anxiety scores than males (p < 0.01), the depression scores of the athletes who had been infected with SARS-CoV-2 were significantly higher than athletes who were not infected (p = 0.03). Higher athlete-specific stress, depression, and anxiety scores were associated with participating in an individual sport, experiencing chronic pain, severe sports injury history, and performance concerns (all p < 0.01). MH symptoms in athletes were associated with being infected with SARS-CoV-2, female gender, participating in an individual sport, and performance concerns. MH assessments should be undertaken with athletes to detect vulnerabilities and enable appropriate and timely MH interventions.
Collapse
Affiliation(s)
- Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Balıkesir, Turkey
| | - Nevzad Denerel
- Sports Medicine Department, Eastern Mediterranean University Faculty of Health Sciences, Nicosia, Cyprus
| | - Sergen Devran
- Sports Medicine Department, Istanbul University Faculty of Medicine, Istanbul, Turkey
| | - Simon Rice
- The National Centre of Excellence in Youth Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Bülent Bayraktar
- Sports Medicine Department, Istanbul University Faculty of Medicine, Istanbul, Turkey
- Turkish Football Federation, Medical Board, Istanbul, Turkey
- Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Istanbul, Turkey
| |
Collapse
|
2
|
Lima Y, Gouttebarge V, Bayraktar B. What do we know about beach soccer injuries? Systematic video analysis of four consecutive years with 580 match injuries. Res Sports Med 2024:1-11. [PMID: 38414221 DOI: 10.1080/15438627.2024.2324257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 02/16/2024] [Indexed: 02/29/2024]
Abstract
The aim of the present study was to evaluate the characteristics of match injury in male beach soccer players. Video recordings of all official beach soccer tournaments in which the European national male beach soccer teams participated from 2018 to 2021 were analysed by two sports medicine specialists retrospectively. Regarding each injury, data including the mechanism, location of the injury, whether the injury led to time-loss, and the relationship of the injury to the bicycle kick (BK), etc. were documented. A total of 632 injuries were documented, corresponding to 234.9 injuries/1000 player hours. Video footage was available for 580 injuries. Whilst 79.8% of medical attention injuries occurred due to opponent contact, 19.5% of time-loss injuries occurred due to non-contact, and 12.2% of indirect opponent contact (p < 0.01). The most common location of the BK related injury was the head/neck (68.7%), whereas most common location of the BK unrelated injury was the lower extremity (54.1%) (p < 0.01). The findings demonstrated that beach soccer injury incidence was quite high; the most common injury location was head/neck and head/neck injuries were associated with BK. In light of these results, some rule regulations, particularly those associated with BK, and the use of protective equipment should be considered to prevent these injuries.
Collapse
Affiliation(s)
- Yavuz Lima
- Cerrahpasa Faculty of Medicine, Sports Medicine Department, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Vincent Gouttebarge
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, Netherlands
- Section Sports Medicine, University of Pretoria, Pretoria, South Africa
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, Netherlands
- Amsterdam Movement Sciences, Musculoskeletal Health, Sport, Amsterdam, Netherlands
| | - Bülent Bayraktar
- Sports Medicine Department, Istanbul University Faculty of Medicine, Istanbul, Turkey
- Turkish Football Federation, Medical Board, Istanbul, Turkey
- Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Istanbul, Turkey
| |
Collapse
|
3
|
Lima Y, Öz ND, Denerel N, Treeby MS, Rice S. Mental health correlates of athletic shame and guilt among elite-level youth athletes in Turkey. J Sci Med Sport 2024; 27:72-77. [PMID: 37949775 DOI: 10.1016/j.jsams.2023.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 09/09/2023] [Accepted: 10/16/2023] [Indexed: 11/12/2023]
Abstract
OBJECTIVES This study evaluated the mental health correlates of athletic shame and guilt among elite-level youth athletes and provided psychometric data on the Turkish version of the Athletic Perceptions of Performance Scale. DESIGN Cross-sectional. METHODS An online survey was sent to 645 Turkish elite-level youth athletes incorporating standardized scales assessing athletic shame, guilt, and symptoms of high prevalence mental disorders. A subset of participants (n = 45) provided test-retest data at 30 days. RESULTS A total of 301 elite youth athletes participated (M = 16.42 ± 0.49 years; 48.7 % response rate) equally representing team and individual sports. Confirmatory factor analysis validated the Turkish version of the Athletic Perceptions of Performance Scale and test-retest data supported temporal stability. Female athletes (compared to male athletes) and athletes participating in an individual sport (compared to participating in a team sport) reported higher athletic shame-proneness scores (p < 0.01 and p = 0.04; respectively). The Turkish version of the Athletic Perceptions of Performance Scale shame-proneness and no-concern scores were associated with athlete-specific stress, anxiety, and depression scores. The Turkish version of the Athletic Perceptions of Performance Scale guilt-proneness was associated with athlete-specific stress and anxiety scores. CONCLUSIONS Findings provide cross-cultural validation of the Athletic Perceptions of Performance Scale assessing athletic shame and guilt, demonstrating that female athletes and athletes participating in an individual sport were more likely to experience athletic shame-proneness. Results suggest that athletes experiencing shame-proneness and performance concerns may benefit from supportive coaching and/or mental health supports.
Collapse
Affiliation(s)
- Yavuz Lima
- Istanbul University Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Sports Medicine Department, Turkey. https://twitter.com/Yavuzlymma
| | - Nazlı D Öz
- Selcuk University Faculty of Sports Science, Recreation Department, Turkey
| | - Nevzad Denerel
- Eastern Mediterranean University Faculty of Health Sciences, Sports Medicine Department, Cyprus
| | - Matt S Treeby
- School of Psychology and Public Health, La Trobe University, Australia
| | - Simon Rice
- Orygen, The National Centre of Excellence in Youth Mental Health, Australia; The University of Melbourne, Centre for Youth Mental Health, Australia. https://twitter.com/ClinPsyc
| |
Collapse
|
4
|
Lima Y, Rice S. Mental health symptoms and correlates among amateur football players: a cross-sectional study. Int J Environ Health Res 2023; 33:1617-1628. [PMID: 35968854 DOI: 10.1080/09603123.2022.2112659] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
The objective of this study was to evaluate mental health problems reported by Turkish amateur football players. A total of 4516 Turkish amateur football players were invited to complete an anonymous online survey including demographic and COVID-19 pandemic related questions, the Patient Health Questionnaire-9, General Anxiety Disorder-7 scale, and Athlete Psychological Strain Questionnaire. A total of 1263 players participated in the study (27.9% response rate). Single players reported higher depression and anxiety scores than married players. Higher depression, anxiety, and athletes-specific stress scores were reported by players with an annual income <$5,000 and those reporting an income loss >75% during the COVID-19 pandemic. Players with a sports injury history, psychiatric illness, sleep problems, and perceived inadequate social and/or organizational support reported poorer indices relative to their counterparts. Implementation of mental health screening among amateur football players may assist in detecting vulnerabilities and initiating appropriate timely intervention.
Collapse
Affiliation(s)
- Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Balıkesir, Turkey
| | - Simon Rice
- Orygen, Centre for Youth Mental Health, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| |
Collapse
|
5
|
Lima Y, Deniz Öz N, Devran S, Rice S, Bayraktar B. The team behind the team: prevalence and correlates of mental health problems among professional football team medical and allied staff? Res Sports Med 2023:1-12. [PMID: 37243617 DOI: 10.1080/15438627.2023.2216827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 05/09/2023] [Indexed: 05/29/2023]
Abstract
This study aimed to evaluate depression, anxiety, and stress prevalence and correlates among professional football team medical and allied health staff (MAHS) in Turkey. An online survey was sent to all MAHS (n = 865) attending the professional development accreditation course organized at the end of the 2021-2022 football season in Turkey. Three standardized scales assessed depression, anxiety, and stress. A total of 573 staff participated (response rate = 66.2%). 36.7% of MAHS reported at least moderate severity depression, 25% anxiety, and 80.5% stress. Younger (26-33 years) and less experienced (6-10 years) MAHS reported higher stress scores than their older (50-57 years) and more experienced (>15 years) counterparts (p = 0.02 and p = 0.03, respectively). Masseurs (compared to team doctors) and staff without a second job (compared to those with a second job) reported higher depression and anxiety scores (p = 0.02, p = 0.03, p = 0.03, p = 0.02, respectively). Depression, anxiety, and stress scores of MAHS whose monthly income was less than $519 were higher than those whose income was more than $1036 (all p < 0.01). Findings demonstrated that professional football team MAHS suffer from symptoms of mental-ill-health at substantial rates. In light of these results, organizational policies should be implemented to proactively support the mental health of MAHS working in professional football.
Collapse
Affiliation(s)
- Yavuz Lima
- Balıkesir Atatürk City Hospital, Sports Medicine Department, Balıkesir, Turkey
| | - Nazlı Deniz Öz
- Recreation Department, Selcuk University Faculty of Sports Science, Konya, Turkey
| | - Sergen Devran
- Sports Medicine Department, Istanbul University Faculty of Medicine, Istanbul, Turkey
| | - Simon Rice
- The National Centre of Excellence in Youth Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Bülent Bayraktar
- Sports Medicine Department, Istanbul University Faculty of Medicine, Istanbul, Turkey
- Turkish Football Federation, Medical Board, Istanbul, Turkey
- Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Istanbul, Turkey
| |
Collapse
|
6
|
Abstract
OBJECTIVES Although there is growing interest in athletes' mental health (MH), there is a paucity of research exploring MH in athletes with disabilities (AWD). The purpose of this study was to evaluate the impact of the COVID-19 pandemic on the psychological state of AWD. MATERIALS AND METHODS An online survey including demographic questions, SARS-CoV-2-related questions, and standardized scales assessing depression, anxiety, stress, coronavirus anxiety (CAS), and nonspecific psychological distress was distributed to AWD. RESULTS A total of 362 athletes (183 AWD) participated in the study (response rate 31.2%). AWD infected with SARS-CoV-2 reported higher depression, anxiety, and CAS scores than AWD not infected with SARS-CoV-2 (Z = -2.10, ES = 0.15 Z = -3.45, ES = 0.25; Z = -2.43, ES = 0.18; respectively). Female AWD reported higher anxiety scores compared to males (Z = -2.25, ES = 0.16). Depression (Z = -2.80, ES = 0.20), stress (Z = -2.12, ES = 0.15) and K-10 (Z = -2.02, ES = 0.14 scores of individual sport AWD were higher than team sports AWD. CONCLUSION MH problems in AWD were associated with a wide range of variables such as being infected with SARS-CoV-2, female gender, competing in an individual sport, and having performance concerns. In light of these results, MH assessment should be undertaken for AWD to ensure appropriate and timely intervention.
Collapse
Affiliation(s)
- Nevzad Denerel
- Sports Medicine Department, Faculty of Health Sciences, Eastern Mediterranean University, Nicosia, Cyprus
| | - Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Turkey
| |
Collapse
|
7
|
Abstract
OBJECTIVE The purpose of the study was to evaluate the mental health (MH) status of referees who officiate in the Turkish professional football leagues. METHOD An online survey was sent to all referees in the Turkish professional football leagues (n = 630) incorporating standardized scales assessing depression, anxiety, and stress. RESULTS A total of 433 referees participated in the study, yielding a response rate of 68.7%. Younger referees (18-27 years) reported higher depression (p = 0.01), anxiety (p < 0.01), and stress (p < 0.01) scores than older (>38 years) refereees. Depression, anxiety, and stress scores of single referees were higher compared to married referees (all p < 0.01). Lower-level referees reported higher depression (p < 0.01), anxiety (p = 0.01), and stress (p < 0.01) scores than their higher-level counterparts. Higher depression, anxiety, and stress scores were also associated with less income, performance concerns, severe injury history, and inadequate social support. CONCLUSION MH problems in referees were associated with a wide range of variables including younger age, being single, refereeing at lower-levels, performance concerns, and inadequate social support. In light of these results, MH assessments should be undertaken with referees to detect which officials are at greater risk of MH problems. Doing so will help to enable appropriate and timely MH interventions.
Collapse
Affiliation(s)
- Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Turkey
| | - Sergen Devran
- Sports Medicine Department, Istanbul University Faculty of Medicine, Turkey
| | - Nazlı Deniz Öz
- Recreation Department, Selcuk University Faculty of Sports Science, Turkey
| | - Tom Webb
- School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK
| | - Bülent Bayraktar
- Sports Medicine Department, Istanbul University Faculty of Medicine, Turkey.,Vice President, Turkish Football Federation, Medical Board, Turkey.,Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Turkey
| |
Collapse
|
8
|
Abstract
OBJECTIVES The aim of this study was to investigate the incidence and characteristics of match and training injuries in elite-level national male beach soccer players. METHOD The incidence, mechanism, location, type, severity, and burden of injuries of the Turkish national beach soccer team were recorded between 2017 and 2019. RESULTS A total of 136 injuries occurred during the study period. Total injury incidence was 238.9 injuries/1,000 match hours (MHs) and 37.7 injuries/1,000 training hours (THs) (p < 0.001). Twenty-seven injuries led to time-loss, and the incidences for match and training injuries were 36.7 and 7.9 per 1,000 hours, respectively. Of medical attention injuries (MAI) caused by trauma, 54.6% (n = 53) were due to another player and, 60.9% (n = 14) of time-loss injuries (TLI) caused by trauma were due to non-contact trauma (p < 0.001). While 82% (n = 91) of training injuries occurred in lower extremities, 29% (n = 9) of match injuries occurred in the head/neck region (p < 0.001). Head injury incidence was 45.9 per 1,000 match hours. Of MAI, 50% (n = 57) were contusion, and 32.1% (n = 9) of TLI were strain (p < 0.001). Also, the most common injury subtype was foot/toe contusion during match and training (19.4%; n = 6, 27.9%; n = 31, respectively). The majority of injuries 91.9% (n = 125) had slight severity. CONCLUSION Head trauma, tendon injury, and foot/toe contusion are important for clinical practice in beach soccer. Protective measures (rule regulation, use of protective equipment, etc.) should be considered to prevent these injuries.
Collapse
Affiliation(s)
- Yavuz Lima
- Sports Medicine Clinic, Balıkesir Atatürk City Hospital, Balıkesir, Turkey
| | - Bulent Bayraktar
- Istanbul Faculty of Medicine, Sports Medicine Department, Istanbul University, Istanbul, Turkey.,Turkish Football Federation, Istanbul, Turkey.,Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Istanbul, Turkey
| |
Collapse
|
9
|
Affiliation(s)
- Yavuz Lima
- Sports Medicine Clinic, Balıkesir Ataturk City Hospital, Balıkesir, Turkey
| | - Nevzad Denerel
- Health Team Sports Medicine Clinic, Nicosia/Turkish Republic of Northern, Cyprus
| | - Nazli Deniz Öz
- Recreation Department, Selcuk University Faculty of Sports Science, Konya, Turkey
| | - Seckin Senisik
- Sports Medicine Department, Ege University Faculty of Medicine, Izmir, Turkey
| |
Collapse
|