Breaking a taboo: why the International Olympic Committee convened experts to develop a consensus statement on mental health in elite athletes

2019 ◽  
pp. bjsports-2019-100681 ◽  
Author(s):  
Brian Hainline ◽  
Claudia L Reardon
2019 ◽  
Vol 53 (11) ◽  
pp. 667-699 ◽  
Author(s):  
Claudia L Reardon ◽  
Brian Hainline ◽  
Cindy Miller Aron ◽  
David Baron ◽  
Antonia L Baum ◽  
...  

Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.


2017 ◽  
Vol 51 (17) ◽  
pp. 1245-1258 ◽  
Author(s):  
Brian Hainline ◽  
Wayne Derman ◽  
Alan Vernec ◽  
Richard Budgett ◽  
Masataka Deie ◽  
...  

2009 ◽  
Vol 19 (5) ◽  
pp. 347-365 ◽  
Author(s):  
Arne Ljungqvist ◽  
Peter J Jenoure ◽  
Lars Engebretsen ◽  
Juan Manuel Alonso ◽  
Roald Bahr ◽  
...  

2019 ◽  
Vol 54 (1) ◽  
pp. 49-50
Author(s):  
Claudia L Reardon ◽  
Brian Hainline ◽  
Cindy Miller Aron ◽  
David Baron ◽  
Antonia L Baum ◽  
...  

2020 ◽  
Vol 55 (1) ◽  
pp. 30-37
Author(s):  
Vincent Gouttebarge ◽  
Abhinav Bindra ◽  
Cheri Blauwet ◽  
Niccolo Campriani ◽  
Alan Currie ◽  
...  

ObjectivesTo develop an assessment and recognition tool to identify elite athletes at risk for mental health symptoms and disorders.MethodsWe conducted narrative and systematic reviews about mental health symptoms and disorders in active and former elite athletes. The views of active and former elite athletes (N=360) on mental health symptoms in elite sports were retrieved through an electronic questionnaire. Our group identified the objective(s), target group(s) and approach of the mental health tools. For the assessment tool, we undertook a modified Delphi consensus process and used existing validated screening instruments. Both tools were compiled during two 2-day meeting. We also explored the appropriateness and preliminary reliability and validity of the assessment tool.Sport Mental Health Assessment Tool 1 and Sport Mental Health Recognition Tool 1The International Olympic Committee Sport Mental Health Assessment Tool 1 (SMHAT-1) was developed for sports medicine physicians and other licensed/registered health professionals to assess elite athletes (defined as professional, Olympic, Paralympic or collegiate level; aged 16 years and older) potentially at risk for or already experiencing mental health symptoms and disorders. The SMHAT-1 consists of: (i) triage with an athlete-specific screening tool, (ii) six subsequent disorder-specific screening tools and (iii) a clinical assessment (and related management) by a sports medicine physician or licensed/registered mental health professional (eg, psychiatrist and psychologist). The International Olympic Committee Sport Mental Health Recognition Tool 1 (SMHRT-1) was developed for athletes and their entourage (eg, friends, fellow athletes, family and coaches).ConclusionThe SMHAT-1 and SMHRT-1 enable that mental health symptoms and disorders in elite athletes are recognised earlier than they otherwise would. These tools should facilitate the timely referral of those athletes in need for appropriate support and treatment.


2018 ◽  
Vol 107 ◽  
pp. 26-32 ◽  
Author(s):  
Stephen Potts ◽  
Frank Vitinius ◽  
Yesim Erim ◽  
Gabor Gazdag ◽  
Robert Gribble ◽  
...  

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