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Aligning categories of mental health conditions with intervention types in high-performance sports: a narrative cornerstone review and classification framework
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. (Athletics Research Center)ORCID iD: 0000-0001-6570-5480
Department of Physical Education, Sport and Human Performance, Winthrop University, USA.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. (Athletics Research Center)ORCID iD: 0000-0002-1551-1722
Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Psykiatricentrum, Department of Child and Adolescent Psychiatry in Linköping. Linköping University, Department of Biomedical and Clinical Sciences, Barnafrid.ORCID iD: 0000-0002-1837-5930
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2024 (English)In: Journal of Science and Medicine in Sport, ISSN 1440-2440, E-ISSN 1878-1861, Vol. 27, no 8, p. 525-531Article, review/survey (Refereed) Published
Abstract [en]

Epidemiological studies suggest that psychiatric disorders are as prevalent amongst high-performance athletes as in general populations, challenging the myth of invulnerability. Despite efforts of sport organisations to highlight the significance of athletes' mental health, it is still many times tough to combine the sport performance ethos with a discourse on mental health. This narrative cornerstone review examines challenges related to definitions and classifications of athlete mental health in high-performance sports and how these influence assessments and the implementation of interventions. We discuss challenges with concept creep and psychiatrisation and outline their consequences for sport healthcare professionals. Based on this, we present a framework that aligns different categories of athlete mental health conditions (from the reduction of wellbeing to psychiatric disorders) with intervention types (from the provision of supporting environments to pharmacotherapy). We conclude that researchers and sport practitioners need to carefully consider conceptual creep and the risk of pathologising normal and healthy, albeit emotionally aversive, reactions to athlete lifeworld events when assessing athlete mental health. A clear separation of terminology denoting the athlete's resources to handle the lifeworld (including salutogenic factors) and terms describing psychiatric conditions and their management is necessary to avoid misguidance in intervention planning.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2024. Vol. 27, no 8, p. 525-531
Keywords [en]
Elite athlete; Sport psychiatry; Wellbeing
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:liu:diva-203684DOI: 10.1016/j.jsams.2024.05.001ISI: 001272113300001PubMedID: 38796375OAI: oai:DiVA.org:liu-203684DiVA, id: diva2:1860617
Available from: 2024-05-24 Created: 2024-05-24 Last updated: 2025-02-11

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Lundqvist, CarolinaJacobsson, JennyKorhonen, LauraTimpka, Toomas

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Lundqvist, CarolinaJacobsson, JennyKorhonen, LauraTimpka, Toomas
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PsychologyFaculty of Arts and SciencesFaculty of Medicine and Health SciencesDivision of Society and HealthDepartment of Child and Adolescent Psychiatry in LinköpingBarnafridEnheten för folkhälsa
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