Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study

It is common in elite sport to monitor athletes' training load, injuries and illnesses, but mental distress is rarely included. An improved understanding of the epidemiology of mental distress among elite Para athletes and how their coaches perceive such monitoring would allow us to better deve...

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Main Authors: Marte Bentzen, Göran Kenttä, Tommy Karls, Kristina Fagher
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2022.945073/full
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author Marte Bentzen
Göran Kenttä
Göran Kenttä
Tommy Karls
Tommy Karls
Kristina Fagher
author_facet Marte Bentzen
Göran Kenttä
Göran Kenttä
Tommy Karls
Tommy Karls
Kristina Fagher
author_sort Marte Bentzen
collection DOAJ
description It is common in elite sport to monitor athletes' training load, injuries and illnesses, but mental distress is rarely included. An improved understanding of the epidemiology of mental distress among elite Para athletes and how their coaches perceive such monitoring would allow us to better develop and implement preventive measures. The purpose of this study was therefore to (1) prospectively describe elite Para athletes' mental distress, before, during and after the Beijing Paralympic Games (Paralympics Games 22 = PG22); and to (2) gain a better understanding of if and potentially how awareness of athletes' mental distress changed, through weekly monitoring, and influenced how coachers perceive athletes' mental distress and if they accounted for this before, during and after PG22. A mixed-method study design was used, in which prospective mental distress (depression and anxiety) data were collected weekly from 13 [Swedish] elite Para athletes in preparation, during and after PG22. Data were screened and evaluated weekly by a physiotherapist and a sports psychologist, and coaches also received weekly reports. A focus-group interview with the coaches were conducted post Paralympics to address coaches' awareness about mental distress and athlete health monitoring in Parasport. For data analyses, descriptive statistics was used for the quantitative data and a content analysis was conducted for the qualitative data. The results reveled the following proportion of datapoints indicating symptoms of anxiety and depression: before PG22 (15.8 and 19.1%); during PG22 (47.6 and 38.2%); and after PG22 (0 and 11.8%). The qualitative results indicated that coaches perceived athlete health monitoring as helpful for increasing their awareness of mental distress, and as a useful tool to initiate support for their athletes as well as improving their coaching. In summary, this cohort of elite Para athletes reported a high proportion of mental distress during the Winter Paralympic Games in Beijing. The results also show that it is important and feasible to monitor Para athletes' mental distress to detect and manage early symptoms of mental distress.
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spelling doaj.art-97d7e64ae3164cabbc7071e76765c1752022-12-22T03:30:45ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672022-10-01410.3389/fspor.2022.945073945073Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method studyMarte Bentzen0Göran Kenttä1Göran Kenttä2Tommy Karls3Tommy Karls4Kristina Fagher5Department of Teacher Education and Outdoor Studies, The Norwegian School of Sport Sciences, Oslo, NorwayThe Swedish School of Sport and Health Sciences, Stockholm, SwedenSchool of Human Kinetics, University of Ottawa, Ottawa, ON, CanadaThe Swedish School of Sport and Health Sciences, Stockholm, SwedenSwedish Paralympic Committee, Stockholm, SwedenRehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, SwedenIt is common in elite sport to monitor athletes' training load, injuries and illnesses, but mental distress is rarely included. An improved understanding of the epidemiology of mental distress among elite Para athletes and how their coaches perceive such monitoring would allow us to better develop and implement preventive measures. The purpose of this study was therefore to (1) prospectively describe elite Para athletes' mental distress, before, during and after the Beijing Paralympic Games (Paralympics Games 22 = PG22); and to (2) gain a better understanding of if and potentially how awareness of athletes' mental distress changed, through weekly monitoring, and influenced how coachers perceive athletes' mental distress and if they accounted for this before, during and after PG22. A mixed-method study design was used, in which prospective mental distress (depression and anxiety) data were collected weekly from 13 [Swedish] elite Para athletes in preparation, during and after PG22. Data were screened and evaluated weekly by a physiotherapist and a sports psychologist, and coaches also received weekly reports. A focus-group interview with the coaches were conducted post Paralympics to address coaches' awareness about mental distress and athlete health monitoring in Parasport. For data analyses, descriptive statistics was used for the quantitative data and a content analysis was conducted for the qualitative data. The results reveled the following proportion of datapoints indicating symptoms of anxiety and depression: before PG22 (15.8 and 19.1%); during PG22 (47.6 and 38.2%); and after PG22 (0 and 11.8%). The qualitative results indicated that coaches perceived athlete health monitoring as helpful for increasing their awareness of mental distress, and as a useful tool to initiate support for their athletes as well as improving their coaching. In summary, this cohort of elite Para athletes reported a high proportion of mental distress during the Winter Paralympic Games in Beijing. The results also show that it is important and feasible to monitor Para athletes' mental distress to detect and manage early symptoms of mental distress.https://www.frontiersin.org/articles/10.3389/fspor.2022.945073/fulldepressionanxietyParalympic Gamesmental disorder (disease)sport for persons with disabilityPara athletes
spellingShingle Marte Bentzen
Göran Kenttä
Göran Kenttä
Tommy Karls
Tommy Karls
Kristina Fagher
Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
Frontiers in Sports and Active Living
depression
anxiety
Paralympic Games
mental disorder (disease)
sport for persons with disability
Para athletes
title Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
title_full Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
title_fullStr Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
title_full_unstemmed Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
title_short Monitoring mental distress in Para athletes in preparation, during and after the Beijing Paralympic Games 2022: A 22 week prospective mixed-method study
title_sort monitoring mental distress in para athletes in preparation during and after the beijing paralympic games 2022 a 22 week prospective mixed method study
topic depression
anxiety
Paralympic Games
mental disorder (disease)
sport for persons with disability
Para athletes
url https://www.frontiersin.org/articles/10.3389/fspor.2022.945073/full
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