The paradox of mental health versus mental disease in elite athletes: a scoping review

Abstract Aim: To analyze the concepts of mental health and illness as well as the instruments used to measure them in the elite athlete. Methods: The scoping review was conducted using PubMed, SPORTDiscus, PsycINFO, and Scielo. The keywords “Mental Health” AND “Sport” AND “Athlete” were used to fi...

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Main Authors: Alexandre Conttato Colagrai, Júlia Barreira, Fernanda Tartalha Nascimento, Paula Teixeira Fernandes
Format: Article
Language:English
Published: Universidade Estadual Paulista (UNESP) 2022-06-01
Series:Motriz: Revista de Educacao Fisica
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742022000100803&tlng=en
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author Alexandre Conttato Colagrai
Júlia Barreira
Fernanda Tartalha Nascimento
Paula Teixeira Fernandes
author_facet Alexandre Conttato Colagrai
Júlia Barreira
Fernanda Tartalha Nascimento
Paula Teixeira Fernandes
author_sort Alexandre Conttato Colagrai
collection DOAJ
description Abstract Aim: To analyze the concepts of mental health and illness as well as the instruments used to measure them in the elite athlete. Methods: The scoping review was conducted using PubMed, SPORTDiscus, PsycINFO, and Scielo. The keywords “Mental Health” AND “Sport” AND “Athlete” were used to find studies in peer-reviewed scientific journals published in English, Spanish, and Portuguese. Studies went through four stages of analysis according to PRISMA guidelines. A total of 179 records were included in this review. Results: Recent studies suggest that health and illness should not be recognized as deviations from the norm, but as a changing construct, varying on a continuum, where, at one extreme, we have health; and, at the other, we have illness even coexisting in an orthogonal way. Between the two extremes, there are degrees of psychological well-being and distress, leading from reduced functioning to effective functioning. This indicates the need for psychological support for both the maintenance and enhancement of mental health. An alarming result was that, although most of the studies investigated mental health, they used primarily instruments focused on illness. This new perspective of health-illness brings the need for the development of new instruments that encompass protective factors and symptom screening. Conclusions: We reinforce the need for a paradigm shift in relation to the mental health of elite athletes understanding it as a changing construct that should be constantly improved and/or maintained. This change led to the need for broader assessment instruments that encompass protective factors and illness symptoms.
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spelling doaj.art-e5a32803df984f21856ea6d058a6838f2022-12-22T02:33:43ZengUniversidade Estadual Paulista (UNESP)Motriz: Revista de Educacao Fisica1980-65742022-06-012810.1590/s1980-6574202200001722The paradox of mental health versus mental disease in elite athletes: a scoping reviewAlexandre Conttato Colagraihttps://orcid.org/0000-0001-7731-0638Júlia Barreirahttps://orcid.org/0000-0002-8065-4359Fernanda Tartalha Nascimentohttps://orcid.org/0000-0001-5166-1229Paula Teixeira Fernandeshttps://orcid.org/0000-0002-0492-1670Abstract Aim: To analyze the concepts of mental health and illness as well as the instruments used to measure them in the elite athlete. Methods: The scoping review was conducted using PubMed, SPORTDiscus, PsycINFO, and Scielo. The keywords “Mental Health” AND “Sport” AND “Athlete” were used to find studies in peer-reviewed scientific journals published in English, Spanish, and Portuguese. Studies went through four stages of analysis according to PRISMA guidelines. A total of 179 records were included in this review. Results: Recent studies suggest that health and illness should not be recognized as deviations from the norm, but as a changing construct, varying on a continuum, where, at one extreme, we have health; and, at the other, we have illness even coexisting in an orthogonal way. Between the two extremes, there are degrees of psychological well-being and distress, leading from reduced functioning to effective functioning. This indicates the need for psychological support for both the maintenance and enhancement of mental health. An alarming result was that, although most of the studies investigated mental health, they used primarily instruments focused on illness. This new perspective of health-illness brings the need for the development of new instruments that encompass protective factors and symptom screening. Conclusions: We reinforce the need for a paradigm shift in relation to the mental health of elite athletes understanding it as a changing construct that should be constantly improved and/or maintained. This change led to the need for broader assessment instruments that encompass protective factors and illness symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742022000100803&tlng=ensportmental healthpsychologyathlete
spellingShingle Alexandre Conttato Colagrai
Júlia Barreira
Fernanda Tartalha Nascimento
Paula Teixeira Fernandes
The paradox of mental health versus mental disease in elite athletes: a scoping review
Motriz: Revista de Educacao Fisica
sport
mental health
psychology
athlete
title The paradox of mental health versus mental disease in elite athletes: a scoping review
title_full The paradox of mental health versus mental disease in elite athletes: a scoping review
title_fullStr The paradox of mental health versus mental disease in elite athletes: a scoping review
title_full_unstemmed The paradox of mental health versus mental disease in elite athletes: a scoping review
title_short The paradox of mental health versus mental disease in elite athletes: a scoping review
title_sort paradox of mental health versus mental disease in elite athletes a scoping review
topic sport
mental health
psychology
athlete
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742022000100803&tlng=en
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