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Do Exercisers With Musculoskeletal Injuries Report Symptoms of Depression and Stress?
- Source :
- Journal of Sport Rehabilitation; Jan2019, Vol. 28 Issue 1, p46-51, 6p, 4 Charts
- Publication Year :
- 2019
-
Abstract
- Context: Sports injuries in athletes can lead to negative emotional responses in terms of anger, anxiety, confusion, and sadness. Severe injuries can be understood as a stressful life event with increased levels of psychological distress, but injury assessment and rehabilitation typically focus on somatic symptoms. Objective: The primary aim of this study was to estimate the prevalence of depression and emotional stress and to measure self-rated health in regular exercisers presenting to a sports medicine clinic with musculoskeletal injury. The secondary aim was to identify psychosocial factors associated with depression in injured exercisers and the potential need for psychological counseling. Design: A cross-sectional survey study. Setting: A sports medicine clinic for injuries of the foot, knee, or shoulder. Participants: Regular exercisers with present injuries (N = 694) and exercisers without injuries (N = 494). Regular exercisers were defined as those undertaking moderate exercise at least once a week. Intervention: A questionnaire survey completed on paper by patients in a sports medicine clinic and a web-based version completed by online sports communities. Main Outcome Measures: Participants completed the Major Depression Inventory, Perceived Stress Scale, health-related quality of life, and questions on sociodemographics, exercise habits, and injury history. Results: Symptoms of depression were reported by 12% of injured exercisers and 5% of noninjured controls (P <.001). Clinical stress was found in 30% of injured exercisers and 22% of controls (P =.002), and the EQ-5D-5L Visual Analog Scale score was lower for injured (69 [SD = 19]) than noninjured exercisers (87 [SD = 13], P <.001). Injured exercisers with symptoms of depression reported high stress levels and impaired daily functioning, were younger, and were more likely to have over 10 days injury-related work absence. Conclusions: The authors recommend psychological assessment of exercisers attending a sports medicine clinic for musculoskeletal injury and a supplemental clinical psychological interview for suspected depression or stress-related psychopathology. [ABSTRACT FROM AUTHOR]
- Subjects :
- MUSCULOSKELETAL system injuries
MENTAL health
AGE distribution
CHI-squared test
STATISTICAL correlation
MENTAL depression
EPIDEMIOLOGY
EXERCISE
HEALTH status indicators
QUALITY of life
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
SCALE analysis (Psychology)
SELF-evaluation
SPORTS medicine
PSYCHOLOGICAL stress
T-test (Statistics)
WOUNDS & injuries
SOCIAL support
BODY mass index
DISEASE prevalence
CROSS-sectional method
DESCRIPTIVE statistics
ODDS ratio
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 10566716
- Volume :
- 28
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Sport Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 133690914
- Full Text :
- https://doi.org/10.1123/jsr.2017-0103