Skip to main content
Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 5/2019

21.03.2018 | Invited Review

Sports psychiatry: mental health and mental disorders in athletes and exercise treatment of mental disorders

verfasst von: Andreas Ströhle

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Sports psychiatry has developed for the past 3 decades as an emerging field within psychiatry and sports medicine. An International society has been established in 1994 and also national interest groups were implemented, mostly within the national organizations for psychiatry, some also containing the topic of exercise treatment of mental disorders. Where are we now 30 years later? We systematically but also selectively review the medical literature on exercise, sport, psychiatry, mental health and mental disorders and related topics. The number of publications in the field has increased exponentially. Most topics keep remaining on the agenda, e.g., head trauma and concussion, drug abuse and doping, performance enhancement, overtraining, ADHD or eating disorders. Supported by the growing literature, evidence-based recommendations have become available now in many clinical areas. A relatively new phenomenon is muscle dysmorphia, observed in weightlifters, bodybuilders but also in college students and gym users. Further, sports therapy of mental disorders has been studied by more and more high-quality randomized controlled clinical trials. Mostly as a complementary treatment, however, for some disorders already with a 1a evidence level, e.g., depression, dementia or MCI but also post-traumatic stress disorder. Being grown up and accepted nowadays, sports psychiatry still represents a fast-developing field. The reverse side of the coin, sport therapy of mental disorders has received a scientific basis now. Who else than sports psychiatry could advance sport therapy of mental disorders? We need this enthusiasm for sports and psychiatry for our patients with mental disorders and it is time now for a broadening of the scope. Optimized psychiatric prevention and treatment of athletes and ideal sport-related support for individuals with mental disorders should be our main purpose and goal.
Literatur
1.
Zurück zum Zitat Massimino JHR (1987) Sport psychiatry. Ann Sports Med 3(2):55–58 Massimino JHR (1987) Sport psychiatry. Ann Sports Med 3(2):55–58
3.
Zurück zum Zitat Eppright TD, Sanfacon JA, Beck NC, Bradley JS (1997) Sport psychiatry in childhood and adolescence: an overview. Child Psychiatry Hum Dev 28(2):71–88CrossRefPubMed Eppright TD, Sanfacon JA, Beck NC, Bradley JS (1997) Sport psychiatry in childhood and adolescence: an overview. Child Psychiatry Hum Dev 28(2):71–88CrossRefPubMed
4.
Zurück zum Zitat Group WGftACTR (2001) Effects of physical activity counseling in primary care: the activity counseling trial: a randomized controlled trial. JAMA 286 (6):677–687CrossRef Group WGftACTR (2001) Effects of physical activity counseling in primary care: the activity counseling trial: a randomized controlled trial. JAMA 286 (6):677–687CrossRef
6.
Zurück zum Zitat Smith RS, Guilleminault C, Efron B (1997) Circadian rhythms and enhanced athletic performance in the National Football League. Sleep 20(5):362–365PubMed Smith RS, Guilleminault C, Efron B (1997) Circadian rhythms and enhanced athletic performance in the National Football League. Sleep 20(5):362–365PubMed
14.
Zurück zum Zitat Van Ralte JL, Corbelius AE, Andrews S, Diehl NS, Brewer BW (2015) Mental health referral for student athletes: web-based education and training. J Clin Sport Psychol 9:197–212CrossRef Van Ralte JL, Corbelius AE, Andrews S, Diehl NS, Brewer BW (2015) Mental health referral for student athletes: web-based education and training. J Clin Sport Psychol 9:197–212CrossRef
23.
24.
Zurück zum Zitat Schaal K, Tafflet M, Nassif H, Thibault VR, Pichard C, Alcotte M, Guillet T, El Helou N, Berthelot G, Simon S (2011) Psychological balance in high level athletes: gender-based differences and sport-specific patterns. PloS One 6(5):e19007CrossRefPubMedPubMedCentral Schaal K, Tafflet M, Nassif H, Thibault VR, Pichard C, Alcotte M, Guillet T, El Helou N, Berthelot G, Simon S (2011) Psychological balance in high level athletes: gender-based differences and sport-specific patterns. PloS One 6(5):e19007CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Burton RW (2000) Mental illness in athletes. In: Begel D, Burton RW (eds) Sport psychiatry. WW Norton & Company, Inc., New York (NY), pp 61–81 Burton RW (2000) Mental illness in athletes. In: Begel D, Burton RW (eds) Sport psychiatry. WW Norton & Company, Inc., New York (NY), pp 61–81
33.
Zurück zum Zitat Rousselet M, Guerineau B, Paruit MC, Guinot M, Lise S, Destrube B, Ruffio-Thery S, Dominguez N, Brisseau-Gimenez S, Dubois V, Mora C, Trolonge S, Lambert S, Grall-Bronnec M, Pretagut S (2017) Disordered eating in French high-level athletes: association with type of sport, doping behavior, and psychological features. Eat Weight Disord 22(1):61–68. https://doi.org/10.1007/s40519-016-0342-0 CrossRefPubMed Rousselet M, Guerineau B, Paruit MC, Guinot M, Lise S, Destrube B, Ruffio-Thery S, Dominguez N, Brisseau-Gimenez S, Dubois V, Mora C, Trolonge S, Lambert S, Grall-Bronnec M, Pretagut S (2017) Disordered eating in French high-level athletes: association with type of sport, doping behavior, and psychological features. Eat Weight Disord 22(1):61–68. https://​doi.​org/​10.​1007/​s40519-016-0342-0 CrossRefPubMed
42.
Zurück zum Zitat Johnson U (1997) Coping strategies among long-term injured competitive athletes. A study of 81 men and women in team and individual sports. Scand J Med Sci Sports 7(6):367–372CrossRefPubMed Johnson U (1997) Coping strategies among long-term injured competitive athletes. A study of 81 men and women in team and individual sports. Scand J Med Sci Sports 7(6):367–372CrossRefPubMed
44.
Zurück zum Zitat McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvořák J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, Sills A, Benson BW, Davis GA, Ellenbogen R, Guskiewicz KM, Herring SA, Iverson GL, Jordan BD, Kissick J, McCrea M, McIntosh AS, Maddocks D, Makdissi M, Purcell L, Putukian M, Schneider K, Tator CH, Turner M (2013) Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich, November 2012. J Athl Train 48(4):554–575. https://doi.org/10.4085/1062-6050-48.4.05 CrossRefPubMedPubMedCentral McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvořák J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, Sills A, Benson BW, Davis GA, Ellenbogen R, Guskiewicz KM, Herring SA, Iverson GL, Jordan BD, Kissick J, McCrea M, McIntosh AS, Maddocks D, Makdissi M, Purcell L, Putukian M, Schneider K, Tator CH, Turner M (2013) Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich, November 2012. J Athl Train 48(4):554–575. https://​doi.​org/​10.​4085/​1062-6050-48.​4.​05 CrossRefPubMedPubMedCentral
49.
Zurück zum Zitat Giza CC, Kutcher JS, Ashwal S, Barth J, Getchius TS, Gioia GA, Gronseth GS, Guskiewicz K, Mandel S, Manley G, McKeag DB, Thurman DJ, Zafonte R (2013) Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology 80(24):2250–2257. https://doi.org/10.1212/WNL.0b013e31828d57dd CrossRefPubMedPubMedCentral Giza CC, Kutcher JS, Ashwal S, Barth J, Getchius TS, Gioia GA, Gronseth GS, Guskiewicz K, Mandel S, Manley G, McKeag DB, Thurman DJ, Zafonte R (2013) Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology 80(24):2250–2257. https://​doi.​org/​10.​1212/​WNL.​0b013e31828d57dd​ CrossRefPubMedPubMedCentral
51.
56.
58.
Zurück zum Zitat McKee AC, Cairns NJ, Dickson DW, Folkerth RD, Keene CD, Litvan I, Perl DP, Stein TD, Vonsattel JP, Stewart W, Tripodis Y, Crary JF, Bieniek KF, Dams-O’Connor K, Alvarez VE, Gordon WA (2016) The first NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy. Acta Neuropathol 131(1):75–86. https://doi.org/10.1007/s00401-015-1515-z CrossRefPubMed McKee AC, Cairns NJ, Dickson DW, Folkerth RD, Keene CD, Litvan I, Perl DP, Stein TD, Vonsattel JP, Stewart W, Tripodis Y, Crary JF, Bieniek KF, Dams-O’Connor K, Alvarez VE, Gordon WA (2016) The first NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy. Acta Neuropathol 131(1):75–86. https://​doi.​org/​10.​1007/​s00401-015-1515-z CrossRefPubMed
60.
Zurück zum Zitat Kreider R, Fry AC, O’Toole M (1998) Overtraining in sport: terms, definition, and prevalence. In: Kreider R, Fry AC, O’Toole M (eds) Overtraining in sport. Human Kinetics, Champain (IL), pp VII–IX Kreider R, Fry AC, O’Toole M (1998) Overtraining in sport: terms, definition, and prevalence. In: Kreider R, Fry AC, O’Toole M (eds) Overtraining in sport. Human Kinetics, Champain (IL), pp VII–IX
61.
Zurück zum Zitat Meeusen R, Duclos M, Foster C, Fry A, Gleeson M, Nieman D, Raglin J, Rietjens G, Steinacker J, Urhausen A (2013) Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc 45(1):186–205. https://doi.org/10.1249/MSS.0b013e318279a10a CrossRefPubMed Meeusen R, Duclos M, Foster C, Fry A, Gleeson M, Nieman D, Raglin J, Rietjens G, Steinacker J, Urhausen A (2013) Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc 45(1):186–205. https://​doi.​org/​10.​1249/​MSS.​0b013e318279a10a​ CrossRefPubMed
62.
Zurück zum Zitat Budgett R, Newsholme E, Lehmann M, Sharp C, Jones D, Peto T, Collins D, Nerurkar R, White P (2000) Redefining the overtraining syndrome as the unexplained underperformance syndrome. Br J Sports Med 34(1):67–68CrossRefPubMedPubMedCentral Budgett R, Newsholme E, Lehmann M, Sharp C, Jones D, Peto T, Collins D, Nerurkar R, White P (2000) Redefining the overtraining syndrome as the unexplained underperformance syndrome. Br J Sports Med 34(1):67–68CrossRefPubMedPubMedCentral
66.
Zurück zum Zitat Schwellnus M, Soligard T, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett TJ, Gleeson M, Hagglund M, Hutchinson MR, Janse Van Rensburg C, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L (2016) How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 50(17):1043–1052. https://doi.org/10.1136/bjsports-2016-096572 CrossRefPubMed Schwellnus M, Soligard T, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett TJ, Gleeson M, Hagglund M, Hutchinson MR, Janse Van Rensburg C, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L (2016) How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 50(17):1043–1052. https://​doi.​org/​10.​1136/​bjsports-2016-096572 CrossRefPubMed
68.
Zurück zum Zitat De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI, Mallinson RJ, Gibbs JC, Olmsted M, Goolsby M, Matheson G (2014) 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. Br J Sports Med 48(4):289. https://doi.org/10.1136/bjsports-2013-093218 CrossRefPubMed De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI, Mallinson RJ, Gibbs JC, Olmsted M, Goolsby M, Matheson G (2014) 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. Br J Sports Med 48(4):289. https://​doi.​org/​10.​1136/​bjsports-2013-093218 CrossRefPubMed
75.
Zurück zum Zitat Pope HG Jr, Katz DL, Hudson JI (1993) Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Compr Psychiatry 34(6):406–409CrossRefPubMed Pope HG Jr, Katz DL, Hudson JI (1993) Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Compr Psychiatry 34(6):406–409CrossRefPubMed
78.
Zurück zum Zitat Grieve FG, Truba N, Bowersox S (2009) Etiology, assessment, and treatment of muscle dysmorphia. J Cogn Psychother 23(4):306–314CrossRef Grieve FG, Truba N, Bowersox S (2009) Etiology, assessment, and treatment of muscle dysmorphia. J Cogn Psychother 23(4):306–314CrossRef
79.
81.
Zurück zum Zitat Gardner F, Moore Z (2006) Clinical sport psychology. Human Kinetics, Champain Gardner F, Moore Z (2006) Clinical sport psychology. Human Kinetics, Champain
84.
Zurück zum Zitat WHO (2010) Global recommendations on physical activity for health. World Health Organization, Geneva WHO (2010) Global recommendations on physical activity for health. World Health Organization, Geneva
86.
Zurück zum Zitat Pratt SI, Jerome GJ, Schneider KL, Craft LL, Buman MP, Stoutenberg M, Daumit GL, Bartels SJ, Goodrich DE (2016) Increasing US health plan coverage for exercise programming in community mental health settings for people with serious mental illness: a position statement from the Society of Behavior Medicine and the American College of Sports Medicine. Transl Behav Med 6(3):478–481. https://doi.org/10.1007/s13142-016-0407-7 CrossRefPubMedPubMedCentral Pratt SI, Jerome GJ, Schneider KL, Craft LL, Buman MP, Stoutenberg M, Daumit GL, Bartels SJ, Goodrich DE (2016) Increasing US health plan coverage for exercise programming in community mental health settings for people with serious mental illness: a position statement from the Society of Behavior Medicine and the American College of Sports Medicine. Transl Behav Med 6(3):478–481. https://​doi.​org/​10.​1007/​s13142-016-0407-7 CrossRefPubMedPubMedCentral
87.
Zurück zum Zitat Saha S, Chant D, McGrath J (2007) A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time? Arch Gen Psychiatry 64(10):1123CrossRefPubMed Saha S, Chant D, McGrath J (2007) A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time? Arch Gen Psychiatry 64(10):1123CrossRefPubMed
89.
Zurück zum Zitat Strohle A, Schmidt DK, Schultz F, Fricke N, Staden T, Hellweg R, Priller J, Rapp MA, Rieckmann N (2015) Drug and exercise treatment of alzheimer disease and mild cognitive impairment: a systematic review and meta-analysis of effects on cognition in randomized controlled trials. Am J Geriatr Psychiatry 23(12):1234–1249. https://doi.org/10.1016/j.jagp.2015.07.007 CrossRefPubMed Strohle A, Schmidt DK, Schultz F, Fricke N, Staden T, Hellweg R, Priller J, Rapp MA, Rieckmann N (2015) Drug and exercise treatment of alzheimer disease and mild cognitive impairment: a systematic review and meta-analysis of effects on cognition in randomized controlled trials. Am J Geriatr Psychiatry 23(12):1234–1249. https://​doi.​org/​10.​1016/​j.​jagp.​2015.​07.​007 CrossRefPubMed
99.
Zurück zum Zitat Abrantes AM, McLaughlin N, Greenberg BD, Strong DR, Riebe D, Mancebo M, Rasmussen S, Desaulniers J, Brown RA (2012) Design and rationale for a randomized controlled trial testing the efficacy of aerobic exercise for patients with obsessive-compulsive disorder. Mental Health Phys Activity 5(2):155–165. https://doi.org/10.1016/j.mhpa.2012.06.002 CrossRef Abrantes AM, McLaughlin N, Greenberg BD, Strong DR, Riebe D, Mancebo M, Rasmussen S, Desaulniers J, Brown RA (2012) Design and rationale for a randomized controlled trial testing the efficacy of aerobic exercise for patients with obsessive-compulsive disorder. Mental Health Phys Activity 5(2):155–165. https://​doi.​org/​10.​1016/​j.​mhpa.​2012.​06.​002 CrossRef
106.
111.
Zurück zum Zitat Lindenberger BL, Plag J, Schumacher S, Gaudlitz K, Bischoff S, Bobbert T, Dimeo F, Petzold M, Kirschbaum C, Dudas Z, Ströhle A (2017) Clinical and neurobiological effects of aerobic exercise in dental phobia: a randomized controlled clinical trial. Depress Anxiety. https://doi.org/10.1002/da.22659 (in press)CrossRefPubMed Lindenberger BL, Plag J, Schumacher S, Gaudlitz K, Bischoff S, Bobbert T, Dimeo F, Petzold M, Kirschbaum C, Dudas Z, Ströhle A (2017) Clinical and neurobiological effects of aerobic exercise in dental phobia: a randomized controlled clinical trial. Depress Anxiety. https://​doi.​org/​10.​1002/​da.​22659 (in press)CrossRefPubMed
117.
Zurück zum Zitat Kerr J, Calfas KJ, Caparosa S, Stein MB, Sieber W, Abascal LB, Norman GJ, Patrick K (2008) A pilot study to assess the feasibility and acceptability of a community based physical activity intervention (involving internet, telephone, and pedometer support), integrated with medication and mood management for depressed patients. Mental Health Physical Activity 1(1):40–45. https://doi.org/10.1016/j.mhpa.2008.06.002 CrossRef Kerr J, Calfas KJ, Caparosa S, Stein MB, Sieber W, Abascal LB, Norman GJ, Patrick K (2008) A pilot study to assess the feasibility and acceptability of a community based physical activity intervention (involving internet, telephone, and pedometer support), integrated with medication and mood management for depressed patients. Mental Health Physical Activity 1(1):40–45. https://​doi.​org/​10.​1016/​j.​mhpa.​2008.​06.​002 CrossRef
121.
Zurück zum Zitat Kemmler W, Teschler M, Weissenfels A, Bebenek M, von Stengel S, Kohl M, Freiberger E, Goisser S, Jakob F, Sieber C, Engelke K (2016) Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Results of the randomized controlled FORMOsA-sarcopenic obesity study. Osteoporos Int 27(11):3261–3270. https://doi.org/10.1007/s00198-016-3662-z CrossRefPubMed Kemmler W, Teschler M, Weissenfels A, Bebenek M, von Stengel S, Kohl M, Freiberger E, Goisser S, Jakob F, Sieber C, Engelke K (2016) Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Results of the randomized controlled FORMOsA-sarcopenic obesity study. Osteoporos Int 27(11):3261–3270. https://​doi.​org/​10.​1007/​s00198-016-3662-z CrossRefPubMed
124.
Zurück zum Zitat Beebe LH, Smith K, Burk R, McIntyre K, Dessieux O, Tavakoli A, Tennison C, Velligan D (2011) Effect of a motivational intervention on exercise behavior in persons with schizophrenia spectrum disorders. Commun Mental Health J 47(6):628–636CrossRef Beebe LH, Smith K, Burk R, McIntyre K, Dessieux O, Tavakoli A, Tennison C, Velligan D (2011) Effect of a motivational intervention on exercise behavior in persons with schizophrenia spectrum disorders. Commun Mental Health J 47(6):628–636CrossRef
125.
Zurück zum Zitat Basler HDJ, Keller C, Baum S, E (1999) Selbstwirksamkeit, entscheidungsbalance und die motivation zu sportlicher aktivität—eine untersuchung zum transtheoretischen modell der verhaltensänderung. Zeitschrift Differentielle Diagn Psychol 20:203–216CrossRef Basler HDJ, Keller C, Baum S, E (1999) Selbstwirksamkeit, entscheidungsbalance und die motivation zu sportlicher aktivität—eine untersuchung zum transtheoretischen modell der verhaltensänderung. Zeitschrift Differentielle Diagn Psychol 20:203–216CrossRef
131.
Zurück zum Zitat Szabo A, Griffiths MD, de La Vega Marcos R, Mervo B, Demetrovics Z (2015) Methodological and conceptual limitations in exercise addiction research. Yale J Biol Med 88(3):303–308PubMedPubMedCentral Szabo A, Griffiths MD, de La Vega Marcos R, Mervo B, Demetrovics Z (2015) Methodological and conceptual limitations in exercise addiction research. Yale J Biol Med 88(3):303–308PubMedPubMedCentral
133.
Zurück zum Zitat De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI, Mallinson RJ, Gibbs JC, Olmsted M, Goolsby M, Matheson G (2014) 2014 Female Athlete Triad Coalition consensus statement on treatment and return to play of the female athlete triad: 1st International Conference held in San Francisco, CA, May 2012, and 2nd International Conference held in Indianapolis, IN, May 2013. Clin J Sport Med 24 (2):96–119. https://doi.org/10.1097/jsm.0000000000000085 CrossRefPubMed De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI, Mallinson RJ, Gibbs JC, Olmsted M, Goolsby M, Matheson G (2014) 2014 Female Athlete Triad Coalition consensus statement on treatment and return to play of the female athlete triad: 1st International Conference held in San Francisco, CA, May 2012, and 2nd International Conference held in Indianapolis, IN, May 2013. Clin J Sport Med 24 (2):96–119. https://​doi.​org/​10.​1097/​jsm.​0000000000000085​ CrossRefPubMed
Metadaten
Titel
Sports psychiatry: mental health and mental disorders in athletes and exercise treatment of mental disorders
verfasst von
Andreas Ströhle
Publikationsdatum
21.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 5/2019
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-018-0891-5

Weitere Artikel der Ausgabe 5/2019

European Archives of Psychiatry and Clinical Neuroscience 5/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.