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    Mental health management of elite athletes during COVID-19: a narrative review and recommendations.

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    Author
    Reardon, Claudia L
    Bindra, Abhinav
    Blauwet, Cheri
    Budgett, Richard
    Campriani, Niccolo
    Currie, Alan
    Gouttebarge, Vincent
    McDuff, David
    Mountjoy, Margo
    Purcell, Rosemary
    Putukian, Margot
    Rice, Simon
    Hainline, Brian
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    Date
    2020-09-23
    Journal
    British journal of sports medicine
    Publisher
    BMJ Publishing Group
    Type
    Article
    Other
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1136/bjsports-2020-102884
    Abstract
    Elite athletes suffer many mental health symptoms and disorders at rates equivalent to or exceeding those of the general population. COVID-19 has created new strains on elite athletes, thus potentially increasing their vulnerability to mental health symptoms. This manuscript serves as a narrative review of the impact of the pandemic on management of those symptoms in elite athletes and ensuing recommendations to guide that management. It specifically addresses psychotherapy, pharmacotherapy and higher levels of care. Within the realm of psychotherapy, crisis counselling might be indicated. Individual, couple/family and group psychotherapy modalities all may be helpful during the pandemic, with novel content and means of delivery. Regarding pharmacotherapy for mental health symptoms and disorders, some important aspects of management have changed during the pandemic, particularly for certain classes of medication including stimulants, medications for bipolar and psychotic disorders, antidepressants and medications for substance use disorders. Providers must consider when in-person management (eg, for physical examination, laboratory testing) or higher levels of care (eg, for crisis stabilisation) is necessary, despite potential risk of viral exposure during the pandemic. Management ultimately should continue to follow general principles of quality health care with some flexibility. Finally, the current pandemic provides an important opportunity for research on new methods of providing mental health care for athletes, and consideration for whether these new methods should extend beyond the pandemic.
    Rights/Terms
    © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
    Keyword
    athlete
    mental
    psychiatry
    psychology
    treatment
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/13888
    ae974a485f413a2113503eed53cd6c53
    10.1136/bjsports-2020-102884
    Scopus Count
    Collections
    UMB Coronavirus Publications
    UMB Open Access Articles

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