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dc.contributor.authorReardon, Claudia L
dc.contributor.authorBindra, Abhinav
dc.contributor.authorBlauwet, Cheri
dc.contributor.authorBudgett, Richard
dc.contributor.authorCampriani, Niccolo
dc.contributor.authorCurrie, Alan
dc.contributor.authorGouttebarge, Vincent
dc.contributor.authorMcDuff, David
dc.contributor.authorMountjoy, Margo
dc.contributor.authorPurcell, Rosemary
dc.contributor.authorPutukian, Margot
dc.contributor.authorRice, Simon
dc.contributor.authorHainline, Brian
dc.date.accessioned2020-10-16T19:27:40Z
dc.date.available2020-10-16T19:27:40Z
dc.date.issued2020-09-23
dc.identifier.urihttp://hdl.handle.net/10713/13888
dc.description.abstractElite 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.en_US
dc.description.urihttps://doi.org/10.1136/bjsports-2020-102884en_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofBritish journal of sports medicineen_US
dc.rights© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.en_US
dc.subjectathleteen_US
dc.subjectmentalen_US
dc.subjectpsychiatryen_US
dc.subjectpsychologyen_US
dc.subjecttreatmenten_US
dc.titleMental health management of elite athletes during COVID-19: a narrative review and recommendations.en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.doi10.1136/bjsports-2020-102884
dc.identifier.pmid32967853
dc.source.countryEngland


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