%0 Journal Article
%T Do exercisers with musculoskeletal injuries report symptoms of depression and stress?
%J Journal of sport rehabilitation
%D 2018
%A Lichtenstein, Mia Beck
%A Gudex, Claire
%A Andersen, Kjeld
%A Bojesen, Anders Bo
%A Jørgensen, Uffe
%V ePub
%N ePub
%P 1-6
%X 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 focuses on somatic symptoms. <br><br>OBJECTIVE: The primary aim of this study was to estimate the prevalence of depression and emotional stress, and 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 counselling. <br><br>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 (MDI), Perceived Stress Scale (PSS), health-related quality of life (EQ-5D-5L), and questions on sociodemographics, exercise habits, and injury history. <br><br>RESULTS: Symptoms of depression were reported by 12% of injured exercisers and 5% of non-injured controls (p<0.001). Clinical stress was found in 30% of injured exercisers and 22% of controls (p=0.002), and EQ-5D-5L VAS score was lower for injured (69±19) than non-injured exercisers (87±13, p<0.001). Injured exercisers with symptoms of depression reported high stress levels and impaired daily functioning, were younger, and more likely to have over 10 days injury-related work absence. <br><br>CONCLUSIONS: We recommend psychological assessment of exercisers attending a sports medicine clinic for musculoskeletal injury, and supplemental clinical psychological interview for suspected depression or stress-related psychopathology.<p /> <p>Language: en</p>
%G en
%I Human Kinetics Publishers
%@ 1056-6716
%U http://dx.doi.org/10.1123/jsr.2017-0103