Mental health among Swedish elite athletes : Depression, overtraining, help seeking, and stigma

Sammanfattning: There is a general perception in the public that mental health problems scarcely exist among elite athletes. The aim of this thesis was to investigate mental health among Swedish elite athletes with a particular focus on depression, overtraining, help seeking and stigma. The sample consisted of 100 athletes; of these 32 % were male and 68 % female, 53 % team athletes and 47 % individual athletes representing 15 different sports. A cross-sectional research design using self-report measures examined variables associated with the mental health of athletes. Results showed the prevalence of depression in the sample was similar to that of the general population. Athletes who reported symptoms of overtraining also reported symptoms of depression. Depressed athletes showed significantly more symptoms of overtraining than non-depressed athletes. Athletes who reported greater symptoms of depression or overtraining also reported higher levels of stigma associated with the condition. In the sample 45 % of participants reported that it was unlikely or extremely unlikely that they would seek help for mental health problems. The results indicate that mental health problems among elite athletes do exist. Athletes that experience problems with their mental health also do not want to disclose these problems. The established relationship between depression and overtraining highlights the difficult in distinguishing between the concepts that may ultimately lead to misdiagnose and ineffective treatment of the symptoms. Sport specialization in health care is required in order to meet the needs of elite athletes.