TY - JOUR A1 - Brand, Ralf A1 - Wolff, Wanja A1 - Hoyer, Jürgen T1 - Psychological Symptoms and Chronic Mood in Representative Samples of Elite Student-Athletes, Deselected Student-Athletes and Comparison Students JF - School mental health : a multidisciplinary research and practice journal N2 - Stress-levels experienced by school-aged elite athletes are pronounced, but data on their mental health status are widely lacking. In our study, we examined self-reported psychological symptoms and chronic mood. Data from a representative sample of 866 elite student-athletes (aged 12-15 years), enrolled in high-performance sport programming in German Elite Schools of Sport, were compared with data from 80 student-athletes from the same schools who have just been deselected from elite sport promotion, and from 432 age-and sex-matched non-sport students from regular schools (without such programming). Anxiety symptoms were least prevalent in female elite student-athletes. In male elite student-athletes, only symptoms of posttraumatic stress were less prevalent than in the other groups. Somatoform symptoms were generally more frequent in athletes, a trend that was significantly pronounced in deselected athletes. Deselected athletes showed an increased risk for psychological symptoms compared with both other groups. Regarding chronic mood, again deselected athletes showed less positive scores. While there was a trend toward high-performance sport being associated with better psychological health at least in girls, preventative programs should take into account that deselection from elite sport programming may be associated with specific risks for mental disorders. KW - School KW - Mental health KW - Mental disorders KW - Competitive sport KW - Forced drop-out Y1 - 2013 U6 - https://doi.org/10.1007/s12310-012-9095-8 SN - 1866-2625 SN - 1866-2633 VL - 5 IS - 3 SP - 166 EP - 174 PB - Springer CY - New York ER - TY - JOUR A1 - Petzold, Moritz B. A1 - Bischoff, Sophie A1 - Rogoll, Janina A1 - Plag, Jens A1 - Teran, Christina A1 - Brand, Ralf A1 - Ströhle, Andreas T1 - Physical activity in outpatients with mental disorders: status, measurement and social cognitive determinants of health behavior change JF - European archives of psychiatry and clinical neuroscience : official organ of the German Society for Biological Psychiatry N2 - Physical activity (PA) can play an important role in improving the mental and physical health in patients with mental disorders but is not well studied in this population. The aim of this study was to assess the status of PA in outpatients with mental disorders, compare the convergence of self-rating and accelerometer measurement and examine the influence of social cognitive variables from the Motivation-Volition (MoVo) model and clinical measures on PA. Eighty-four patients were recruited from three psychiatric outpatient clinics and local psychiatrists (Distribution of ICD-10-Diagnoses: F3.x = 59.5%, F4.x = 20.2%, F2.x = 17.9%, F1.x = 2.4%). PA, Self-efficacy, Outcome-expectancies, Intention, Self-concordance, Action- and Coping-planning, Health-related Quality of Life (SF-12) and Psychiatric Symptoms (SCL-27) were assessed through questionnaires. PA was assessed objectively by accelerometers. Most of the participants did not reach PA recommendations. Subjective and objective measurement of PA showed good accordance for total PA on group level but lower accordance on individual level. Motivational and volitional determinants of health behavior change showed a similar pattern of correlations with PA as in populations without mental disorders. Outpatients with mental disorders have the ability and are willing to perform PA but a large proportion of our sample did not meet PA recommendations. To assess group levels of PA, subjective and objective measurement seem equally apt, for individual diagnostics, a combination of both should be considered. Social cognitive determinants of health behavior change seem to be as helpful for the design of PA interventions for patients with mental disorders as they are in other populations. KW - Physical activity KW - Mental disorders KW - Prevalence KW - Assessment KW - Health behavior change KW - MoVo Y1 - 2017 U6 - https://doi.org/10.1007/s00406-017-0772-3 SN - 0940-1334 SN - 1433-8491 VL - 267 SP - 639 EP - 650 PB - Springer CY - Heidelberg ER -