TY - JOUR A1 - Ströhle, Andreas A1 - Bendau, Antonia A1 - Augustin, Noah A1 - Esch, Anna Dania A1 - Große, Julia A1 - Kaminski, Jan A1 - Petzold, Moritz Bruno A1 - Plag, Jens A1 - Schmidt, Maike A1 - Schütte, Martina A1 - Strehle, Nicola A1 - Wendt, Nora T1 - Sportpsychiatrie und -psychotherapie T1 - Sports psychiatry and psychotherapy JF - Der Nervenarzt : Organ der Deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde ; Mitteilungsblatt der Deutschen Gesellschaft für Neurologie N2 - Sports psychiatry and psychotherapy is a relatively young field and is comprised of two key segments: the special features of the diagnostics and therapy of mental disorders in elite athletes and the use of exercise and sports in the development and treatment of mental disorders. Although all mental disorders can in principle also occur in (elite) athletes, there are additionally sport-specific mental disorders, such as anorexia athletica and other eating disorders, chronic traumatic encephalopathy, misuse of and dependency on performance-enhancing substances (doping) and muscle dysmorphia. Many high-quality clinical trials over the past two decades have been able to demonstrate a therapeutic efficacy of physical activity and sport in the treatment of various mental disorders. All clinicians active in psychiatry and psychotherapy should possess a basic knowledge of sports psychiatry. N2 - Die Sportpsychiatrie und -psychotherapie ist ein relativ junges Arbeitsgebiet, das sich insbesondere mit zwei Schwerpunkten befasst: zum einen mit den Besonderheiten in Diagnostik und Therapie psychischer Erkrankungen bei Leistungssportler:innen sowie Bewegung und Sport in der Entstehung und Behandlung psychischer Erkrankungen. Während alle psychischen Erkrankungen prinzipiell auch bei (Leistungs‑)Sportler:innen auftreten können, gibt es darüber hinaus sport(art)spezifische psychische Erkrankungen, wie z. B. die Anorexia athletica und andere Essstörungen, die chronisch traumatische Enzephalopathie, Missbrauch und Abhängigkeit von leistungssteigernden Substanzen (Doping) oder die Muskeldysmorphie. In qualitativ hochwertigen klinischen Studien konnte die therapeutische Wirksamkeit von Bewegung und Sport bei verschiedenen psychischen Erkrankungen belegt werden. Ein sportpsychiatrisches Basiswissen sollten alle in Psychiatrie und Psychotherapie klinisch Tätigen besitzen. KW - Physical activity KW - Athletes KW - Elite sports KW - Mental health KW - Mental KW - disorders KW - Körperliche Aktivität KW - Athleten KW - Leistungssport KW - Psychische Gesundheit KW - Psychische Erkrankungen Y1 - 2022 U6 - https://doi.org/10.1007/s00115-022-01342-x SN - 0028-2804 SN - 1433-0407 VL - 93 IS - 7 SP - 742 EP - 753 PB - Springer CY - New York ER - TY - JOUR A1 - Petzold, Moritz Bruno A1 - Mumm, Jennifer Lara Maria A1 - Bischoff, Sophie A1 - Große, Julia A1 - Plag, Jens A1 - Brand, Ralf A1 - Ströhle, Andreas T1 - Increasing physical activity and healthy diet in outpatients with mental disorders BT - a randomized-controlled evaluation of two psychological interventions JF - European archives of psychiatry and clinical neuroscience : official organ of the German Society for Biological Psychiatry N2 - IntroductionWhile physical activity (PA) can play an important role in the treatment of mental disorders (MD), large proportions of patients with MD do not meet PA recommendations. The aim of this trial was to evaluate whether structured psychological intervention (MoVo-LISA) is effective in helping outpatients with MD to increase their level of PA. As active control group (CG) we modified MoVo-LISA to target healthy diet behavior.MethodsN=83 outpatients with MD (F1-F4) were randomized to the two conditions. PA (self-report and accelerometry), dietary behavior, social-cognitive determinants of health behavior change, psychiatric symptoms and health-related quality of life were assessed at baseline, 1 and 12 weeks after the intervention.ResultsSignificant time*group interaction effects for objectively measured PA, dietary behavior and fruit and vegetable consumption indicated differential effects of the interventions on these outcomes. PA increased in the MoVo-LISA group (IG) from baseline to follow-up while it decreased in CG. IG showed a significant higher level of objectively measured PA at follow-up compared to CG. Dietary behavior and fruit and vegetable consumption significantly increased from baseline to follow-up in CG, but not IG. IG showed a significant increase in some, but not all social cognitive determinants of health behavior change.ConclusionsMoVo-LISA is effective in helping outpatients with MD to increase their level of PA in short- and mid-term. The used intervention strategies are effective for the promotion of healthy diet in patients with MD as well. KW - Physical activity KW - Physical exercise KW - Mental disorder KW - Mental disease KW - Intervention KW - MoVo Y1 - 2018 U6 - https://doi.org/10.1007/s00406-018-0941-z SN - 0940-1334 SN - 1433-8491 VL - 269 IS - 5 SP - 529 EP - 542 PB - Springer CY - Heidelberg ER - TY - JOUR A1 - Busch, Aglaja A1 - Kubosch, Eva Johanna A1 - Bendau, Antonia A1 - Leonhart, Rainer A1 - Meidl, Verena A1 - Bretthauer, Berit A1 - Petzold, Moritz Bruno A1 - Dallmann, Petra A1 - Wrobel, Nina A1 - Plag, Jens A1 - Ströhle, Andreas A1 - Hirschmüller, Anja T1 - Mental health in German paralympic athletes during the 1st year of the COVID-19 pandemic compared to a general population sample JF - Frontiers in sports and active living N2 - IntroductionThe COVID-19 pandemic has huge influences on daily life and is not only associated with physical but also with major psychological impacts. Mental health problems and disorders are frequently present in elite paralympic athletes. Due to the pandemic situation, new stressors (e.g., loss of routine, financial insecurity) might act upon the athletes. Therefore, the assessment of mental health in athletes during the COVID-19 pandemic is important to identify prevalence of psychological problems and propose countermeasures. MethodsThe mental health of German paralympic athletes was longitudinally monitored (starting in May 2019). The athletes completed the Patient Health Questionnaire 4 (PHQ-4) on a weekly basis and reported a stress level, training hours, and training load. During the pandemic, 8 measurement time points (March 2020 to April 2021) were used to reflect the psychological health course of the athletes. In parallel, a convenience sample of the general population was questioned about their psychological distress, including the PHQ-4. To be included in the analysis, participants of both groups had to complete at least 4 measurement time points. Matching of the para-athletes and the general population sample was prioritized upon completion of the same measurement time points, gender, and age. ResultsSeventy-eight paralympic athletes (40 women, 38 men, age: 29.8 +/- 11.4 years) met the inclusion criteria. Seventy-eight matched pairs of the general population (40 women; 38 men; age: 30.5 +/- 10.9 years) were identified. The para-athletes had a significantly (p r <0.48) lower PHQ-4 value at each measurement time point compared to the matched control group. No significant age or sex differences were evident regarding the symptom burden. In para-athletes, no significant and a weak positive correlation was found between decreased training load and PHQ-4 values and a stress level, respectively. Reduced physical activity was significantly (p <0.0001) associated with higher PHQ-4 values in the general population sample. DiscussionLower PHQ-4 values were reported by the para-athletes compared to the general population sample. However, small sample sizes must be considered while interpreting the data. Nevertheless, adequate support for individuals suffering from severe psychopathological symptoms should be provided for para-athletes as well as for the general population. KW - paralympic sport KW - elite athlete KW - PHQ-4 KW - depression KW - anxiety KW - SARS-CoV-2 Y1 - 2022 U6 - https://doi.org/10.3389/fspor.2022.870692 SN - 2624-9367 VL - 4 PB - Frontiers Media CY - Lausanne ER - TY - JOUR A1 - Klein, Andreas A1 - Roediger, Lukas A1 - Bendau, Antonia A1 - Viohl, Leonard A1 - Ernst, Felicitas A1 - Helbig, Jonas A1 - Kühne, Franziska A1 - Petzold, Moritz Bruno A1 - Betzler, Felix T1 - Problem drinking among university students in Berlin JF - Journal of American College Health N2 - Objective Problem-drinking among university students is common and poses serious health-related risks. Therefore, identifying and addressing associated factors is important. Participants and methods A large cross-sectional online-survey with 12,914 university students from Berlin was conducted from November 2016 to August 2017. Relative-risk- and correlation-analysis was used to identify factors associated with problem-drinking and regular heavy-drinking. Independent t-tests compared impulsivity and personality traits, chi-square-tests compared drinking motives between risk- and non-risk-drinkers. Results Male gender, tobacco-smoking, illegal substance use, impulsivity and various sociodemographic and psychosocial variables were significantly related to problem/heavy-drinking. Extraversion was a risk, conscientiousness and agreeableness were protective factors. Drinking-motives did not differ significantly between risk- and non-risk-drinkers. Generally, the main drinking-motives were to feel elated, relax and social purposes. Conclusion The identified markers and related problem behaviors may serve as a tool to enhance the identification of student subgroups at risk for problem/heavy-drinking, and hence improve targeted health-intervention-programs. KW - Alcohol KW - addiction KW - mental health KW - substance use KW - youth Y1 - 2022 U6 - https://doi.org/10.1080/07448481.2022.2080503 SN - 0744-8481 SN - 1940-3208 PB - Routledge, Taylor & Francis Group CY - Abingdon ER -