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首页> 外文期刊>British journal of sports medicine >Mental health management of elite athletes during COVID-19: a narrative review and recommendations
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Mental health management of elite athletes during COVID-19: a narrative review and recommendations

机译：精英运动员心理健康管理在Covid-19期间：叙事审查和建议

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Elite 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.
机译：精英运动员患有许多心理健康症状和疾病，其价格相当于或超过一般人群。 Covid-19在精英运动员上创造了新的菌株，从而潜在地增加了对心理健康症状的脆弱性。该稿件是对大流行对精英运动员中这些症状的影响的叙述审查，并随后导致指导该管理的建议。它特异性地解决了心理治疗，药物治疗和更高水平的护理。在心理治疗领域内，可能会指出危机咨询。个人，夫妇/家庭和小组心理治疗方式都可能在大流行期间有所帮助，具有新的内容和交付方式。关于精神健康症状和疾病的药物治疗，在大流行期间，管理的一些重要方面发生了变化，特别是某些类药物，包括兴奋剂，双极药物和精神病疾病的药物，抗抑郁药和药物使用疾病的药物。尽管在大流行期间有潜在的病毒暴露风险，但提供者必须考虑何时需要考虑（例如，用于物理检查，实验室测试）或更高水平的护理（例如，危机稳定）。管理层最终应继续遵循质量保健的一般原则，具有一些灵活性。最后，目前的大流行为研究运动员提供精神保健的新方法提供了重要机会，并考虑这些新方法是否应超出大流行。

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