Is it Possible for Individuals with Pre-Existing Mental Disorders to Perform Mountain Sports at High Altitude-First Evidence from a Pilot Cross-Sectional Questionnaire Study.

IF 1.6 4区 医学 Q4 BIOPHYSICS
Claudia Gstir, Timo Schurr, Roxana Ehlers, Johannes Burtscher, Barbara Sperner-Unterweger, Katharina Hüfner
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Abstract

Gstir, Claudia, Timo Schurr, Roxana Ehlers, Johannes Burtscher, Barbara Sperner-Unterweger, and Katharina Hüfner. Is it possible for individuals with pre-existing mental disorders to perform mountain sports at high altitude-First evidence from a pilot cross-sectional questionnaire study. High Alt Med Biol. 00:00-00, 2024. Introduction: Mountain sports at high altitude (HA) are gaining increasing popularity, but little is known about the effect of such activities on mental health, despite a great prevalence of mental disorders. Methods: Data were collected using an online self-report questionnaire assessing mental and somatic disorders in individuals performing mountain sports at HA (>2,500 m above sea level [ASL]) as well as their symptom change. Nonparametric tests were used for analyses. Results: 251 individuals without pre-existing disorders (noD), 34 with somatic disorders (somaD), and 38 with mental disorders (mentalD; mainly depressive, eating, and anxiety disorders) participated in this study. Overall, 44.7% of the mentalD group compared with 14.7% of somaD experienced ameliorated symptoms during mountain sports at HA, while 2.6% and 8.8%, respectively, reported a worsening (χ2[2] =8.13, p = 0.017). People in the mentalD compared with somaD group significantly less frequently inform tour partners (41.9% vs. 90.9%; χ2[2]=16.69, p < 0.001) about their condition or consult their physician (2.6% vs. 26.5%; χ2[1]=8.53, p = 0.003) regarding their plans to perform mountain sports at HA. 14.5% of all participants reported mental symptoms at 2,500-3,500 m ASL, 23.5% between >3,500-5,500 m ASL and 31.8% >5,500 m ASL. Conclusion: Individuals with mental disorders often report improved mental health during mountain sports at HA, possibly due to a combination of physical activity, the alpine natural environment, and/or moderate hypoxia. The fact that tour partners and physicians are rarely informed shows the need to reduce the stigma of mental disorders in the mountain sports community. The study was prospectively registered with the German Clinical Trials Registry (DRKS00024949).

已有精神障碍的人是否有可能在高海拔地区进行登山运动--一项试点横断面问卷调查研究的初步证据。
Gstir, Claudia, Timo Schurr, Roxana Ehlers, Johannes Burtscher, Barbara Sperner-Unterweger, and Katharina Hüfner.已有精神障碍的人是否有可能在高海拔地区进行登山运动--来自试点横断面问卷调查研究的首个证据。00:00-00, 2024.导言:高海拔地区(HA)的登山运动越来越受欢迎,但尽管精神障碍的发病率很高,人们对这类活动对心理健康的影响却知之甚少。研究方法通过在线自我报告问卷收集数据,评估在高海拔地区(海拔超过 2,500 米)进行登山运动的人的精神和躯体疾病及其症状变化。分析采用非参数检验。结果:参加本研究的有 251 名无运动障碍者(noD)、34 名躯体障碍者(somaD)和 38 名精神障碍者(mentalD;主要是抑郁、饮食和焦虑症)。总体而言,与 14.7% 的躯体失调患者相比,44.7% 的精神失调患者在参加 HA 山地运动时症状有所改善,而 2.6% 和 8.8% 的精神失调患者症状有所恶化(χ2[2] =8.13,P =0.017)。与somaD组相比,psychD组的人在计划在医管局进行山地运动时,向旅游伙伴(41.9% vs. 90.9%;χ2[2]=16.69,p < 0.001)通报病情或咨询医生的频率明显较低(2.6% vs. 26.5%;χ2[1]=8.53,p = 0.003)。在所有参与者中,14.5% 的人在海拔 2,500-3,500 米之间出现精神症状,23.5% 的人在海拔大于 3,500-5,500 米之间出现精神症状,31.8% 的人在海拔大于 5,500 米之间出现精神症状。结论是有精神障碍的人在 HA 的登山运动中通常会表示精神健康状况有所改善,这可能是由于体育活动、高山自然环境和/或适度缺氧的综合作用。旅游合作伙伴和医生很少知情,这表明有必要减少登山运动界对精神障碍的偏见。该研究已在德国临床试验登记处(DRKS00024949)进行了前瞻性登记。
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来源期刊
High altitude medicine & biology
High altitude medicine & biology 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
9.50%
发文量
44
审稿时长
>12 weeks
期刊介绍: High Altitude Medicine & Biology is the only peer-reviewed journal covering the medical and biological issues that impact human life at high altitudes. The Journal delivers critical findings on the impact of high altitude on lung and heart disease, appetite and weight loss, pulmonary and cerebral edema, hypertension, dehydration, infertility, and other diseases. It covers the full spectrum of high altitude life sciences from pathology to human and animal ecology.
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