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Depression and chronic fatigue in athletes.

J C Puffer1, J M McShane

  • 1Division of Family Medicine, University of California, School of Medicine, Los Angeles.

Clinics in Sports Medicine
|April 1, 1992
PubMed
Summary

Competitive athletes often exhibit high well-being but may develop overtraining syndrome, leading to chronic fatigue and depression. A diagnostic framework helps clinicians assess these conditions in athletes.

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Area of Science:

  • Sports Medicine
  • Psychology
  • Clinical Medicine

Background:

  • Competitive athletes generally display positive mental health and well-being compared to non-athletes.
  • However, athletes may possess personality traits like rigidity and perfectionism, potentially leading to overtraining.
  • Overtraining syndrome can manifest as chronic fatigue and depression in athletes.

Purpose of the Study:

  • To outline a diagnostic framework for evaluating chronic fatigue and depression in competitive athletes.
  • To differentiate overtraining-induced symptoms from other organic causes.

Main Methods:

  • Review of existing literature on athlete psychology and overtraining.
  • Clinical assessment strategies for chronic fatigue and depression in athletes.
  • Diagnostic testing protocols to exclude organic etiologies.

Main Results:

  • Overtraining syndrome is a significant concern in athletes driven by performance demands.
  • Chronic fatigue and depression in athletes require careful evaluation to rule out other medical conditions.
  • A structured diagnostic approach is essential for accurate assessment.

Conclusions:

  • While athletes are often well-adjusted, overtraining can lead to significant psychological distress.
  • Clinicians must consider overtraining syndrome alongside other potential causes of fatigue and depression in athletes.
  • Implementing a diagnostic framework aids in the effective management of these conditions.

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