Objective Determining the prevalence of mental health symptoms (MHS) among Australian professional footballers compared with former players. A secondary aim was to assess whether MHS were associated with recent injury and psychological resilience. Methods This cross-sectional study included 149 male (mean age: 24 years) and 132 female (mean age: 23 years) Australian A-League and W-League professional footballers (study group) and 81 former male footballers (control group, mean age: 39 years) for analysis. MHS and psychological resilience were assessed through validated questionnaires. Severe injuries were assessed through a single question. The adjusted Wald method was used to assess the primary aim. Logistic regression analyses was used to assess the secondary aim. Results The most prevalent MHS among active footballers and former footballers was sport-related psychological distress (63%) and alcohol misuse (69%), respectively. Global psychological distress, sleep disturbance, alcohol misuse and substance misuse were significantly lower among active male footballers than among former players. Increased psychological resilience among active male footballers was associated with a decrease in symptoms of sport-related and global psychological distress, anxiety and depression of 9%, 14%, 23% and 20%, respectively. Increased psychological resilience among female players was associated with 10% decrease in symptoms of depression. Problem gambling and sleep disturbance was associated with injury in the previous 6 months among active male and female footballers, respectively. Conclusions MHS are prevalent among active and former professional footballers. Higher level of psychological resilience is associated with decreased reporting of MHS. Severe injury is associated with problem gambling and sleep disturbance. Data are not available.

中文翻译：

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澳大利亚职业足球运动员的心理健康症状患病率

目的 确定澳大利亚职业足球运动员与前球员相比心理健康症状 (MHS) 的患病率。次要目的是评估 MHS 是否与近期受伤和心理复原力有关。方法 这项横断面研究包括 149 名男性（平均年龄：24 岁）和 132 名女性（平均年龄：23​​ 岁）澳大利亚 A 联赛和 W 联赛职业足球运动员（研究组）和 81 名前男足球运动员（对照组，平均年龄：39 岁）进行分析。通过验证问卷评估 MHS 和心理弹性。通过一个问题评估严重伤害。调整后的 Wald 方法用于评估主要目标。逻辑回归分析用于评估次要目标。结果 在现役足球运动员和前足球运动员中最普遍的 MHS 分别是与运动相关的心理困扰 (63%) 和酒精滥用 (69%)。与前球员相比，现役男足球员的全球心理困扰、睡眠障碍、酒精滥用和药物滥用显着降低。活跃的男足球运动员的心理弹性增加与运动相关和全球心理困扰、焦虑和抑郁症状的减少分别相关，分别为 9%、14%、23% 和 20%。女性球员的心理弹性增加与抑郁症状减少 10% 相关。赌博问题和睡眠障碍分别与活跃的男性和女性足球运动员在过去 6 个月中的受伤有关。结论 MHS 在现役和前职业足球运动员中普遍存在。较高水平的心理弹性与 MHS 报告的减少有关。重伤与问题赌博和睡眠障碍有关。数据不可用。