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Chapter 6 - Football: Alcohol and Barriers to Support

Published online by Cambridge University Press:  29 July 2020

By
Amit Mistry ,
Steve Peters ,
Robin Chatterjee  and
David Cotterill
Edited by
Amit D. Mistry ,
Thomas McCabe  and
Alan Currie
Amit D. Mistry
Affiliation:
Barnet, Enfield and Haringey Mental Health NHS Trust
Thomas McCabe
Affiliation:
NHS Greater Glasgow and Clyde
Alan Currie
Affiliation:
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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Summary

A small aspect of football culture has an enmeshed history with alcohol and can create an environment where harmful alcohol consumption is promoted. As a result, both current and former professional footballers are at risk. Alcohol-related psychiatric assessments need to serially assess severity, risk, social function and manage any co-morbid physical or mental health conditions. Following these assessments, a personalised biopsychosocial care plan should be agreed. A sports psychiatrist must understand how alcohol misuse presents within the elite football environment and how patient motivation towards behaviour change is central to recovery.

Type
Chapter
Information
Case Studies in Sports Psychiatry , pp. 68 - 84
Publisher: Cambridge University Press
Print publication year: 2020

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References

Prochaska, JO, DiClemente, CC, Norcross, JC. In search of how people change: Applications to the addictive behaviors. American Psychologist. 1992; 47:1102–14.CrossRefGoogle Scholar
Sullivan, JT, Sykara, K, Schneiderman, J, Naranjo, CA, Sellers, EM. Assessment of alcohol withdrawal: The revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar). Br J Addict. 1989;84:1353–7.Google Scholar
World Health Organization. AUDIT, the Alcohol Use Disorders Identification Test. 1989;Document No.WHO/MNH/DAT/89.4.Google Scholar
Mayfield, D, McLeod, G, Hall, P. The CAGE Questionnaire: Validation of a new alcohol screening instrument. Am J Psychiatry. 1974;131(10):1121–3.Google Scholar
National Institute of Health and Care Excellence. Alcohol-Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence (CG115), 2011. Available from: www.nice.org.uk/guidance/cg115Google Scholar
Reardon, CL, Hainline, B, Aron, CM, Baron, D, Baum, AL, Bindra, A, et al. Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br J Sports Med. 2019;53(11):667–99. Available from: www.ncbi.nlm.nih.gov/pubmed/31097450Google Scholar
Hainline, B, Reardon, CL. Breaking a taboo: Why the International Olympic Committee convened experts to develop a consensus statement on mental health in elite athletes. Br J Sports Med. 2019;0:1–4. doi:10.1136/bjsports-2019-100681Google Scholar
Castaldelli-Maia, JM, Gallinaro, JGM, Falcão, RC, Gouttebarge, V, Hitchcock, ME, Hainline, B, et al. Mental health symptoms and disorders in elite athletes: A systematic review on cultural influencers and barriers to athletes seeking treatment. Br J Sports Med. 2019; 53:707–721. doi:10.1136/bjsports-2019-100710Google Scholar
DiClemente, CC, Bellino, LE, Neavins, TM. Motivation for change and alcohol treatment. Alcohol Research & Health. 1999; 23;2: 86–92.Google Scholar
Edwards, AG, Rollnick, S. Outcome studies of brief alcohol intervention in general practice: The problem of lost subjects. Addiction. 1997; 92(12):1699–704.CrossRefGoogle ScholarPubMed
Miller, WR, Rollnick, S. Motivational Interviewing: Preparing People for Change. 2nd edition. New York, Guilford, 2002.Google Scholar
American Psychiatric Association. Practice Guideline for the Treatment of Patients with Substance Misuse Disorders. Work group on substance use disorders, 2nd edition. 2010.Google Scholar
Walters, P, Hearn, A, Currie, A. Substance misuse. In, Currie, A and Owen, B, Sport Psychiatry. Oxford Psychiatry Library, 2016.Google Scholar
Lingford-Hughes, AR, Welch, S, Peters, L, Nutt, DJ. BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: Recommendations from BAP. J Psychopharmacol. 2012; 26(7):899–952.CrossRefGoogle ScholarPubMed
Mason, BJ, Goodman, AM, Chabac, S, Lehert, P. Effect of oral acamprosate on abstinence in patients with alcohol dependence in a double-blind, placebo-controlled trial: The role of patient motivation. J Psychiatr Res. 2006;40:383–93.Google Scholar
Semple, D, Smyth, R. Oxford Handbook of Psychiatry. London: Oxford University Press. 2013.Google Scholar
BMJ Best Practice. Alcohol-Use Disorders. 2018. Available from: http://bestpractice.bmj.com/topics/en-us/198Google Scholar
Engleman, E, Rodd, ZA, Bell, RL, et al. The role of 5-HT3 receptors in drug abuse and as a target for pharmacotherapy. CNS Neurol Disord Drug Targets. 2008; 7(5):454–67.Google Scholar
Green, GA, Uryasz, FD, Petr, TA, et al. NCAA study of substance use and abuse habits of college student-athletes. Clin J Sport Med. 2001;11:51–6.CrossRefGoogle ScholarPubMed
Gouttebarge, V, Aoki, H, Kerkhoffs, G. Symptoms of common mental disorders and adverse health behaviours in male professional soccer players. J Hum Kinet. 2015;49:277–86.Google Scholar
McDuff, D, Stull, T, Castaldelli-Maia, JM, Hitchcock, ME, Hainline, B, Reardon, CL. Recreational and ergogenic substance use and substance use disorders in elite athletes: A narrative review. Br J Sports Med. 2019;0:1–7.Google Scholar
Gouttebarge, V, Frings-Dresen, MHW, Sluiter, JK. Mental and psychosocial health among current and former professional footballers. Occupational Medicine. 2015;65:190–6.CrossRefGoogle ScholarPubMed
Gouttebarge, V, Castaldelli-Maia, JM, Gorczynski, P, Hainline, B, Hitchcock, ME, Kerkhoffs, GM, et al. Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis. Br J Sports Med. 2019;53:700–7.Google Scholar
Barnes, MJ. Alcohol: Impact on sports performance and recovery in male athletes. Sports Med. 2014;44:909–19.Google Scholar
Morgan, MY, Ritson, B. Alcohol and Health. London. Medical Council on Alcoholism. 1998.Google Scholar
Taylor, D, Barnes, TRE, Young, AH. Addictions and substance misuse. The Maudsley Prescribing Guidelines, 13th edition. Wiley-Blackwell. 2018.Google Scholar
Holvey, C and Torrens, N. Guy’s and St Thomas’ Clinical Guidelines DTC Reference 10052a. 2010.Google Scholar
Waddington, I, Roderick, M. Management of medical confidentiality in English professional football clubs: Some ethical problems and issues. Br J Sports Med. 2002;36:118–23.Google Scholar
DVLA Report your medical condition (Form DR1). Available from: www.gov.uk/government/publications/dr1-online-confidential-medical-informationGoogle Scholar
DVLA Notification form for healthcare professionals. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/506349/DOM3854_230216.pdfGoogle Scholar
FIFA Medical Assessment and Research Centre. Nutrition for Football; A practical guide for eating and drinking for health and performance, 2010. Available from: www.fifa.com/mm/document/footballdevelopment/medical51/55/15/nutritionbooklet_Fneue2010.pdfGoogle Scholar

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