RESEARCH PAPER
 
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Anxiety and depression disorders are increasingly affecting society. Anxiety disorders are the most prevalent psychiatric disorders, and depressive disorders are increasing in society worldwide. Lower back pain is one of the common health problems experienced by 50–80% of adults at some point in their lives. The aim of the study was to assess the climbing environment in terms of depression, generalized anxiety and pain in the lumbar spine.

Material and methods:
139 people training on climbing walls Lublin in December 2019 were invited to participate in the study. After applying exclusion criteria, 113 people with an average age of 30±8 years, 88 men (average age: 30 years) and 35 women (average age: 30 years) were qualified for the study. They were examined by the author’s own questionnaire and the PHQ-9, GAD-7 and ODI questionnaires. Statistical analyses were applied and the significance threshold was set at 0.05.

Results:
Overall percentage results suggest mild depression at 27%, moderate anxiety at 27%, and mild back pain at 26% in the group of climbers tested. Climbing level and climbing sub-discipline did not affect the average results of PHQ-9, GAD-7 (p>0.05). Back pain was more common in boulder climbers (p<0.05).

Conclusions:
The level of sport climbing did not affect the level of depression, generalized anxiety, and back pain. The sport climbing level did not affect the incidence of injuries. The association in climbing clubs is connected with overcoming more difficult climbing routes and a higher level of generalized anxiety. Bouldering was associated with a greater level of pain in the lumbar spine and more injuries.

ACKNOWLEDGEMENTS
The study was not financed by any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
 
REFERENCES (39)
1.
Wang J, Wu X, Lai W, Long E, Zhang X, Li W, et al. Prevalence of depression and depressive symptoms among outpatients: a systematic review and meta-analysis. BMJ Open. 2017; 7(8). https://www.ncbi.nlm.nih.gov/p... (access: 2019.12.31).
 
2.
Mirzaei M, Yasini Ardekani SM, Mirzaei M, Dehghani A. Prevalence of Depression, Anxiety and Stress among Adult Population: Results of Yazd Health Study. Iran J Psychiatry. 2019; 14(2): 137–46.
 
3.
Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci. 2015; 17(3): 327–35.
 
4.
Saul D, Steinmetz G, Lehmann W, Schilling AF. Determinants for success in climbing: A systematic review. J Exerc Sci Fit. 2019; 17(3): 91–100.
 
5.
Sanchez X, Torregrossa M, Woodman T, Jones G, Llewellyn DJ. Identification of Parameters That Predict Sport Climbing Performance. Front Psychol [Internet]. 2019; 10. https://www.ncbi.nlm.nih.gov/p... (access: 2019.12.30).
 
6.
LI L, RU A, LIAO T, ZOU S, NIU XH, WANG YT. Effects of Rock Climbing Exercise on Physical Fitness among College Students: A Review Article and Meta-analysis. Iran J Public Health. 2018; 47(10): 1440–52.
 
7.
Jones G, Llewellyn D, Johnson MI. Previous injury as a risk factor for reinjury in rock climbing: a secondary analysis of data from a retrospective cross-sectional cohort survey of active rock climbers. BMJ Open Sport & Exercise Medicine [Internet]. 2015. https://bmjopensem.bmj.com/con... (access: 2020.01.05).
 
8.
Draper N, Jones GA, Fryer S, Hodgson C, Blackwell G. Effect of an On-Sight Lead on the Physiological and Psychological Responses to Rock Climbing. J Sports Sci Med. 2008; 7(4): 492–8.
 
9.
Pijpers JR (Rob), Oudejans RRD, Holsheimer F, Bakker FC. Anxiety–performance relationships in climbing: a process-oriented approach. Psychology of Sport and Exercise. 2003; 4(3): 283–304.
 
10.
Ford JL, Ildefonso K, Jones ML, Arvinen-Barrow M. Sport-related anxiety: current insights. Open Access J Sports Med. 2017; 8: 205–12.
 
11.
Stien N, Saeterbakken AH, Hermans E, Vereide VA, Olsen E, Andersen V. Comparison of climbing-specific strength and endurance between lead and boulder climbers. PLoS One [Internet]. 2019; 14(9). https://www.ncbi.nlm.nih.gov/p... (access: 2019.12.09).
 
12.
Trompeter K, Fett D, Platen P. Prevalence of Back Pain in Sports: A Systematic Review of the Literature. Sports Med. 2017; 47(6): 1183–207.
 
13.
Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019; 39(4): 619–26.
 
14.
Aleksandra Mirosław z kwalifikacją na Tokio 2020! [Internet]. Kierunek Tokio – weszlo.com. 2019 https://kierunektokio.pl/aleks... (access: 2019.12.29).
 
15.
Kleinstäuber M, Reuter M, Doll N, Fallgatter AJ. Rock climbing and acute emotion regulation in patients with major depressive disorder in the context of a psychological inpatient treatment: a controlled pilot trial. Psychol Res Behav Manag. 2017; 10: 277–81.
 
16.
Ewert A, Aras D. The effects of eight week sports rock climbing training on anxiety. Acta Medica Mediterranea. 2016; (32): 233–230.
 
17.
Zieliński G, Byś A, Baszczowski M, Ginszt M, Suwała M, Majcher P. The influence of sport climbing on depression and anxiety levels – literature review. J Educ Health Sport. 2018; 8(7): 336–44.
 
18.
Kluby zrzeszone w PZA [Internet]. Polski Związek Alpinizmu. http://pza.org.pl/pza/kluby (access: 2019.12.29).
 
19.
UIAA – International Climbing and Mountaineering Federation [Internet]. https://www.theuiaa.org/ (access: 2019.12.29).
 
20.
Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999; 282(18): 1737–44.
 
21.
Ślusarska BJ, Nowicki G, Piasecka H, Zarzycka D, Mazur A, Saran T, et al. Validation of the Polish language version of the Patient Health Questionnaire-9 in a population of adults aged 35–64. Ann Agric Environ Med. 2019; 26(3): 420–4.
 
22.
 
23.
Misterska E, Głowacki M. Assessment of pain severity and function of lumbar spine in idiopathic scoliosis. Ortop Traumatol Rehabil. 2009; 11(5): 433–7.
 
24.
Draper N, Giles D, Schöffl V, Fuss FK, Watts P, Wolf P, et al. Comparative grading scales, statistical analyses, climber descriptors and ability grouping: International Rock Climbing Research Association position statement. Sports Technology. 2015; 8(3–4): 88–94.
 
25.
Schöffl V, Morrison A, Hefti U, Schwarz U, Küpper T. The UIAA Medical Commission Injury Classification for Mountaineering and Climbing Sports. Wilderness Environ Med. 2011; 22: 46–51.
 
26.
Schweizer A. Sport climbing from a medical point of view. Swiss Med Wkly. 2012; 142: w13688.
 
27.
Hardy L, Hutchinson A. Effects of performance anxiety on effort and performance in rock climbing: a test of processing efficiency theory. Anxiety Stress Coping. 2007; 20(2): 147–61.
 
28.
Sanchez X, Boschker MSJ, Llewellyn DJ. Pre-performance psychological states and performance in an elite climbing competition. Scand J Med Sci Sports. 2010; 20(2): 356–63.
 
29.
Fryer S, Dickson T, Draper N, Blackwell G, Hillier S. A psycho physio-logical comparison of on-sight lead and top rope ascents in advanced rock climbers. Scand J Med Sci Sports. 2013; 23(5): 645–50.
 
30.
Hodgson CI, Draper N, McMorris T, Jones G, Fryer S, Coleman I. Perceived anxiety and plasma cortisol concentrations following rock climbing with differing safety rope protocols. Br J Sports Med. 2009; 43(7): 531–5.
 
31.
Dorscht L, Karg N, Book S, Graessel E, Kornhuber J, Luttenberger K. A German climbing study on depression: a bouldering psychotherapeutic group intervention in outpatients compared with state-of-the-art cognitive behavioural group therapy and physical activation – study protocol for a multicentre randomised controlled trial. BMC Psychiatry. 2019; 19(1): 154.
 
32.
Stelzer E-M, Book S, Graessel E, Hofner B, Kornhuber J, Luttenberger K. Bouldering psychotherapy reduces depressive symptoms even when general physical activity is controlled for: A randomized controlled trial. Heliyon. 2018; 4(3): e00580.
 
33.
Schwarz L, Dorscht L, Book S, Stelzer E-M, Kornhuber J, Luttenberger K. Long-term effects of bouldering psychotherapy on depression: benefits can be maintained across a 12-month follow-up. Heliyon. 2019; 5(12): e02929.
 
34.
Magiera A, Roczniok R, Sadowska-Krępa E, Kempa K, Placek O, Mostowik A. The Effect of Physical and Mental Stress on the Heart Rate, Cortisol and Lactate Concentrations in Rock Climbers. J Hum Kinet. 2018; 65: 111–23.
 
35.
McDonald JW, Henrie AM, Teramoto M, Medina E, Willick SE. Descriptive Epidemiology, Medical Evaluation, and Outcomes of Rock Climbing Injuries. Wilderness Environ Med. 2017; 28(3): 185–96.
 
36.
Schöffl VR, Hoffmann G, Küpper T. Acute injury risk and severity in indoor climbing-a prospective analysis of 515,337 indoor climbing wall visits in 5 years. Wilderness Environ Med. 2013; 24(3): 187–94.
 
37.
Woollings KY, McKay CD, Kang J, Meeuwisse WH, Emery CA. Incidence, mechanism and risk factors for injury in youth rock climbers. Br J Sports Med. 2015; 49(1): 44–50.
 
38.
Zieliński G, Zięba E, Ginszt M. Determining the index of injuries requiring specialist treatment during boulder climbing on an artificial climbing wall. J Educ Health Sport. 2019; 9(9): 90–3.
 
39.
Schöffl V, Burtscher E, Coscia F. Injuries and medical incidences during the ifsc 2012 climbing world cup series. Med Sport. 2013; 17: 168–70.
 
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