ar contact with teammates can also be factors in mental health probl

LONDON - One in four professional footballers said they suffer symptoms of anxiety and depression in a new study into the sports largely unexplored "dark side" of mental illness. The mental health of recently retired professional footballers was even more worrisome, with one in three reporting signs of anxiety and depression. Some 300 current and former professionals — from the Netherlands, Major League Soccer, Scotland, Ireland, Australia and New Zealand — took part in the study for the players union, FIFPro. While football can draw on reams of scientific study about players physical injuries, little research has previously been done into their mental health, and mental health problems have remained very much taboo in the sport, FIFPro chief medical officer Vincent Gouttebarge said. "There is definitely some dark side of professional football," he said in an interview. "We dont talk about mental health issues in football, or we didnt talk about this issue," he added. "Its quite a macho culture so people do not talk about it." Gouttebarge said the studys findings suggest that professional footballers are no less prone to mental illness than other younger people in the general population. He said that might surprise fans who believe footballers live comfortable, worry-free lives, with media attention often focusing on the wealth of the most successful players. "Contrary to what people think, professional footballers experience psychological problems just like other groups in the population," Gouttebarge said. Among the 180 active footballers who responded to the lengthy questionnaire, 10 per cent reported symptoms of distress, five per cent reported signs of burnout and three per cent said they suffered from low self-esteem. Nearly 20 per cent reported problems with alcohol, which Gouttebarge said could include binge drinking and regularly drinking too much, and seven per cent said they smoked. The 121 former professionals who responded on average had 12-year playing careers and have been retired for five years. Fifteen per cent showed signs of burnout and 18 per cent signs of distress. One in three reported drinking problems, 12 per cent smoked, and 39 per cent reported suffering from depression and anxiety. Gouttebarge said that could include worrying, mood swings, difficulties sleeping, feeling stressed, not being sociable or a combination of symptoms. "Mental illness seems to occur among former professional footballers more often than in current players, and more often than in other populations. Consequently, mental illness among former professional footballers cannot be underestimated and should be a subject of interest for all stakeholders in football," the study said. Retirement was "really a critical period," with players abruptly losing the structure of regular training and the support of being in a club, Gouttebarge said. "You have to find a new life," he said. "It can put you under a lot of stress." Long-term injuries and surgeries that take players out of the game and away from close, regular contact with teammates can also be factors in mental health problems. Being forced to stop playing professionally because of injury or because clubs wont offer another contract can be particularly hard to cope with, Gouttebarge noted. "This has been recognized in other sports as a huge cause of mental health issues," he said. "The guy who is willing to retire or to stop his career is really (in) a different kind of situation to the one who is forced to retire." He called the study "a good first step" toward identifying the scope of mental health issues in football. The survey is expanding to players in France and from French-speaking nations in Africa, with plans to also study players in Spanish-speaking countries and Japan, Gouttebarge said. Air Max 90 Scontate . 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Ellis had a season-high 37 points and two key assists late, Dirk Nowitzki led a fourth-quarter rally with 14 of his 35 points, and the Mavericks spoiled Howards best offensive night in Houston with a 123-120 victory over the Rockets on Wednesday night.PORTLAND, Ore. -- There was some shouting going on in the Trail Blazers locker room after they fell behind by 10 points at halftime to the Rockets. Up 2-1 in their first playoff series since 2011, the Blazers didnt want to mess up Game 4, especially in front of their hometown fans. "In the words of Chuck -- Charles Barkley -- we were playing like wussies," Portland guard Wesley Matthews said. "That was the message to each other." Whatever was said, the Trail Blazers pulled out of their funk and went on to defeat the Rockets 123-120 in overtime Sunday night to take a 3-1 advantage in the series that moves to Houston on Wednesday. LaMarcus Aldridge had 29 points and 10 rebounds in the first win for the home team in the series, while Nicolas Batum added 25 points. It was the third game in the series decided in overtime. The Blazers havent advanced out of the first round since 2000. Portland also hasnt held a 3-1 advantage in a series since the 2000 Western Conference semifinals against Utah, which the Blazers won 4-1. James Harden had 28 points and Dwight Howard added 25 points and 14 rebounds for the Rockets. "The playoffs are a grind," Houston coach Kevin McHale said. "Its a different game than the regular season. Youve got to be built for the grind." Portland trailed by as many as 11 points, but rallied in the fourth quarter. Mo Williams 3-pointer put the Blazers in front 105-104 with 18.9 seconds left. Dorell Wright missed the first of two free throws, making it 106-104 with 8.3 seconds to go. Howard dunked off a feed from Harden with 3.6 seconds left to tie it and Williams missed a 3 at the buzzer to send the game into overtime. Chandler Parsons was hit with a flagrant foul on Aldridge, who made both free throws to give the Blazers the lead to start off OT. Batum scooped up a layup before adding a 3-pointer and Damian Lillard made a layup to put Portland ahead 117-110. Houston rookie Troy Daniels nailed a 3 and Harden landed a jumper to narrow it to 119-117, but Lillard made free throws to extend the lead to four points with 17 seconds left. Aldridge missed a pair of free throws and Daniels was fouled by Wright on a 3-point attempt and made all three shots to narrow it to 121-120 with 8.9 seconds left. After a Portland timeout, Mo Williams made free throws for the final margin.dddddddddddd "It was tough," Aldridge said. "I thought it was a gut-check by everybody. I thought our guys took on the challenge." Aldridge opened Portlands return to the playoffs with a franchise post-season-best 46 points in the Blazers 122-120 overtime victory in Game 1, then followed it up with 43 points in the 112-105 win. The Rockets won the third, 121-116 in overtime on Friday night at the Moda Center. McHale again started Omer Asik in place of Terrence Jones. Asik had success against Aldridge in Game 3, helping to hold Portlands All-Star to 23 points. The two teams played closely for most of the first quarter, but the Rockets took a 29-22 lead after an 11-4 run highlighted by two straight 3-pointers from Daniels. Daniels, who spent time in the D-League this season and only made his NBA debut on March. 5, was the unlikely hero of Game 3 when he drained a 3 with 11.9 seconds to go in OT that proved to be the winner. Houston led 61-51 at the half, led by Parsons with 19 points. The Rockets maintained the lead through the third quarter and Hardens jumper from the top of the key stretched it to 92-84 with 8:31 left. Portland got within 94-91 on Batums layup with 6:35 left. Lillards 3-pointer tied it at 94, but Harden answered with his 3 for the Rockets. Aldridge made a layup to put Portland up 102-97, but Howard made three of four free throws to narrow it before making two big blocks. Harden hit free throws to tie it at 102 with 1:11 left. Aldridge missed a layup and Harden hit another two foul shots to give the Rockets back the lead. Parsons finished with 26