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behaviour
nutrition
riding science
2023
Expert Opinion

Anxiety and Depression in British Horseracing Stud and Stable Staff Following Occupational Injury.

Authors: Davies Emma, Liddiard Sophie, McConn-Palfreyman Will J, Parker John K, Cameron Lorna J, Williams Jane M

Journal: Animals : an open access journal from MDPI

Summary

# Editorial Summary Following occupational injury, British horseracing stud and stable staff face substantial mental health challenges, with nearly two-thirds reporting clinically significant anxiety (65%) and depression (60%) on the Hospital Anxiety and Depression Scale—rates that warrant serious attention from employers and industry bodies. Through a retrospective online survey of 175 injured racing staff, researchers examined associations between psychological distress and pain management strategies, revealing that those perceiving their employer as unsupportive had significantly elevated anxiety and depression scores (p = 0.001 and p = 0.020 respectively), suggesting organisational support is protective. Staff with heightened anxiety and depression demonstrated a concerning pattern of self-medication, with significantly greater use of NSAIDs, alcohol, nicotine, and prescription drugs to manage pain whilst remaining at work—a coping mechanism that may mask injury severity and delay proper rehabilitation. The findings highlight a critical gap in occupational health support within racing, where injury-related psychological distress may simultaneously erode help-seeking behaviour, job security perception, and decision-making around injury management, potentially compromising both worker recovery and equine welfare outcomes. Healthcare professionals, yard managers, and industry stakeholders should recognise mental health screening and supportive workplace policies as integral to injury management protocols, not peripheral concerns.

Read the full abstract on PubMed

Practical Takeaways

  • Recognize that occupational injury in horseracing staff carries high risk of anxiety and depression; implement supportive workplace practices and encourage professional mental health support following injury
  • Perceived employer support is strongly associated with mental health outcomes; transparent communication about job security and assistance during recovery may help reduce anxiety and depression
  • Monitor for problematic pain management and substance use coping mechanisms in injured staff, as these may indicate underlying anxiety or depression requiring intervention

Key Findings

  • 65.14% of injured horseracing staff reported anxiety scores above clinical threshold (≥8 on HADS)
  • 59.52% of injured horseracing staff reported depression scores above clinical threshold (≥8 on HADS)
  • Staff perceiving employers as unhelpful had significantly higher anxiety and depression scores (p=0.001 and p=0.020 respectively)
  • Heightened anxiety and depression were associated with increased use of pain medications including NSAIDs, alcohol, nicotine, and prescription drugs (p<0.05)

Conditions Studied

anxietydepressionoccupational injurypain management