Advances in Health Science Research (AHSR), volume 7 2nd International Conference on Sports Sciences and Health 2018 (ICSSH 2018)

Anxiety and Performance of Scuba Diver

Rumpoko, S.S. Sitiasih, V.S. Sudarmanto, E. S3 Ilmu Keolahragaan Program Studi Pendidikan Olahraga Program Studi Pendidikan Olahraga Universitas Sebelas Maret Surakarta Universitas Muhammadiyah Surakarta Universitas Muhammadiyah Surakarta Surakarta, Indonesia Surakarta, Indonesia Surakarta, Indonesia [email protected] [email protected] [email protected]

Abstract— A diver suffering from anxiety symptoms will used in military because bubbles were not exhausted into the definitely have an impact. Physical and psychological factors that wate r[1]. will give negative effects on performance, and advanced exposure can cause loss of control of the body, cardiorespiratory system In many country, the important and growing industry is increases and cause . Anxiety is a psychological symptoms recreational [8]. Examination data from The marked by anxiety, nervousness, anxiety, the fear experienced by Professional Association of Dive Instructors (PADI) gives someone on a different level. This study aims to open up insights indication that increasing dive activity and certified diver [8]. to readers about anxiety in the sport of diving. In this study uses For scuba diving, will be need swimming ability but not the study of literature as a deepening material so readers are competitive swimmer. must also have good easier to understand. Anxiety can be seen by looking at the way conditions, it means the heart, circulation, and lungs do not the symptoms that appear. In addition to that Anxiety can be have any problems. measured using various methods. Knowledge in understanding anxiety is very necessary to apply appropriate methods in the All activities have some risk, include in scuba diving. The face of anxiety because when a wrong in the face of anxiety will is change with depth. Every changes depth in the affect the appearance of a diver. water affect pressure to the body. The gases normally dissolved by tissues of body and blood. The increased pressure to body Keywords— anxiety, performance, scuba diver makes amount gases increased in tissues. By manage how deep, duration, and rate ascent can avoid illness. I. INTRODUCTION Underwater world can explored with properly equipment. A diver can move freely in the water like bird. With the Our eyes designed not to see through water, in water the view freedom of belonging can do a variety of activities in the water is blurred and distorted. Reduce distortion suggests use mask or [1]. Recreational scuba diving is many risk in the water [2][3]. face mask. Compressed gas has given divers Commonly known as the bends, (DCI) high freedom underwater to stay long period and deeper in the is amount of gas in body tissues caused reduction in pressure is water. too rapid. Reported to the in 2000 shows For minimize risk of injury scuba diving must learn proper many case accident each years [4]. This is indicates divers who procedurs entering and exiting the water, descending and never experienced DCI possibly can occur permanent ascending, controlling , checking instrument and neuropsychological injury, other indicate is hyperintense coordinating with buddy. lesions of subcortical cerebral white matter and degenerative changes of the cervical disk in amateur scuba divers [5]. The scuba divers who have panic experience will exposed stressful A. Causes of Diving Accidents conditions generally more risk on DCI [6]. One of many factor Scuba diving is one of most famous recreational enjoyed by to be useful in predicting panic behavior is trait anxiety [7]. millions of divers in the world, but also more risk [9][8]. Based Trait anxiety represents an personality and it shows how the data from the Divers Alert Network estimated fatal accidents in individual feel in generaly [7]. scuba diver each years [10]. Dive injuries are the result of many circumstances and events, including environmental, medical, and procedural factors. Environmental factors include II. SCUBA DIVING Interest human in the underwater world has always existed. any natural conditions such as cold water, currents or wave Driven by curiosity, explore new science and the need for food, action, depth, and visibility. Medical factors include obesity, people have do scuba diving for long time[1]. The origin of smoking, alcohol use, cardiovascular disease or high blood can be traced to 1825. That year, William pressure, difficulty (both temporary and chronic), H. James, an Englishman, invented the first open-circuit self- dehydration, and a general lack of physical fitness. Procedural contained underwater breathing apparatus (SCUBA) system. factors include buoyancy control, air supply issues such as Later, closed circuit system in 1878 has being out of air or low on air, rapid ascents, missed developed by Henry Fleuss and . This system decompression, a lack of recent familiarity with basic or critical eliminated the air hose that had previously tethered divers and emergency skills, and improper use of dive equipment [11]. restricted their movement. This system had great function and

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The pressure every 10 meter of sea water depth will III. DIVING AND STRESS increase 1 atm. In the conditions when the diver is submerged Many factors, both physical and psychological, can cause and breathing with the gas in scuba tank, and deeper diver divers to feel stressed underwater. Diving is an exciting sport dives more possible the gas taken in the divers tissues [9][11]. and inherently involves a bit of stress. The act of diving can Immersion is one of conditions can make stress [9]. make the diver more aware of his surroundings. Seeing a shark is incident cause of death in diving [12]. Pressure from or another large fish, or descending on a shipwreck for the first expanding gas during ascent, or compression of air spaces time, can excite divers and increase their pulse rate. This within the diver during descent, are the most common injuries physical stress is a part of the adventure of the dive—the reported to Divers Alert Network (DAN) each year. controlled thrill that many are seeking from the diving (DCS) and arterial gas embolisms are experience [11]. Other stressors on a dive might be considered referred to collectively as decompression illness (DCI) [13]. procedural. For example, in moving from saltwater to With DAN statistic evidence the most dangerous dives were freshwater, divers who use the same exposure protection and at the first dive and the first open water dive. The factors may be overweighted and therefore struggle contributing to the death are classified into following group: throughout the dive, constantly kicking to keep themselves off (1) Diving techniques; (2) Human factor; (3) Equipment factor; the bottom. Or divers may overinflate their BCD to compensate (4) Environmental factor [14]. for the , thereby increasing their workload and breathing rate. Divers must also contend with psychological stressors B. Preventive Action [11]. Fear of the unknown, fear of an animal, discomfort with a dive situation, or even fear of surfacing (arising from a lack of The development and widespread of technology, we can confidence in the dive plan or level of preparedness) can create used the internet access information how to diving safely stress [11]. [9].Other preventive is managed dive plan before do activity and more exercise training in scuba diving. The majority of injuries in scuba-divers are attributable to inappropriate behavior under stressful diving conditions, Specific techniques for panic prevention. Point to predominantly involving panic reactions emerging from understand that breath control and relaxation is the key point. elevated levels of anxiety [16]. Almost 90 % of all diving The calming response is a fast and effective for relaxation. fatalities stem from human error due to various contributory Divers can use this techniques to increase breath control and factors (e.g. inexperience, overconfidence, inappropriate diving relaxation. management) [17]. Each of these factors or an interaction of Mental rehearsal for controlling underwater stress. This more than one of them may result in a stressful diving situation techniques take divers to deep state of relaxation and guide that could cause unwise short-cuts and panic reactions [18]. through mental rehearsal using imagery. The responses of divers respond dangerous stress responses are [14]: (1) Panic; (2) Fatigue; and (3) Sudden Death Syndrome. C. Anxiety An overwhelming sense of apprehension refers to Anxiety. IV. CONCLUSSION Indicated by physiological signs, anxiety can produce both Divers exposed to an unexpected underwater stress psychological and physical symptoms. Anxiety disorders situation show reproducible somatic and psychic reactions. The categorized six disorders: panic disorders, specific phobia, intensity of the physiologic reactions seems to be higher in social phobia, obsessive compulsive disorder, posttraumatic individuals who assess themselves as being more composed stress disorder and acute stress disorder[15 ]. and less susceptible to stress than in persons with a higher level Panic Disorder is characterized by recurrent, unexpected of anxiety. For the safety and reduces anxiety that needs to be panic attacks. A panic attack is characterized by a period of fear done, we must conducting training and certification, know the or discomfort during which a person experiences at least four environment, and make dive plans. panic symptoms. Symptoms of panic attacks are : Racing or pounding heart, Sweating, Trembling or shaking, Shortness of breath, Feeling of choking Chest pain or discomfort, Nausea or REFERENCES abdominal distress, Feeling dizzy, unsteady, or faint [15 ]. [1] Graver DK. Scuba Diving, 5E. Human Kinetics; 2016 Sep 20. [2] Morgan WP. Anxiety and panic in recreational scuba divers. Sports Medicine. 1995 Dec 1;20(6):398-421. Physical symptoms of anxiety can vary widely, from the [3] Roos R. Are the risks of sport scuba diving being underestimated?. The quickened heartbeat and damp palms, to the crippling, Physician and sports medicine. 1989 Jul 1;17(7):132-42 paralyzed feelings of a full-blown panic attack or phobic [4] Divers Alert Network. Report on Decompression Illness. Diving reaction. Fatalities, and project Dive Exploration. Durham, NC: Divers Alert Network, 2002 Trait anxiety is one factor has been found to predicting [5] Reul J, WeisJ, Junng A et al. 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