TY - JOUR
T1 - Implementation of the International Olympic Committee Sport Mental Health Assessment Tool 1
T2 - Screening for Mental Health Symptoms in a Canadian Multisport University Program
AU - Mountjoy, Margo
AU - Edwards, Carla
AU - Cheung, Christian P.
AU - Burr, Jamie
AU - Gouttebarge, Vincent
N1 - Funding Information: The authors would like to thank the Athlete Mental Health Ambassadors who supported athlete participation in the study including Judy Lynch (Athletic Therapy), Josh Ford (Strength 1 Conditioning), Coaches Jason Kerr and Megan Reid, and Athletes: Andrew Masters (men's hockey), Shyvonne Roxborough (track and field), Alanna MacLean (women's soccer), and Mark Christopher (men's rugby). The authors also thank the University Athletic Department for the support of the concept and logistics (Scott McRoberts, Wally Gabler, and Meaghan Howat). Most importantly, the authors express their gratitude to the varsity athlete participants who share the vision of improving athlete mental health. Publisher Copyright: Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Objective: To apply the International Olympic Committee Sport Mental Health Assessment Tool 1 (SMHAT-1) to determine the prevalence of mental health symptoms in a cohort of university student athletes over an academic year. A secondary objective was to explore the internal consistency of the screening tools from the SMHAT-1. Design: Cross-sectional design with 3 repeated measurements over an academic year. Setting: A large university multisport program. Participants: Five hundred forty-two university-level student athletes from 17 sports. Intervention: N/A. Main Outcome Measures: On 3 occasions, the participants completed the SMHAT-1, which consists of the Athlete Psychological Strain Questionnaire. If an athlete's score was above the threshold ($17), the athlete completed step 2, consisting of (1) Generalized Anxiety Disorder-7; (2) Patient Health Questionnaire-9; (3) Athlete Sleep Screening Questionnaire; (4) Alcohol Use Disorders Identification Test Consumption; (5) Cutting Down, Annoyance by Criticism, Guilty Feeling, and Eye-openers Adapted to Include Drugs; and (6) Brief Eating Disorder in Athletes Questionnaire. Internal consistency of the SMHAT-1 was also measured. Results: Participants reported mental health symptoms with prevalence of 24% to 40% for distress, 15% to 30% for anxiety, 19% to 26% for depression, 23% to 39% for sleep disturbance, 49% to 55% for alcohol misuse, 5% to 10% for substance use, and 72% to 83% for disordered eating. Female athletes were more likely to suffer psychological strain, depression, and sleep disturbance; male athletes were more likely to report substance use. Conclusions: The SMHAT-1 was feasible to implement with good internal consistency. University-level athletes suffer from a variety of mental health symptoms underscoring the necessity for team physicians to have the clinical competence to recognize and treat mental health symptoms.
AB - Objective: To apply the International Olympic Committee Sport Mental Health Assessment Tool 1 (SMHAT-1) to determine the prevalence of mental health symptoms in a cohort of university student athletes over an academic year. A secondary objective was to explore the internal consistency of the screening tools from the SMHAT-1. Design: Cross-sectional design with 3 repeated measurements over an academic year. Setting: A large university multisport program. Participants: Five hundred forty-two university-level student athletes from 17 sports. Intervention: N/A. Main Outcome Measures: On 3 occasions, the participants completed the SMHAT-1, which consists of the Athlete Psychological Strain Questionnaire. If an athlete's score was above the threshold ($17), the athlete completed step 2, consisting of (1) Generalized Anxiety Disorder-7; (2) Patient Health Questionnaire-9; (3) Athlete Sleep Screening Questionnaire; (4) Alcohol Use Disorders Identification Test Consumption; (5) Cutting Down, Annoyance by Criticism, Guilty Feeling, and Eye-openers Adapted to Include Drugs; and (6) Brief Eating Disorder in Athletes Questionnaire. Internal consistency of the SMHAT-1 was also measured. Results: Participants reported mental health symptoms with prevalence of 24% to 40% for distress, 15% to 30% for anxiety, 19% to 26% for depression, 23% to 39% for sleep disturbance, 49% to 55% for alcohol misuse, 5% to 10% for substance use, and 72% to 83% for disordered eating. Female athletes were more likely to suffer psychological strain, depression, and sleep disturbance; male athletes were more likely to report substance use. Conclusions: The SMHAT-1 was feasible to implement with good internal consistency. University-level athletes suffer from a variety of mental health symptoms underscoring the necessity for team physicians to have the clinical competence to recognize and treat mental health symptoms.
KW - anxiety
KW - depression
KW - elite athlete
KW - mental health
KW - screening
UR - http://www.scopus.com/inward/record.url?scp=85145536647&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/JSM.0000000000001077
DO - https://doi.org/10.1097/JSM.0000000000001077
M3 - Article
C2 - 36599359
SN - 1050-642X
VL - 33
SP - 5
EP - 12
JO - Clinical Journal of Sport Medicine
JF - Clinical Journal of Sport Medicine
IS - 1
ER -