A - 52 Post-Pandemic Mental Health Symptom Presentations In Canadian Varsity Athletes

Abstract

Abstract Purpose Mental health (MH) symptoms are often intertwined with concussion symptoms and affect recovery trajectories. Recent studies indicate that the COVID-19 pandemic had a negative impact on athletes’MH, further highlighting the need to understand pre-season baseline MH. This study’s objective was to compare MH symptom frequency and profiles of symptomatology between cohorts of athletes captured pre and post COVID-19. Method Pre-season baseline data from varsity athletes at a Canadian university was collected in 2019, 2022, and 2023 (n = 444) aged 17–25 years (49.8% female). Athletes completed a series of demographic, concussion history, and psychological questionnaires [i.e., Post-Concussion Symptom Scale (PCSS), Generalized Anxiety Disorder Index-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9)]. Results The post-pandemic cohort reported greater numbers of symptoms on the PCSS (M = 4.36, SD = 5.41) compared to the pre-pandemic cohort (M = 2.55, SD = 3.74; p = <0.001); as well as greater symptom severity (M = 7.75 SD = 11.45) compared to the pre-pandemic cohort (M = 4.34, SD = 7.9; p = <0.001). Greatest endorsement differences were observed in anxiety, depression, cognitive, nausea, and “don‚Äôt feel right”symptoms (ps < 0.001). However, frequency of mild to severe symptom reporting was similar on the PHQ-9 (pre-pandemic: 23.6%, post-pandemic: 20.3%) and GAD-7 (pre-pandemic: 20.9%, post-pandemic: 21.6%; ps >0.05). Conclusions Post-pandemic athletes appear to endorse greater baseline symptoms of anxiety and depression, as well as cognitive and physical symptoms, though these do not appear to meet clinical levels. The study demonstrates a need to improve surveillance in varsity athletes’MH that may help identify athletes at risk of MH illness.