Sport Mental Health Research Articles

Diagnostic effectiveness of the Sport Mental Health Assessment Tool 1 supplemented with a brief clinical intake interview in a cohort of Polish elite Olympic athletes

ObjectiveSeveral studies have used the Sport Mental Health Assessment Tool 1 (SMHAT-1) among athletes but none have combined SMHAT-1 with a subsequent clinical intake interview. The aim of this study...

Sport mental health continuum in young Brazilian athletes: adaptation and psychometric properties

Instruments used to assess the mental well-being of young athletes in Brazil are scarce. Therefore, the present study aimed to translate, cross-culturally adapt for young athletes, and gather evidence of validity for the Sport Mental Health—Short Form (S-MHC) for use in Brazilian Portuguese. The research was conducted in five stages: translation, synthesis, back-translation, expert review, and validation of the psychometric properties. For validation, 246 young athletes of both genders (88 females, 35.8%), aged between 12 and 18 years (14.5 ± 1.9 years), were recruited. Psychometric methods were employed to confirm and validate the translated and adapted versions of the S-MHC for young athletes, including internal consistency using Cronbach's alpha and McDonald's omega, composite reliability, Item Characteristic Curve (ICC) using Item Response Theory (IRT), and Confirmatory Factor Analysis (CFA). Two structures were tested, with Model 1 loading the 14 items of the translated version of the S-MHC into a single latent factor and Model 2 loading the items into three factors related to emotional, social, and psychological sport well-being. Both models showed good validity, consistency, and reliability measures and can be used to investigate the sport well-being of young athletes. It was concluded that the translated version of the S-MHC in Brazilian Portuguese can be used to assess the sport well-being of young athletes in Brazil. Model 2 structure is recommended to observe the different nuances of emotional, social, and psychological well-being.

Risk for low energy availability, disordered eating and sleep disturbance among female football players.

Low energy availability (LEA) and mental health issues are prevalent among female athletes and can have adverse effects on health and sports performance. This study aimed to assess energy availability and, mental health status (depression, anxiety, sleep deprivation, drug misuse, alcohol misuse, and disordered eating) among female football players. Despite the availability of validated tools for the triads and REDs, few studies have focused on the prevalence of LEA and mental health in female football players. Furthermore, limited information is available on LEA and its consequences in India. Professional female football players (n=25) aged 19-30 years were recruited using incidental sampling. LEA was estimated based on energy availability [energy intake - activity energy expenditure] and LEA female questionnaire (LEAF-Q). Sports mental health assessment tool-1 (SMHAT-1) was used to assess the mental health status. Descriptive statistics and chi square test were used to test the hypotheses. According to the factorial method and LEAF-Q, 24% and 12% of players had LEA, respectively. LEA symptoms, such as decreased gastrointestinal and menstrual function, were observed in 16% of participants, while 8% had a history of injury. 44% of the participants exhibited poor mental health. Sleep disturbance (12%) and disordered eating (44%), were among the most common mental health issues. No significant difference was found between LEA, disordered eating, and sleep disturbance. Female football players were more likely to develop LEA and mental health disorders, such as disordered eating and sleep disturbance. LEA was not linked with disordered eating or sleep disturbance. Early detection of LEA and effective intervention enhances the health and performance of female football players.

Translation, Cross-Cultural Adaptation, and Validation of the Croatian Version of the Athlete Psychological Strain Questionnaire (APSQ).

The aim of this study is to translate, cross-culturally adapt, and validate the Croatian Athlete Psychological Strain Questionnaire (APSQ-Cro) as part of the Sport Mental Health Assessment Tool 1 (SMHAT-1) validation. We assessed the reliability and applicability of the APSQ-Cro among Croatian athletes. The international sports community is increasingly focused on mental health issues in athletes, highlighting the need for early detection tools like the Athlete Psychological Strain Questionnaire (APSQ) and SMHAT-1. We included 869 Croatian competing athletes across 54 sports who received a link to access the WEB-based questionnaire. The Croatian Olympic Board helped in distributing the questionnaires, aiming to reach as many and as diverse a group of registered competing athletes in Croatia as possible. Results showed a Cronbach's alpha of 0.75 for the entire questionnaire, indicating acceptable reliability. An exploratory strategy of factor analysis was used to determine the underlying structure of the APSQ-Cro. For this purpose, the Kaiser-Meyer-Olkin (KMO) test and Bartlett's test for sphericity were performed to ensure the suitability of the data. The KMO test ensured sampling adequacy, with a measure of 0.77 indicating suitability for factor analysis, while Bartlett's test confirmed significant correlations among variables (χ2 = 2779.155, df = 45, p < 0.001), validating the dataset's appropriateness for data reduction techniques. The factor analysis, together with the Cattell scree test and varimax rotation, resulted in a two-factor structure for the APSQ-Cro. Factor 1 included items related to internal psychological struggles, while Factor 2 included items related to external pressures from the athletic environment. These two factors explained 53% of the variability, with Cronbach's alphas of 0.75 and 0.88 for the respective factors. The APSQ-Cro is a valid and reliable tool for assessing distress in Croatian athletes. Croatian athletes' sporting experience will be improved with the broad adoption of the APSQ-Cro, which can help detect early signs of psychological distress and subsequently improve mental health outcomes.

The Importance of Sports Participation on Lithuanian Adolescents’ Social and Emotional Health

Abstract Global mental health rates are staggering. Youth mental health in sport is a topic with increasing research attention. To date, most youth sport research examines mental health from isolated events as opposed to a cumulative-assets framework. Our main research question examined sport participation group differences regarding four mental health domains; emotional competence, belief-in-others, belief-in-self, and engaged living, and the composite covitality meta-indicator. To answer our research questions, 1965 Lithuanian youths (60.10% female) ranging in age from 11 to 17 (M = 13.62, SD = 1.96) from urban and rural school districts completed our survey. Our results indicated many significant differences (p &lt; 0.001) emerged for participant sex, age grouping, and sport participation (competitive, leisure, or none). Only for the sport participation were the MANOVA and ANOVA effect size values at least small in magnitude. In the follow-up analyses (all p’s &lt; 0.001), the competitive group differed from the no sport group (effect sizes medium-to-large) and to the leisure participant group (effect sizes small) in all four mental health domains and the meta-indicator covitality. Small-to-medium effect size values resulted between the leisure and no sport groups. Sport participation, even for leisure, is related to improved self-reported social and emotional health in our large sample. The practical implication is clear that all governments and such bodies should provide accessible and affordable sport participation opportunities, whether competitive or recreational. Longitudinal research, as a future direction in sport contexts, will help to best understand and move forward with youth mental health.

Psychometric analysis of the International Olympic Committee's Sport Mental Health Assessment Triage Tool among non-elite amateur adult athletes

ABSTRACT Background The International Olympic Committee developed the Sport Mental Health Assessment Tool-1, encompassing the Athlete Psychological Strain Questionnaire (APSQ) – used for initial screening of mental ill-being symptoms and risk in elite athletes. Despite preliminary psychometric evidence, the APSQ has yet to be tested in non-elite amateur athletes, who represent the majority of sporting participants. Method Athletes (n = 605) aged 28.57 years (SD = 9.32) comprising 402 males (73.5%) completed the 10-item APSQ, alongside validated measures of anxiety, depression and well-being. Two Confirmatory Factor Analysis models were tested, in addition to a series of receiver operating characteristics curves benchmarked against clinically relevant anxiety and depression symptoms to examine pre-defined and alternative cut-point sensitivity values. Nomological validity was tested through Pearson's correlations, and intraclass correlation coefficients were examined for test–retest reliability. Results A higher-order APSQ model comprising a general “Psychological Strain” factor, and three subcomponents of “External coping”, “Self-Regulation” and “Performance” were selected. Convergent and divergent validity were shown, and a new revised cut-point was found to have good classification accuracy within the sample. Largely “fair-to-good” test–retest reliability values were found. Conclusion The APSQ could be considered for initial screening of athlete mental health symptoms by sports organisations and may enable effective triaging to follow-up mental health assessment and/or supporting guidance, potentially preventing, or mitigating, short and long-term effects of mental ill-being. Further research should be undertaken to establish if the psychometric properties found amongst the present sample are generalisable to the broader amateur sporting population.

Perceived stress in Italian coaches and the effect of rebooting in sport activities

Perceived stress in Italian coaches and sport mental health were investigated during the rebooting of sport activities following the first COVID-19 lockdown period. A sample of 237 coaches from various sports were asked to answer the Italian version of the Perceived Stress Scale and the Sport Mental Health Continuum, together with reporting of demographic information. Coaches? perceived stress levels were compared with data collected during the lockdown period. Women showed a significant decrease in their perceived stress levels compared to the lockdown period, whereas this was not true for men. Hierarchical regression indicated that, during the rebooting phase, increased age of coaches and their psychological well-being experienced in sporting contexts (a sport mental health dimension) were predictive of decreased perceived stress levels. Practical implications for practitioners working in this field are discussed in the conclusions.

“This Isn’t a Sports Story … This Is a Life Story”: Elite Athletes and Myths About Mental Illness in Sport

Athletes face unique mental health stressors, including internal/external pressure, time displacement, and physical injury. In addition, athletes who experience mental illnesses such as depression and anxiety reference the role of social factors—specifically stigma—as barriers to mental health. The present study draws on 37 testimonials from The Players’ Tribune in which athletes disclosed mental illness. A theoretical thematic analysis pinpointed themes within the testimonials of athletes who elucidated and refuted myths concerning mental health in sport. Through disclosure, the athletes challenged stigma by protesting myths that discourage help-seeking behavior in sport. The analysis identified six themes in the myths concerning (a) professional success, (b) strength, (c) identity, (d) the sports story treatment of mental health, (e) sport as escape, and (f) isolation. Implications are discussed in relation to changing social norms in sport.

Preliminary report of the Japanese version of the International Olympic Committee Sport Mental Health Assessment Tool 1

Abstract: Objective: The International Olympic Committee (IOC) Sport Mental Health Assessment Tool 1 (SMHAT-1) is an athlete-specific screening tool developed to identify mental health symptoms in elite athletes and potential need for referral to care. We aimed to report the prevalence using the Japanese version of the SMHAT-1 in a Japanese sport context. Methods: Web-based anonymous self-report data of 220 competing Japan Rugby Top League rugby players were analyzed. The players answered all screening questionnaires of the SMHAT-1 containing the assessment for multiple mental health symptoms for sport-related psychological distress (step 1), and the following specific symptoms (step2): anxiety, depression, sleep disturbance, alcohol misuse, substance misuse, and disordered eating. The prevalence of each symptom was calculated. The false-negative rate (FNR) for step 1 identifying athletes that were positively screened on the subsequent step 2, was computed. Results: 65% players experienced the sport-related psychological distress while the prevalence of mental health symptoms ranged from 4.5% for substance misuse to 72.3% for alcohol misuse. Step 1 correctly detected all positive screened cases for anxiety, depression and suicidal ideation. In addition, a small proportion of cases were FNR for sleep disturbance (9.1%) and substance misuse (2.6%). 64.9% and 35.1% of cases were FNR for alcohol misuse and disordered eating, respectively. Conclusion: The SMHAT-1 might have acceptable performance in detect anxiety, depression, and suicidal ideation, however, it should be noted that false negatives also exist for other common mental health symptoms like disordered eating and sleep problems.

Future of Mental Health in Sport: CBT and Athletes

Collegiate and professional athletes are at higher risk of developing anxiety disorders, depressive disorders, and substance abuse disorders. These competitive athletes often struggle with unique stressors such as balancing social life with sport and mental health stigma due to expectation of mental toughness. Research suggests these vulnerabilities amongst competitive athletes may make them hesitant to seek mental health resources. Cognitive-Behavioral Therapy (CBT) is an evidence-based approach that promotes skill development that reduces symptoms of anxiety, depression, substance use and other mental health struggles. CBT strategies may also enhance athletic performance. Combined, CBT skills for athletes may have promise as a primary prevention strategy for mental health symptoms, a secondary prevention strategy by offering referral for more serious symptoms and may earn buy in from coaches and athletes due to the potential for enhancing athletic performance. This paper provides empirical and theoretical rationale and framework for such an approach.

Outcomes From Deployment Of The Sport Mental Health Assessment Tool Among Olympic And Paralympic Athletes

Outcomes From Deployment Of The Sport Mental Health Assessment Tool Among Olympic And Paralympic Athletes

Impact of COVID-19 outbreak on the mental health in sport and among society

The COVID-19 pandemic has had a significant impact on global mental health, affecting individuals of all age groups and various demographic backgrounds including athletes. Anxiety disorders have become more prevalent during the pandemic, attributed to factors such as quarantine, social isolation, fear of the virus, job insecurity, and the psychological impact of a pandemic. This narrative review aims to summarize the existing literature addressing mental health issues related to the COVID-19 pandemic, as well as the associated risk factors and potential interventions. Additionally, the review explores the impact of COVID-19 on specific populations, including athletes, frontline healthcare workers, children and adolescents, and individuals with pre-existing mental health conditions. In addition, the review explores the long-term consequences of the pandemic on mental health, including the potential for a surge in post-traumatic stress disorder (PTSD) and other trauma-related disorders. Overall, this review underscores the urgent need for comprehensive mental health support and resources in response to the COVID-19 pandemic.

Analysis of the Sport Mental Health Assessment Tool 1 (SMHAT-1) in Team USA athletes

ObjectiveThe Sport Mental Health Assessment Tool 1 (SMHAT-1) was introduced as a critical component to the athlete health evaluation. However, the effectiveness of the initial triage step questionnaire (Athlete Psychological...

RETRACTED ARTICLE: Sports mental health monitoring based on multi-objective evolutionary algorithms in the Internet of Things

RETRACTED ARTICLE: Sports mental health monitoring based on multi-objective evolutionary algorithms in the Internet of Things

Psychophysiological changes in uphill runners

The increasing popularity of street racing combined with the psychophysical demands of racing competitions present new challenges for sports mental health. The objective of this study was to investigate psychophysiological changes after an uphill race. Twenty-three runners were recruited, eleven men (35 ± 5.6 years; 1.7 ± 0.2 m; 76.6 ± 10 kg; 11.5 ± 4.5% fat) and twelve women (39 ± 9.2 years; 1.61 ± 0.1 m; 58.8 ± 3.8 kg; 20.1 ± 3.1% fat), who participated in an uphill race (distance 24.6 km, altimetry 2142 m, slope 11%, temperature 13°C, humidity 97%). Every runner was submitted to evaluations, physiological, muscular strength and mental health, before and after of the race. After an uphill race, there was a significant decrease (p &lt; 0.05) in muscle resistance (22%), power (27%) and force (30%). There was a significant increase (p&lt; 0.05) in lactate levels (100%) and perceived effort (200%). Regarding mental health, there was a reduction (p&lt;0.05) in anxiety (competitive 10% and trace 40%) and a significant increase (p&lt; 0.05) in self-esteem (29%) and Happiness (43%). We conclude that after an uphill race there is a significant increase in the alterations in the psychophysiology, improving the mental health of runners.

Exploring the barriers and facilitators to mental health help-seeking behaviours in British elite track and field athletes

Track and Field (T&F) is at the heart of the summer Olympic Games and research has highlighted mental health issues in this population, such as depression, anxiety, suicidal ideation, and eating disorders. Our qualitative study explored the barriers and facilitators to help-seeking behaviors among British athletes to help create, implement, and inform pathways for mental health support. Semi-structured interviews were conducted with nine elite T&F athletes (aged 21–27 years, M = 22.8), who had an average of five years’ international competitive experience, including participating at various Commonwealth, European and World Championships. Four key themes were constructed and categorized as a barrier or facilitator to mental health help-seeking behaviors. Barriers included a lack of access to and prioritization of mental health support in comparison to physical health support and the scrutiny of others regarding mental health issues within (e.g., sports commentators) and outside (e.g., the public) the sport. In contrast, facilitators included normalizing mental health experiences through tailored online platforms and storytelling by role models and the team around the athlete in promoting openness to, and engagement with help-seeking. Overall, there is a need to embed mental health support into elite athletes’ routines, to the equivalent level of physical health support. A novel outcome of our study identified the value of sports specific online platforms in increasing awareness and sharing experiences of mental health. Key stakeholders should consider supporting such online platforms and improve the dissemination of mental health information to strengthen communities that are supportive and nourishing to athletes. Lay Summary: Nine elite track and field athletes discussed factors impacting help-seeking for mental health. Data indicated the need to increase the provision of psychological support, so it is on par with support provided for physical health and to consider harnessing the potential of sport specific online platforms to normalize mental health. IMPLICATIONS FOR PRACTICE Our study reinforces the need for National Governing Bodies (NGBs) and sport practitioners to consider an increase in, and clarity over, the provision of sport psychology and mental health support in the track and field environment. It is essential to ensure that athletes know where and when to seek support and to normalize mental health issues within elite sport so they can be holistically supported. Sharing experiences of mental health via sport specific online platforms offer a novel but important context by which to empower athletes with their help-seeking intentions and challenges the stigma surrounding mental health in sport. NGB’s may wish to expand and utilize such platforms to promote mental health support services or educational programmes.

An evaluation of a mental health literacy program for community sport leaders

Community sports coaches and leaders can have an important role to play as informal resources for sporting adolescents and adults at risk of mental ill-health. Supporting coach mental health literacy using programs has potential to enhance opportunities for coach-player support. This study aimed to evaluate a community sport mental health literacy program and its capacity to improve club leader confidence to support and refer (primary outcome), awareness of resources, beliefs about mental health and stigmatizing attitudes (social distance). A cluster-randomized controlled evaluation was conducted with measures taken at baseline (around 2 weeks prior to intervention), immediately post-program and at a nine-month follow up. Twenty-five community Australian Rules Football clubs from metropolitan and regional centres were sampled and matched by size and location. Coaches or sport leaders (n = 265) were randomized by club to either the intervention group or a waitlist control group. A multivariate analysis of variance (pre-test scores as covariates) revealed participants in the ‘Tackle Your Feelings’ (TYF) program reported improved outcomes compared to controls on measures tied to leader confidence to support and refer, knowledge of resources to support mental health, general help-seeking and stigmatizing attitudes tied to social distance. A fifth measure of beliefs about mental illness was not impacted by the program. A nine-month comparison group follow-up indicated some decay in scores over time. The results suggest that TYF programs can be effective at improving coach mental health literacy in community sporting club contexts.

Implementation of the International Olympic Committee Sport Mental Health Assessment Tool 1: Screening for Mental Health Symptoms in a Canadian Multisport University Program.

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. Cross-sectional design with 3 repeated measurements over an academic year. A large university multisport program. Five hundred forty-two university-level student athletes from 17 sports. N/A. 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. 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. 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.

Recognition and Analysis of Sports on Mental Health Based on Deep Learning.

This paper presents the purpose of sport recognition of mental health for users and analyzes and studies the recognition of mental health by sports based on deep learning. The recognition model of sport mental health state composed of data layer, logic layer and display layer is built. After fusing human health data with deep learning algorithm, the feature of human health mutual information is extracted, the feature into the recognition model of mental health state is inputted, and the recognition results of sport mental health mode after forward and reverse operation are outputted. The recognition data of sports on mental health status are obtained, which correspond to the link flowing through during multi-level transmission, calibrate the multi-level transmission point, and fuse and process the recognition information of sports on mental health status. The experimental results show that the loss value of the research method when analyzing the effect of sports on mental health enhancement is the smallest, the output result is reliable, can effectively improve the body mass index (BMI) of the human body, has the most controllable amount of data, and has good performance.

Sports psychiatry: a desideratum on sports arena!

The emerging field of sports psychiatry has been developing steadily in recent years. This is not just a health concern but is likely to impact sporting performance and achievement significantly. An overview of sports psychiatry is provided. Psychiatric disorders of all varieties can and do present in sporting populations. Sports psychiatry keeps evolving to drive forward the importance of good mental health in sport as in life.