HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, South Africa.
Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Phys Sportsmed. 2023 Oct;51(5):472-481. doi: 10.1080/00913847.2022.2134977. Epub 2022 Oct 18.
Although mental health screenings are not routinely conducted in rugby, the Sport Concussion Assessment Tool - Fifth Edition (SCAT-5) is widely performed and measures affective, cognitive, sleep, and physical symptoms. This study investigated the psychometric properties of the SCAT-5 to explore its potential as a mental health screening tool.
During preseason for the 2021 Western Province Super League A in South Africa, clinicians conducted mental health assessments of 71 adult male rugby union players. The SCAT-5 Symptom Evaluation, Baron Depression Screener for Athletes (BDSA), Athlete Psychological Strain Questionnaire (APSQ), Center for Epidemiologic Studies-Depression (CES-D), and Generalized Anxiety Disorder-7 (GAD-7) were compared to each other and to fully structured diagnostic interviews by mental health professionals using the Mini International Neuropsychiatric Interview (MINI) 7.0.2.
Lifetime MINI-defined mental disorders were common, being identified in 33.8% (95% CI 22.79-46.17%). Only 4.29% of participants had a previous diagnosis. Exploratory Factor Analysis indicated a mental health construct of depression/anxiety being measured by the SCAT-5. The SCAT-5 had strong internal consistency (α = 0.94) and showed moderate convergent validity with the CES-D (r = 0.34; p = 0.008) and GAD-7 (r = 0.49; p < 0.0001). The area under the curve for the ability of the SCAT-5 to identify current disorders was 0.87 (p = 0.003), on par with the CES-D and GAD-7.
Since the SCAT-5 has the potential to identify depression and anxiety, it may allow mental health screening without the need for additional measures. Follow-up studies should further explore its discriminative ability in larger samples.
尽管在橄榄球运动中通常不进行心理健康筛查，但广泛使用的运动性脑震荡评估工具-第五版（SCAT-5）可测量情感、认知、睡眠和身体症状。本研究旨在调查 SCAT-5 的心理测量特性，以探索其作为心理健康筛查工具的潜力。
在南非 2021 年西部省超级联赛 A 季前赛期间，临床医生对 71 名成年男性橄榄球联盟球员进行了心理健康评估。SCAT-5 症状评估、运动员抑郁筛查器（BDSA）、运动员心理压力问卷（APSQ）、流行病学研究中心抑郁量表（CES-D）和广泛性焦虑障碍 7 项（GAD-7）与心理健康专业人员使用迷你国际神经精神访谈（MINI）7.0.2 进行的全面结构化诊断访谈进行了比较。
终生 MINI 定义的精神障碍很常见，占 33.8%（95%CI 22.79-46.17%）。只有 4.29%的参与者有之前的诊断。探索性因素分析表明，SCAT-5 测量的心理健康结构包括抑郁/焦虑。SCAT-5 具有很强的内部一致性（α=0.94），与 CES-D（r=0.34；p=0.008）和 GAD-7（r=0.49；p<0.0001）显示出中度的收敛效度。SCAT-5 识别当前障碍的能力的曲线下面积为 0.87（p=0.003），与 CES-D 和 GAD-7 相当。
由于 SCAT-5 有可能识别抑郁和焦虑，因此它可能允许进行无需额外措施的心理健康筛查。后续研究应在更大的样本中进一步探讨其判别能力。
