Sport Psychology, University of Nebraska-Lincoln Athletics.
Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas City.
J Athl Train. 2023 Sep 1;58(9):740-746. doi: 10.4085/1062-6050-0579.22.
Mental health screening as a part of collegiate athletic preparticipation evaluations is becoming increasingly common, but effective and efficient screening depends on a screening tool that can accurately identify mental health symptoms and the need for mental health intervention.
Case-control study.
Archival clinical records review.
Two cohorts of incoming National Collegiate Athletics Association Division I collegiate athletes (N = 353).
MAIN OUTCOME MEASURE(S): Athletes completed the Counseling Center Assessment of Psychological Symptoms (CCAPS) Screen as a part of their preparticipation evaluation. These data were then matched with basic demographic data and mental health treatment history from clinical records, and the utility of the CCAPS Screen in determining a future or ongoing need for mental health services was analyzed.
Score differences for each of the 8 CCAPS Screen scales (Depression, Generalized Anxiety, Social Anxiety, Academic Distress, Eating Concerns, Frustration, Family Distress, and Alcohol Use) were found based on several demographic variables. Logistic regression analysis demonstrated that female sex, team sport participation, and the Generalized Anxiety scale score predicted future participation in mental health treatment. Decision tree testing of the CCAPS scales showed low utility in classifying those who received mental health treatment versus those who did not.
The CCAPS Screen did not appear to differentiate well between those who eventually received mental health services and those who did not. This should not be taken to mean that mental health screening is not useful but rather that a 1-time, state-based screening is not sufficient for athletes who experience intermittent but recurring stressors in a dynamic environment. A proposed model for improving the current standard of practice for mental health screening is provided as a focus of future research.
心理健康筛查作为大学生运动员参赛前评估的一部分，正变得越来越普遍，但有效的筛查取决于能够准确识别心理健康症状和需要进行心理健康干预的筛查工具。
病例对照研究。
档案临床记录回顾。
两批即将进入全国大学体育协会一级大学运动员（N=353）。
运动员在参赛前评估中完成了心理咨询中心心理症状评估（CCAPS）筛查。然后，这些数据与来自临床记录的基本人口统计学数据和心理健康治疗史相匹配，并分析 CCAPS 筛查在确定未来或持续需要心理健康服务方面的效用。
根据几个人口统计学变量，8 个 CCAPS 筛查量表（抑郁、广泛性焦虑、社交焦虑、学业困扰、饮食问题、挫折感、家庭困扰和酒精使用）的每个量表的得分差异。逻辑回归分析表明，女性、团队运动参与和广泛性焦虑量表得分预测未来参与心理健康治疗。CCAPS 量表的决策树测试显示，在将接受心理健康治疗的人与未接受心理健康治疗的人进行分类方面，效用较低。
CCAPS 筛查似乎不能很好地区分最终接受心理健康服务的人和没有接受心理健康服务的人。这不应被视为心理健康筛查没有用处，而应视为在动态环境中经历间歇性但反复出现的压力源的运动员，一次性、基于州的筛查是不够的。提出了一个改进当前心理健康筛查标准实践的模型，作为未来研究的重点。
