Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby

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dc.contributor.advisorJoska, John
dc.contributor.advisorAndersen, Lena
dc.contributor.authorBurger, James
dc.date.accessioned2023-07-31T10:21:46Z
dc.date.available2023-07-31T10:21:46Z
dc.date.issued2023
dc.date.updated2023-07-31T10:21:07Z
dc.description.abstractMental disorders are common in athletes, but often go undiagnosed. 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 Generalised 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 to 46.17%). Only 4.29% of these 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 ( = 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 identifying current disorders was 0.87 (p = 0.003). 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.
dc.identifier.apacitationBurger, J. (2023). <i>Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby</i>. (). ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health. Retrieved from http://hdl.handle.net/11427/38207en_ZA
dc.identifier.chicagocitationBurger, James. <i>"Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby."</i> ., ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health, 2023. http://hdl.handle.net/11427/38207en_ZA
dc.identifier.citationBurger, J. 2023. Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby. . ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health. http://hdl.handle.net/11427/38207en_ZA
dc.identifier.ris TY - Master Thesis AU - Burger, James AB - Mental disorders are common in athletes, but often go undiagnosed. 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 Generalised 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 to 46.17%). Only 4.29% of these 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 ( = 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 identifying current disorders was 0.87 (p = 0.003). 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. DA - 2023_ DB - OpenUCT DP - University of Cape Town KW - Psychiatry LK - https://open.uct.ac.za PY - 2023 T1 - Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby TI - Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby UR - http://hdl.handle.net/11427/38207 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/38207
dc.identifier.vancouvercitationBurger J. Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby. []. ,Faculty of Health Sciences ,Department of Psychiatry and Mental Health, 2023 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/38207en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.subjectPsychiatry
dc.titleBaseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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