Mental health screening: severity and cut-off point sensitivity of the Athlete Psychological Strain Questionnaire in male and female elite athletes.

Journal: BMJ open sport & exercise medicine

Volume: 6

Issue: 1

Year of Publication: 

Affiliated Institutions:  Orygen, Parkville, Victoria, Australia. Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Meibergdreef , Amsterdam, the Netherlands. Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia. Australian Football League, Melbourne, Victoria, Australia. Cricket Australia, Melbourne, Victoria, Australia. AFL Players' Association, Melbourne, Victoria, Australia. Professional Footballers Australia, Melbourne, Victoria, Australia.

Abstract summary 

To examine the sensitivity/specificity of the Athlete Psychological Strain Questionnaire (APSQ) in both male and female elite athletes, and also assess internal consistency and convergent/divergent validity, and determine discriminative validity relative to current injury status.Data were provided by 1093 elite athletes (males n=1007; females n=84). Scale validity and reliability values were benchmarked against validated measures of general psychological distress and well-being. ROC curve analysis determined a range of optimal severity cut-points.Bias-corrected area under curve (AUC) values supported three APSQ cut-points for moderate (AUC=0.901), high (AUC=0.944) and very high (AUC=0.951) categories. APSQ total score Cronbach coefficients exceeded those observed for the Kessler 10 (K-10). Gender ×injury status interactions were observed for the APSQ total score and K-10, whereby injured female athletes reported higher scores relative to males and non-injured female counterparts.By providing a range of cut-off scores identifying those scoring in the marginal and elevated ranges, the APSQ may better facilitate earlier identification for male and female elite athletes vulnerable to mental health symptoms and developing syndromes. Use of the APSQ may support sports medicine practitioners and allied health professionals to detect early mental ill health manifestations and facilitate timely management and ideally, remediation of symptoms.

Authors & Co-authors:  Rice Simon S Olive Lisa L Gouttebarge Vincent V Parker Alexandra G AG Clifton Patrick P Harcourt Peter P Llyod Michael M Kountouris Alex A Smith Ben B Busch Beau B Purcell Rosemary R

Study Outcome 

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Statistics
Citations :  Reardon CL, Hainline B, Aron CM, et al. . Mental health in elite athletes: international Olympic Committee consensus statement (2019). Br J Sports Med 2019;53:667–99. 10.1136/bjsports-2019-100715
Authors :  11
Identifiers
Doi : e000712
SSN : 2055-7647
Study Population
Male,Males,Female,Females
Mesh Terms
Other Terms
assessment;athlete;distress;injury;mental health
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England