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9) Residual/Long Term Effects
9.17 Scat symptom reporting and mental health screening in collegiate athletes
  1. Martin Mrazik1,
  2. Naidu Dhiren2,
  3. Mosewich Amber3,
  4. Wagner Richelle1,
  5. Arends Patricia1,
  6. Guskiewicz Kevin4,5,
  7. McCrea Michael6,
  8. Register-Mihalik Johna4,5
  1. 1Department of Educational Psychology; University of Alberta, Edmonton, Canada
  2. 2Faculty of Dentistry and Medicine, University of Alberta, Edmonton, Canada
  3. 3Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada
  4. 4Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, USA
  5. 5Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
  6. 6Center for Neurotrauma Research (CNTR), Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, USA

Abstract

Objective To evaluate the relationship between subjective mood symptoms on the SCAT and more comprehensive mental health screening measures during baseline testing.

Design Retrospective cross-sectional design.

Setting Baseline concussion evaluations at a Canadian university.

Participants 248 Consented participants (n = 164 males and 86 females) who underwent baseline screening evaluations.

Interventions (or Assessment of Risk Factors) Athletes completed the Sport Concussion Assessment Tool (SCAT3), the Brief Symptom Inventory (BSI-18) and Patient-Reported Outcomes Measurement Information System (PROMIS-29) to determine how well SCAT3 mood symptoms predicted broader measures of depression and anxiety.

Outcome Measures correlation and regression analysis.

Main Results Of the 4 individually rated SCAT3 symptoms of mood, ‘sadness’ was most strongly correlated with the depression indexes of the BSI-18 [r(246) = 0.47, p < 0.01)] and PROMIS-29 [r(246) = 0.46, p < 0.01)]. Regression analyses suggests sadness best explained the greatest variance in the depression index scores from the BSI-18 [F(4, 238) = 20.6, p < .01, R2 = .26, R2Adjusted = .25) and PROMIS-29 [F(4, 238) = 31.6, p < .01, R2 = .35, R2Adjusted = .34). Similar significant findings were noted for the symptom of ‘nervousness’ on the anxiety index scores of the BSI-18 and PROMIS-29.

Conclusions Subjective symptom on the SCAT 3, specifically ‘sadness’ and ‘nervousness’ appear to reasonably predict more comprehensive ratings of depression and anxiety. This information may help clinicians identify athletes who may be dealing with mental health issues when more comprehensive questionnaires are not available.

https://doi.org/10.1136/bjsports-2023-concussion.133

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