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

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 inv...

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Main Author: Burger, James
Other Authors: Joska, John
Format: Thesis
Language:English
Published: Department of Psychiatry and Mental Health 2023
Subjects:
Psychiatry
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access_status_str Open Access
author Burger, James
author2 Joska, John
author_browse Burger, James
Joska, John
author_facet Joska, John
Burger, James
author_sort Burger, James
collection Thesis
description 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.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:34:17.944Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Department of Psychiatry and Mental Health
publisherStr Department of Psychiatry and Mental Health
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/38207 Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby Burger, James Joska, John Andersen, Lena Psychiatry 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. 2023-07-31T10:21:46Z 2023-07-31T10:21:46Z 2023 2023-07-31T10:21:07Z Master Thesis Masters MMed http://hdl.handle.net/11427/38207 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences
spellingShingle Psychiatry
Burger, James
Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
thesis_degree_str Master's
title Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
title_full Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
title_fullStr Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
title_full_unstemmed Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
title_short Baseline concussion assessments can identify mental disorders: the SCAT-5 Symptom Evaluation compared to other screening tools in South African club rugby
title_sort baseline concussion assessments can identify mental disorders the scat 5 symptom evaluation compared to other screening tools in south african club rugby
topic Psychiatry
url http://hdl.handle.net/11427/38207
work_keys_str_mv AT burgerjames baselineconcussionassessmentscanidentifymentaldisordersthescat5symptomevaluationcomparedtootherscreeningtoolsinsouthafricanclubrugby

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