@article{ref1,
title="Baseline concussion assessments can identify mental disorders: SCAT-5 and other screening tools in South African club rugby",
journal="Physician and sportsmedicine",
year="2022",
author="Burger, James Willoughby and Andersen, Lena S. and Joska, John",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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 (α = 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 the ability of the SCAT-5 to identify current disorders was 0.87 (p = 0.003), on par with the CES-D and GAD-7. <br><br>CONCLUSION: 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.<p /> <p>Language: en</p>",
language="en",
issn="0091-3847",
doi="10.1080/00913847.2022.2134977",
url="http://dx.doi.org/10.1080/00913847.2022.2134977"
}