@article{ref1,
title="Implementation of the International Olympic Committee Sport Mental Health Assessment Tool 1: screening for mental health Symptoms in a Canadian multisport University Program",
journal="Clinical journal of sport medicine",
year="2023",
author="Mountjoy, Margo and Edwards, Carla and Cheung, Christian P. and Burr, Jamie and Gouttebarge, Vincent",
volume="33",
number="1",
pages="5-12",
abstract="OBJECTIVE: To apply the International Olympic Committee Sport Mental Health Assessment Tool 1 (SMHAT-1) to determine the prevalence of mental health symptoms in a cohort of university student athletes over an academic year. A secondary objective was to explore the internal consistency of the screening tools from the SMHAT-1. <br><br>DESIGN: Cross-sectional design with 3 repeated measurements over an academic year. SETTING: A large university multisport program.   PARTICIPANTS: Five hundred forty-two university-level student athletes from 17 sports.   INTERVENTION: N/A.   MAIN OUTCOME MEASURES: On 3 occasions, the participants completed the SMHAT-1, which consists of the Athlete Psychological Strain Questionnaire. If an athlete's score was above the threshold (≥17), the athlete completed step 2, consisting of (1) Generalized Anxiety Disorder-7; (2) Patient Health Questionnaire-9; (3) Athlete Sleep Screening Questionnaire; (4) Alcohol Use Disorders Identification Test Consumption; (5) Cutting Down, Annoyance by Criticism, Guilty Feeling, and Eye-openers Adapted to Include Drugs; and (6) Brief Eating Disorder in Athletes Questionnaire. Internal consistency of the SMHAT-1 was also measured. <br><br>RESULTS: Participants reported mental health symptoms with prevalence of 24% to 40% for distress, 15% to 30% for anxiety, 19% to 26% for depression, 23% to 39% for sleep disturbance, 49% to 55% for alcohol misuse, 5% to 10% for substance use, and 72% to 83% for disordered eating. Female athletes were more likely to suffer psychological strain, depression, and sleep disturbance; male athletes were more likely to report substance use. <br><br>CONCLUSIONS: The SMHAT-1 was feasible to implement with good internal consistency. University-level athletes suffer from a variety of mental health symptoms underscoring the necessity for team physicians to have the clinical competence to recognize and treat mental health symptoms.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000001077",
url="http://dx.doi.org/10.1097/JSM.0000000000001077"
}