Assessing and Treating Depression in Athletes

Baron, David; Baron, Steve; Tompkins, Joshua; Polat, Aslıhan

doi:10.1002/9781118404904.ch7

Cited by 20 publications

(13 citation statements)

References 31 publications

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“…We used one item from the Baron Depression Screener for Athletes (BDSA) to reveal experience of suicidal ideation (i.e., I have thoughts of ending my life) [5,31]. The BDSA consists of a 10-item self-report questionnaire that addresses mood, sports-related anhedonia, weight loss, fatigue, self-image, substance abuse, suicidality, and other parameters over the previous 2 weeks, on a three-point Likert scale (range 0 to 20, a higher score representing more severe depressive symptoms).…”

Section: Suicidal Ideationmentioning

confidence: 99%

Anxiety and Depression Symptoms and Suicidal Ideation in Japan Rugby Top League Players

Ojio

Matsunaga

Hatakeyama³

et al. 2021

IJERPH

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Clinical and research interest is growing in mental health support for elite athletes, based on findings from epidemiological surveys conducted in Australia, the United States, and European countries. However, little is known about the mental health status of elite athletes in Asia, including Japan. In the current study, we examine the prevalence of mental health problems and suicidal ideation and its risk factors in Japan Rugby Top League players. We analyze anonymous web-based self-reported data from 251 currently competing Japan Rugby Top League male players. During the off-season from December 2019 to January 2020, data on anxiety and depression symptoms were collected using the Japanese version of the 6-item Kessler-6. Suicidal ideation was assessed using the Baron Depression Screener for Athletes. Among the players, 81 players (32.3%) had experienced symptoms of mild anxiety and depression during the previous 30 days, while 12 (4.8%) and 13 (5.2%) had suffered from moderate and severe symptoms, respectively. Nineteen athletes (7.6%) reported that they had experienced suicidal ideation during the previous 2 weeks. Players with mental health problems experienced more events in competitions and daily life, including reduced subjective performance, missing opportunities to play during the last season, changes in health condition, and thinking about a career after retirement, compared with players without such problems. Mental health issues in Japan Rugby Top League players, as elite athletes, may be common, and research and practice development is expected in the near future.

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Section: Suicidal Ideationmentioning

confidence: 99%

Anxiety and Depression Symptoms and Suicidal Ideation in Japan Rugby Top League Players

Ojio

Matsunaga

Hatakeyama³

et al. 2021

IJERPH

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“…The BDSA is a 10-question self-report depression screening tool specifically for use with athletes [ 40 ]. The utilization of the BDSA for screening is recommended by the IOC’s consensus statement on mental health for athletes [ 1 ].…”

Section: Methodsmentioning

confidence: 99%

Association of mental health help-seeking with mental health-related knowledge and stigma in Japan Rugby Top League players

et al. 2021

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Background Globally increasing clinical and research interests are driving a movement to promote understanding and practice of mental health in elite athletes. However, few studies have yet addressed this issue. This study aims to describe the association of the intention to seek help with mental health knowledge and stigma and the severity of depressive symptoms in Japan Rugby Top League players. Methods As a target population, we studied 233 Japan Rugby Top League male players (25–29 years = 123 [52.8%]), who were born in Japan, using a cross-sectional design. Surveys were conducted using anonymous, web-based self-administered questionnaires. Structural equation modelling was performed to evaluate the hypothesis of an interrelationship between mental health knowledge, stigma, and severity of depressive symptoms as factors influencing the intention to seek help. Results Players with more severe depressive symptoms were more reluctant to seek help from others (β = - 0.20, p = 0.03). Players with greater knowledge about mental health tended to have less stigma toward others with mental health problems (β = 0.13, p = 0.049), but tended not to seek help with their own mental health problems. Conclusions Rugby players in need of mental health support, even with greater knowledge, tend not to seek help from others, while having less stigma toward people with mental health problems. Rugby players might require approaches other than a knowledge-based educational approach to encourage them to seek help.

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“…The BDSA is a 10-question self-report questionnaire that addresses mood, sports-related anhedonia, weight loss, fatigue, self-image, substance abuse, suicidality, and other parameters over the previous 2 weeks ( Table S1 ), and has been validated against the Beck Depressive Inventory [ 21 , 22 ]. According to Dr. Baron [ 21 ], the developer of this scale, the scale has no cut-off scores that automatically suggest a diagnosis of major depressive disorder. The scale consists of 10 items on a three-point Likert scale (range 0 to 20, a higher score representing more severe depressive symptoms).…”

Section: Methodsmentioning

confidence: 99%

“…The International Olympic Committee’s Expert Consensus Statement on mental health in elite athletes has recommended utilizing the Baron Depression Screener for Athletes (BDSA) [ 6 , 21 ]. The BDSA is a brief depression screening tool specifically for use with athletes.…”

Section: Introductionmentioning

confidence: 99%

“…The BDSA is a brief depression screening tool specifically for use with athletes. Such an athlete-specific measure of mental health problems is necessary to advance our understanding and more effectively support athletes’ mental health and performance [ 21 ]. To the best of our knowledge, little is known about the applicability of this BDSA to Japanese elite athletes.…”

Section: Introductionmentioning

confidence: 99%

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Developing a Japanese Version of the Baron Depression Screener for Athletes among Male Professional Rugby Players

Ojio

Matsunaga

Hatakeyama³

et al. 2020

IJERPH

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The Baron Depression Screener for Athletes (BDSA) is a brief, valid, and reliable athlete- specific assessment tool developed in the US to assess depressive symptoms in elite athletes. We examined the applicability and reliability of a Japanese version of the BDSA (BDSA-J) in a Japanese context, and further examined the construct validity of the BDSA-J. Web-based anonymous self-report data of 235 currently competing Japanese professional male rugby players (25–29 years = 123 [52.3%]) was analyzed. A two-stage process was conducted to validate the factor structure of the BDSA-J using exploratory factor analysis in a randomly partitioned calibration sample, and confirmatory factor analysis in a separate validation sample. Cronbach’s alpha was used to assess internal consistency. Spearman’s rank-order correlation coefficients were calculated to examine convergent validity with the Kessler-6. We identified a one-factor structure for BDSA-J. Confirmatory factor analysis supported this one-factor model, revealing good model fit indices. The standardized path coefficients for each of the items were β = 0.52 to 0.79 (p < 0.001). A Cronbach’s alpha of 0.71 was obtained for the BDSA-J. BDSA-J showed significant positive correlations with the Kessler-6. The BDSA-J is an appropriate and psychometrically robust measure for identifying depressive symptoms in Japanese male rugby players.

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Assessing and Treating Depression in Athletes

Cited by 20 publications

References 31 publications

Anxiety and Depression Symptoms and Suicidal Ideation in Japan Rugby Top League Players

Anxiety and Depression Symptoms and Suicidal Ideation in Japan Rugby Top League Players

Association of mental health help-seeking with mental health-related knowledge and stigma in Japan Rugby Top League players

Developing a Japanese Version of the Baron Depression Screener for Athletes among Male Professional Rugby Players

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