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Student-athletes are thought to be at greater risk for some psychopathologies while underutilizing mental health services. Few studies have explored depression in student-athletes or the reasons behind the resistance to seeking psychological help. The goals of this study were to examine in a nationwide sample of NCAA D-IA and D-IAA student-athletes the (a) manifestation of depressed mood as it relates to gender, injury, injury characteristics (i.e., perceived impact, time in treatment, chronicity), and student-athlete role behaviors (e.g., frequency of skipping events, role strain, self-destructive behaviors) and (b) examine their treatment resistance, perceived barriers to seeking help, and counselor preference should they choose to seek psychological help. Using a web-survey format, student-athletes were presented survey materials and the Personality Assessment Inventory (Morey, 1991) Depression and Treatment Rejection scales. Results indicated student-athletes reported moderately low depression scores. Depression was not impacted by gender or the occurrence of injury; however, for those who were injured, only the perceived impact of their injury accounted for variance in depression scores. Strong relationships between role behaviors and depression indicated possible outward expressions of depression. Additionally, student-athletes reported moderately high treatment rejection scores indicating little desire or perceived need to change and little motivation for entering into counseling. Access to services, privacy issues, stigmatization, and the fear of not being understood acted as barriers to seeking help. Lastly, student-athletes indicated clear preferences for counselor type and practitioner's location, familiarity with sport, gender, racial similarity, and age. Results highlighted a need for education, awareness, promotion of mental health services, and increased accessibility to services for student-athletes. Recommendations were put forth for university counseling centers as well as athletic department staff members.
Introduction: Adolescents and young adults experience a high level of mental health conditions.These disorders appear to be increasing in number and severity. The prevalence rate for 18-25-years-olds is 8.7% in 12 months. Mental health conditions are treatable, yet many people do not seek professional help. Seeking help from a professional source is particularly important for preventing, early detection, treatment, and recovery from mental health conditions. Purpose: The purpose of this mixed-methods study is to demonstrate the prevalence of depression, explore student-athletes attitudes towards seeking mental health help, understand what factors may influence help-seeking behaviors, and explore the athlete's perceptions of the role that athletic trainers play in the assessment and referral process. Methods: An exploratory, concurrent mixed methods design was used. Survey data from the ATSPPH-SF and PHQ-9 were collected from collegiate student-athletes. A phenomenological approach will guide the qualitative research process. Semi-structured interviews will be audiotaped, transcribed, and analyzed using an interpretive thematic analytical approach. Study Participants: National Collegiate Athletic Association (NCAA) student-athletes participating at the Divsion III (DIII) level. Results: The prevalence of depression was almost 42% in the study population. There was no relationship between PHQ-9 scores and sex. Attitudes towards seeking help were generally positive. Females tend to have more favorable attitudes than males, but this finding was not statistically significant. There was no relationhship between PHQ-9 scores and ATSPPH-SF scores. Barriers to help-seeking included perceived seriousness, stigma, lack of time, accessibility, prefer to handle issues on own, and cost. Facilitators to help-seeking included perceived and nee-problems that were serious enough to warrant help and a supportive network. Clinical Importance: As we continue to address the mental health crisis, it is imperative to understand what prevents student-athletes from seeking professional psychological help and develop supportive programs to help them overcome these barriers. Certified athletic trainers, coaches, and other athletic personel need to understand the seriousness of untreated mental health conditions and be educated to recognize when an athlete may be struggling with issues beyond their control. Knowing when to refer a student-athlete to a professional is essential in preventing potential unnecessary and irreversible consequences.
Collegiate athletes experience mental health concerns at similar rates to non-athlete students, however, the student-athlete population underutilizes professional mental health help with only 10% of those in need seeking services. Criticisms of the extant research on studentathlete mental health help-seeking include studies that lack theoretical guidance, and convenience samples who are not experiencing a mental health issue. The aim of this study was to conduct a theoretically driven investigation assessing factors of help-seeking associated with the Health Belief Model and Reasoned Action Approach while sampling student-athletes who identified as currently experiencing a personal or emotional health concern. More specifically, the purpose of this study was to investigate which factors of help-seeking behavior predict the likelihood that a student-athlete will seek professional help, and to identify the differences in help-seeking factors between student-athletes with a lower likelihood of seeking help compared to those with a higher likelihood of seeking help. Participants were 269 NCAA student-athletes who completed an online survey assessing factors related to their help-seeking behavior. A multiple liner regression reveled that perceived benefits, perceived susceptibility, and perceived attitudes factors were significant predictors of the likelihood that a student-athlete would seek treatment. Results from a one-way MANOVA showed significant differences between the lower likelihood and the higher likelihood of seeking help group on the perceived seriousness, perceived susceptibility, perceived benefits, instrumental barriers, stigma-related barriers, and the perceived attitudes factors. Additional information gathered in this study suggests the most frequently reported factors which prevented student-athletes from seeking help include a belief the issues they are experiencing is not that serious, or a desire to seek help from a source other than a mental health professional. Findings from this study have implications for athletic departments, campus counseling centers, and future interventions designed to enhance mental health help-seeking.
This unique book provides a practical framework for and coverage of a broad range of mental health concerns applicable to the care of athletes, including depression, suicide, mood disorders, substance abuse and risk-taking behaviors. To this end, it presents content relevant to the care of athletes, including doping and the use of performance-enhancing drugs, the mental health impact of concussion, bullying and hazing, the impact of social media and exercise addiction, among other pertinent topics. Current basic and translational research on behavioral health and the relationship of brain to behavior are reviewed, and current treatment approaches, both pharmacological and non-pharmacological (including mindfulness training), are considered. This practical resource targets the stigma of mental in athletes in order to overcome barriers to care by presenting a definitive perspective of current concepts in the mental health care of athletes, provided by experts in the field and targeting sports medicine providers, mental health providers and primary care physicians involved in the direct care of recreational and competitive athletes at all levels.
"Student-athletes encounter a series of unique stressors associated with their athletic status that can compromise their well-being (Beauchemin, 2012; Brown et al., 2014; Parham, 1993; Valentine & Taub, 1999). There is evidence to suggest that demands on student-athletes' increase their risk for experiencing certain mental and physical distress (e.g., eating disorders, anxiety, depression) (Brown et al., 2014; Etzel et al., 2006; Rice et al., 2016). Further, student-athletes are less likely to seek help from mental health professionals than their non-athlete peers (Watson, 2005). The purpose of this study was to understand the role that communication plays in socializing student-athletes, and how communication influences their perceptions of seeking mental health services. The research questions in this study were the following: 1) What are the memorable messages student-athletes receive that inform their perceptions of seeking mental health services? 2) Which sources who deliver the memorable messages have the greatest impact on student-athletes' attitudes and perceptions of seeking mental health services? This study utilized Consensual Qualitative Research (CQR) to conduct and analyze in-depth interviews about Division I student-athletes' experiences and context surrounding the memorable messages received, with the intention of identifying themes that capture the impact the messages have had on their help-seeking attitudes and behaviors. The current body of research provides evidence that memorable messages student-athletes received have positively and negatively influenced their attitudes and behaviors towards seeking professional help. Findings from this current study revealed that, across the two domains that directly answered the research questions, there were five general categories and seven typical categories indicating there were commonalities in the memorable messages received and significant sources who communicated them. All participants identified and recalled specific memorable messages, both positive and negative, regarding seeking mental health services; however, overall student-athletes received a higher frequency of positive messages. The common theme around the positive messages student-athletes received were some variation of "It's ok to not be ok" while the theme around the negative messages received were rooted in sport culture norms such as "Athletes are supposed to be tough" and "You're weak if you need help." The significant sources who most influenced student-athletes' perceptions of seeking mental health services were coaches and family (parents, dad, mom, sister, and uncle)."--Abstract from author supplied metadata
The negative effects of disclosing a history of mental illness and the need for mental health services are well documented in the professional literature (Corrigan, 2005). Being labeled as "mentally ill" can lead to negative stereotypes placed on the individual that lead to prejudice and discrimination (Corrigan, 2004). These negative effects of disclosing psychological disturbances have led to some individuals being hesitant to seek help, even if the individuals or those close to them feel it is needed (Thornicroft, 2006). College students are a vulnerable population due to the likelihood that they will experience their first psychological disturbance during their college years (Eisenberg, Golberstein, & Gollust, 2007), making access to mental health care crucial. College student-athletes may be even more at-risk for certain psychological disturbances, based on their unique demands and environmental stressors they face (Pinkerton, Hintz, & Barrow, 1989). College student-athletes appear to be underutilizing the mental health services available to them on college campuses (Watson & Kissinger, 2007). Prior studies have shown that college student-athletes are less likely to seek out mental health treatment than other college students (Watson, 2005). The purpose of this study was to see whether or not college student-athletes would exhibit more negative attitudes than student-nonathletes towards mental illness. This study also compared the attitudes toward seeking psychological help between athletes and non-athletes (using a measure developed for use with student-athletes and student-nonathletes by Watson, 2005). Scales that measure social distance, perceived devaluation and discrimination towards mental illness were used to operationalize stigma towards mental illness. The scales this study used to measure social distance (Martin et al., 2000) and perceived discrimination towards mental illness (Link, 1987) had never been used before in a student-athlete population. The potential roles that athletic identity, race, and gender play in treatment-seeking comfort were also examined.
This study investigated the relationship between public stigma, self-stigma, and help-seeking attitudes in a sample of undergraduate student-athletes. Student-athletes appear to be at increased risk for developing mental health issues compared to their non-athlete counterparts (Etzel et al., 2006). However, student-athletes appear to underutilize available mental health services for fear of being labeled as mentally ill as well as other factors (Pinkerton, Hinz, and Barrow, 1989). The purpose of the current study is to explore two facets of stigma as a potential explanation for negative attitudes toward help-seeking and thus the underutilization of these mental health services. Sixty-six student-athletes completed a 10-minute paper-pencil survey. The survey included measures of self-stigma, public stigma, help-seeking attitudes, demographic variables, and an open-ended question regarding barriers to help-seeking. Results indicated that self-stigma mediated the relationship between public stigma and help-seeking attitudes, which replicates the mediated model found in Vogel et al. (2007). Self-stigma appears to explain how negative stereotypes about those who seek help are internalized to form negative attitudes toward help-seeking for student-athletes. Further, student-athletes noted barriers to help-seeking such as lack of time or knowledge of resources as well as fear of being labeled as mentally ill. Implications for research and practice are delineated.
Purpose. The purpose of this study was to assess collegiate student-athlete perception of mental health. A secondary purpose was to develop a list of attitudes and behaviors toward athletes seeking help, and university perception. Methods. Alcorn State University student-athletes were given a survey about mental health in collegiate athletics. One-hundred and ninety student athletes submitted a complete response. Results. There was no significant relationship between the number of barriers and seeking help. There was an overwhelming number of student-athletes that do not believe that Alcorn is prepared to help with a mental health crisis. There was no significant difference between male and female participants for willingness to seek help. Discussion. The number of barriers data was skewed due to the high number of responses for zero and one barrier, but questions could be used for future studies. Many of the student-athletes feel that Alcorn is not prepared and provided several qualitative responses that could benefit the athletic department. Lastly, even though there was no significance between the sexes, it shows that the gap between them is starting to decrease. Conclusion. There are a lot of improvements that could be made to the mental health crisis response. Student-athlete opinions are important and should be used to develop protocols and policies.
Mental Health in Elite Sport: Applied Perspectives from Across the Globe provides a focused, exhaustive overview of up-to-date mental health research, models, and approaches in elite sport to provide researchers, practitioners, coaches, and students with contemporary knowledge and strategies to address mental health in elite sport across a variety of contexts. Mental Health in Elite Sport is divided into two main parts. The first part focuses globally on mental health service provision structures and cases specific to different world regions and countries. The second part focuses on specific mental health interventions across countries but also illustrates specific case studies and interventions as influenced by the local context and culture. This tour around the world offers readers an understanding of the massive global differences in mental health service provision within different situations and organizations. This is the first book of its kind in which highly experienced scholars and practitioners openly share their programs, methods, reflections, and failures on working with mental health in different contexts. By using a global, multi-contextual analysis to address mental health in elite sport, this book is an essential text for practitioners such as researchers, coaches, athletes, as well as instructors and students across the sport science and mental health fields.