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The Perspectives of High-performance Athletes on Mental Health Assessment: A Mixed-Methods Exploratory Study

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Silvester, C

Hume, PA

Clark, T

Donkin, L

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Informa UK Limited

Abstract

Epidemiological evidence has reinforced the importance of psychological screening and mental health assessment (MHA) of high-performance athletes for early identification and prevention of mental ill-health. However, there is variation in worldwide implementation of MHA. It is unclear what assessment is available to athletes and how this assessment is perceived by those within the high-performance environment in Aotearoa/New Zealand. This study sought to identify experiences Aotearoa/New Zealand high-performance athletes had with MHA, the effects of MHA, and how MHA might be improved. Seventy-four athletes answered an online, mixed-methods survey investigating this topic. Over half of all participants reported having experienced no MHA monitoring, 55% reported current screening approaches were insufficient, and 89% indicated assessments could be improved. Of those whose mental health was actively screened, 22% believed current approaches were sufficient, 47% believed that current approaches were partially sufficient, and 31% believed current MHA approaches were insufficient. Participants reported that MHA facilitates access to support, addresses mental health stigma, and has a bidirectional association with sporting and personal culture. Participants differentiated between formal and informal assessments, discussing the positive and negative features of both.

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52 Psychology, 5203 Clinical and Health Psychology, 5201 Applied and Developmental Psychology, Prevention, Mental Health, 3 Good Health and Well Being, 1302 Curriculum and Pedagogy, 1701 Psychology, 1702 Cognitive Sciences, High-performance athlete, mental well-being, mental health screening, qualitative

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International Journal of Sport and Exercise Psychology, ISSN: 1612-197X (Print); 1557-251X (Online), Informa UK Limited, 24(6), 1182-1203. doi: 10.1080/1612197X.2025.2495673

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Except where otherwise noted, this item's license is described as Creative Commons Attribution-NonCommercial-NoDerivatives