Prevalence of Mental Health Challenges in College Student-Athletes

Abstract

Mental health concerns among NCAA student-athletes have increased in the past decade. Prior research demonstrates the intense environment student-athletes reside in and the negative impact it can have on one’s mental health. However, little is known about the prevalence of mental health symptoms and the choices student-athletes make in regard to their mental health. We aimed to demonstrate the prevalence of adverse mental health outcomes in this population and the subsequent consequences it can have on collegiate student-athletes. Additionally, we examined how the demographic characteristics and behavior factors can affect their mental health, mental health stigma, and help-seeking behavior. Our sample consisted of 236 student-athletes participating in NCAA institutions across the country, with a target audience of Horizon League competing institutions. We utilized descriptive statistics, linear regression, and ordinal regression to examine the prevalence of each predictor and outcome variable. The following scales were utilized to assess various mental health outcomes: Kessler Psychological Distress Scale (K6), Psychological Well-Being Scale (PWB), UCLA Loneliness Scale, and the Connor-Davison Resilience Scale (CD-RISC2). Data show that a higher cumulative GPA was associated with lower mental distress and significantly more likely to have higher resilience. Additionally, athletes who were injured, were significantly more likely to experience mental distress compared to their non-injured peers. Furthermore, cisgender females reported significantly higher mental distress compared to their cisgender male counterparts. Student-athletes reporting an increase in public stigma revealed lower mental well-being and higher levels of mental distress. These findings indicate that participant characteristics do impact the adverse mental health outcomes student-athletes experience. The public and/or self-stigma one experiences can impact the overall well-being of the individual when it comes to mental health. We recommend that future studies examine how stigma can affect the choices of how student-athletes navigate their personal mental health. Future research should investigate new ways to combat the negative consequences of mental health challenges to improve the overall student-athlete experience.