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Screening of Depression and Mental Health in Elite Youth Sports: Differences in Risk Estimation Between the PHQ-2 and the WHO-5

Jens Kleinert, Jeannine Ohlert, and Marion Sulprizio

This study aims to examine whether the risk for depression differs between using a disease- and a health-oriented instrument in elite youth sport and to uncover relationships of risk with concern to age, sex, type of sport, and level of performance. A sample of 549 eleven- to twenty-one-year-old elite athletes were screened using the German versions of the Patient Health Questionnaire-2 (PHQ-2) and the WHO Well-Being Index-5 (WHO-5). For external validity, the state of physical well-being and mood state, as well as recovery measures, were assessed. The proportions of athletes at high risk for mental health problems were 11.3% (PHQ-2) and 12.8% (WHO-5) of the participants. Young athletes (<15 years old) and male athletes showed lower risk values compared with older or female athletes. Moreover, PHQ-2 and WHO-5 values correlated with physical well-being and subjective sleep parameters. Both instruments were practical and diagnostically conclusive. Further studies on the validation of the instruments are recommended.

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Group Dynamics in Sports: An Overview and Recommendations on Diagnostic and Intervention

Jens Kleinert, Jeannine Ohlert, Bert Carron, Mark Eys, Deborah Feltz, Chris Harwood, Lother Linz, Roland Seiler, and Marion Sulprizio

Working with teams and training groups is a common and major challenge for applied sport psychologists. This document is a position statement on the rationales, methods, and procedures of team-focused approaches in the practice of sport psychology. Furthermore, practice recommendations and research desiderata are discussed. To develop the paper, a consensus conference with nine experts from North America and Europe was held in Spring 2010. First, the paper presents the rationale for team-focused interventions and addresses the concepts of team cohesion, team efficacy, team potency, and a task involving leadership style. Second, the contributions of sport psychologists to enhancing group functioning are discussed, including methods for enhancing interpersonal skills, team climate, and coach athlete relationships. Third, determinants of how sport psychologists decide procedure and build trust in working with teams are articulated. Finally, the consensus group recommends an intensified effort to examine the effects and practice applicability of theory-driven, ecologically valid interventions.