Titre
Does cardiovascular preparticipation screening cause psychological distress in athletes? A systematic review.
Type
article
Institution
Externe
Périodique
Auteur(s)
Hill, B.
Auteure/Auteur
Grubic, N.
Auteure/Auteur
Williamson, M.
Auteure/Auteur
Phelan, D.M.
Auteure/Auteur
Baggish, A.L.
Auteure/Auteur
Dorian, P.
Auteure/Auteur
Drezner, J.A.
Auteure/Auteur
Johri, A.M.
Auteure/Auteur
Liens vers les personnes
ISSN
1473-0480
Statut éditorial
Publié
Date de publication
2023-02
Volume
57
Numéro
3
Première page
172
Dernière page/numéro d’article
178
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Systematic Review ; Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Résumé
To evaluate the psychological implications of cardiovascular preparticipation screening (PPS) in athletes.
Systematic review.
MEDLINE, EMBASE, PubMed, CINAHL, SPORTDiscus, APA PsycInfo, Cochrane Library and grey literature sources.
Observational and experimental studies assessing a population of athletes who participated in a cardiovascular PPS protocol, where psychological outcomes before, during and/or after PPS were reported.
Results of included studies were synthesised by consolidating similar study-reported measures for key psychological outcomes before, during and/or after screening. Summary measures (medians, ranges) were computed across studies for each psychological outcome.
A total of eight studies were included in this review (median sample size: 479). Study cohorts consisted of high school, collegiate, professional and recreational athletes (medians: 59% male, 20.5 years). Most athletes reported positive reactions to screening and would recommend it to others (range 88%-100%, five studies). Increased psychological distress was mainly reported among athletes detected with pathological cardiac conditions and true-positive screening results. In comparison, athletes with false-positive screening results still reported an increased feeling of safety while participating in sport and were satisfied with PPS. A universal conclusion across all studies was that most athletes did not experience psychological distress before, during or after PPS, regardless of the screening modality used or accuracy of results.
Psychological distress associated with PPS in athletes is rare and limited to athletes with true-positive findings. To mitigate downstream consequences in athletes who experience psychological distress, appropriate interventions and resources should be accessible prior to the screening procedure.
CRD42021272887.
Systematic review.
MEDLINE, EMBASE, PubMed, CINAHL, SPORTDiscus, APA PsycInfo, Cochrane Library and grey literature sources.
Observational and experimental studies assessing a population of athletes who participated in a cardiovascular PPS protocol, where psychological outcomes before, during and/or after PPS were reported.
Results of included studies were synthesised by consolidating similar study-reported measures for key psychological outcomes before, during and/or after screening. Summary measures (medians, ranges) were computed across studies for each psychological outcome.
A total of eight studies were included in this review (median sample size: 479). Study cohorts consisted of high school, collegiate, professional and recreational athletes (medians: 59% male, 20.5 years). Most athletes reported positive reactions to screening and would recommend it to others (range 88%-100%, five studies). Increased psychological distress was mainly reported among athletes detected with pathological cardiac conditions and true-positive screening results. In comparison, athletes with false-positive screening results still reported an increased feeling of safety while participating in sport and were satisfied with PPS. A universal conclusion across all studies was that most athletes did not experience psychological distress before, during or after PPS, regardless of the screening modality used or accuracy of results.
Psychological distress associated with PPS in athletes is rare and limited to athletes with true-positive findings. To mitigate downstream consequences in athletes who experience psychological distress, appropriate interventions and resources should be accessible prior to the screening procedure.
CRD42021272887.
PID Serval
serval:BIB_02FA33E71655
PMID
Open Access
Oui
Date de création
2022-12-07T10:02:50.348Z
Date de création dans IRIS
2025-05-20T14:16:07Z