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    Cross-cultural adaptation and psychometric evaluation of the Mental Health Disorders Screening Instrument for Athletes in a Turkish sample
    (Taylor & Francis Ltd, 2025) Ercan, Sabriye; Buyukluoglu, Gokhan; Buyukluoglu, Nihan; Ay Yildiz, Yeliz; Sevindik Aktas, Buket; Orscelik, Aydan
    Objectives Screening instruments suitable for the early detection of mental health issues in athletes are limited. The aim of this study is to adapt the Mental Health Disorders Screening Instrument for Athletes (MHDSIA) into Turkish and evaluate its psychometric properties.Methods The adaptation process followed COSMIN guidelines. Language adaptation was performed using a forward-backward translation method, and content validity was evaluated with expert opinions. This cross-sectional methodological study included 251 volunteer athletes. Exploratory factor analysis and confirmatory factor analyses were employed for construct validity, and reliability was examined with the Cronbach's alpha coefficient. Criterion validity was tested against the Symptom Checklist 90-Revised (SCL-90-R), and sensitivity and specificity were evaluated via Receiver Operating Characteristic (ROC) curve analysis.Results The Turkish version of the MHDSIA demonstrated high internal consistency (Cronbach's Alpha = 0.864) and satisfactory content validity (I-CVI = 0.857-1.000; S-CVI = 0.969). EFA supported a single-factor structure, which was confirmed by CFA, with adequate goodness-of-fit indices (e.g. RMSEA = 0.074). The ROC analysis showed an AUC of 0.774 (p < 0.001), with an optimal cutoff point identified as 32, yielding sensitivity of 78.4% and specificity of 67.5%.ConclusionThe Turkish version of the MHDSIA was determined to be a valid and reliable screening instrument, and it has been demonstrated that it can be used as an effective method for assessing the mental health of athletes.
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    Psychosocial predictors of mobbing and burnout in para-athletes: Insights for mental health
    (Public Library Science, 2025) Yildiz, Yeliz Ay; Buyukluoglu, Gokhan; Buyukluoglu, Nihan; Ercan, Sabriye; Orscelik, Aydan
    Para-athletes may experience psychological challenges such as mobbing and burnout, which can impair their performance, motivation, and well-being. Despite the inclusive goals of the Paralympic Movement, recent evidence suggests that para-athletes are not immune to negative psychosocial experiences. This study aimed to examine the relationship between mobbing exposure and burnout among para-athletes and to identify demographic and psychological predictors of mobbing. This cross-sectional study included para-athletes aged 18-45 with at least two years of sports experience. Participants completed an online survey including demographic variables, the Negative Acts Questionnaire-Revised (NAQ-R), and the Athlete Burnout Questionnaire (ABQ). Statistical analyses included group comparisons, correlation tests, and linear regression modeling to explore factors associated with mobbing exposure. A total of 93 para-athletes participated. NAQ-R scores varied significantly by age and showed positive correlations with ABQ-PEE (physical/emotional exhaustion) and ABQ-SD (sport devaluation) scores. Regression Analysis, Adjusted R-2 = 0.296. Model was significant (F(9,83)=4.10, p < 0.001). Significant predictors, ABQ-SD (beta = 0.312, p = 0.004), education level (beta = 0.278, p = 0.011). Regression analysis revealed that higher ABQ-SD and educational level were significant predictors of increased mobbing exposure. ABQ-SD and education level are key predictors of mobbing and burnout in para-athletes, revealing that negative interpersonal dynamics persist even in para-sport environments. Targeted anti-mobbing strategies and tailored psychological support are essential to protect mental health and enhance the athletic experience.
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    The reality of pressure ulcers: an exploratory sequential mixed design study in coaches and Paralympic athletes
    (Taylor & Francis Ltd, 2025) Yildiz, Yeliz Ay; Ercan, Sabriye; Orscelik, Aydan
    ObjectivesThis study aims to explore and understand the knowledge and attitudes of Paralympic athletes and their coaches toward pressure ulcers. By focusing on this underserved population, the study seeks to improve awareness, recognition, and management practices to minimize the health and performance impacts of pressure ulcers in Paralympic sports.MethodsParalympic athletes and their coaches were contacted. Volunteers were included in the exploratory sequential mixed design study. In the quantitative phase, a digital survey was used to evaluate Paralympic athletes' and coaches' awareness of pressure ulcers. To gain a deeper understanding of the factors deemed significant in the quantitative analyses, the researcher conducted one-on-one semi-structured interviews with athletes and coaches. The data was analyzed using the SPSS package program and MAXQDA program.ResultsTen coaches and 82 Paralympic athletes participated in the study. The sports disciplines were wheelchair basketball (40%), Paralympic table tennis (40%), Paralympic court tennis (10%), and athletics (10%). Coaches' knowledge about pressure ulcers was low, and athletes' knowledge was even lower. It was concluded that coaches should improve their attitudes toward pressure ulcers, particularly in the areas of competence and responsibility sharing. During the interviews with the participants, several themes emerged.ConclusionTo address pressure ulcers' significance, it is essential to increase the knowledge level of both athletes and the entire team and adopt a positive attitude. It has been concluded that different areas of expertise in the fields of health and sports should work with a more organized structure and team awareness.