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Prevalence of Clinical Depression Symptoms Within High-School Level Student Athletes Residing in East Tennessee


  • Shannon Willard Researcher



Clinical Depression, Athletes, symptoms


In order to determine whether sport participation has an effect on the amount of Clinical Depression symptoms exhibited by a participant, a comparison of Beck’s Depression Inventory (BDI) scores of East Tennessee high school student athletes was compared to East Tennessee high schoolers that did not participate in a sport. Three groups were investigated for comparison purposes. Participants were gathered to answer the questionnaire through a convenience sample: Instagram and Snapchat Stories. After the data collection period was over, the participant’s total levels of depression were calculated along with the mean BDI Score of each population. The mean scores of each group were compared in order to determine if Clinical Depression symptoms were more prominent across different groups. Group 1 had a mean BDI score of 16.87, while Group 2 had a mean BDI score of 15.06, and Group 3 had a mean BDI score of 12.36. Groups 1 and 2 fell under the same BDI scoring legend of “Borderline Clinical Depression" and Group 3 fell under “Mild Mood Disturbance”. East Tennessee high schoolers show a greater amount of Clinical Depression symptoms than high schoolers that do not participate in a sport, allowing for the conclusion that participating in a sport increases the amount of Clinical Depression symptoms expressed.


Beck, A.T., Steer, R.A., & Brown, G.K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.

Bowman, S., McKinstry, C., Howie, L., & McGorry, P. (2020). Expanding the search for emerging mental ill health to safeguard student potential and vocational success in high school: A narrative review. Early Intervention in Psychiatry, 14(6), 655–676.

Centers for Disease Control and Prevention. (2022, October 19). FASTSTATS - Adolescent Health. Centers for Disease Control and Prevention. Retrieved November 14, 2022, from,Suicide

Cînpeanu, O.-C., Sălcudean-Czinege, M., & Tarcea, M. (2019). Obesity, exercise, and health. Health, Sports & Rehabilitation Medicine, 20(1), 26–31.

Choi, Y. J., Hwang, Y. K., & Lee, C. S. (2022). Effects of Depression, Suicidal Ideation, and Gratitude on Flourishing of High School Students: A Moderated Mediation Model of Growth Mindset. Perspectives of Science & Education, 56(3), 540–552.

Daltry, R. M., Mehr, K. E., & Keenan, L. (2021). Student-Athletes and Counseling Services: Recommendations for Identifying and Developing Referral Sources. Journal of College Student Psychotherapy, 1–12.

Fagan, K. (2017). What made Maddy run: the secret struggles and tragic death of an all-American teen. First edition. New York, Little, Brown and Company.

Fredricks, J. (2012). Extracurricular Participation and Academic Outcomes: Testing the Over-Scheduling Hypothesis. Journal of Youth & Adolescence, 41(3), 295–306.

Garrick, V. (2017, June 2). Athletes and mental health: The hidden opponent. Youtube. Retrieved November 8, 2022, from

I. E., Y., & T., J. (2020). “Beck Depression Inventory scores for children with some chronic diseases (Type I diabetes mellitus, Sickle cell anaemia, and AIDS) on management in University of Port Harcourt Teaching Hospital.” African Journal of Diabetes Medicine, 28(1), 1–6.

Jao, N. C., Robinson, L. D., Kelly, P. J., Ciecierski, C. C., & Hitsman, B. (2019). Unhealthy behavior clustering and mental health status in United States college students. Journal of American College Health, 67(8), 790–800.

Mayo Clinic Staff. (2021). Obesity. Mayo Clinic. Retrieved March 10, 2023, from

Muniz, H. (2022, August 15). What is a good ACT score?: BestColleges. Retrieved November 14, 2022, from

Oramas, J. E. (2021). Psychological, Motivational, and Contextual Factors Impacting Student Sport Participation. Journal of Multidisciplinary Research (1947-2900), 13(1), 71–85.

Pitofsky, M. (2022, October 14). 'A worrisome trend': Act scores continue to decline, dropping to lowest levels in 30 years. USA Today. Retrieved November 14, 2022, from

Redding, A. B. (2017). Fighting Back Against Achievement Culture: Cheating as an Act of Rebellion in a High-Pressure Secondary School. Ethics & Behavior, 27(2), 155–172.

Ruskin, P., & Sangeetha, S. (2019). Awareness on obesity among children. Drug Invention Today, 12(8), 1762–1764.

Stamatis, A., Deal, P. J., Morgan, G. B., Forsse, J. S., Papadakis, Z., McKinley-Barnard, S., Scudamore, E. M., & Koutakis, P. (2020). Can athletes be tough yet compassionate to themselves? Practical implications for NCAA mental health best practice no. 4. PLoS ONE, 15(12), 1–19.

Suldo, S. M., Thalji-Raitano, A., Kiefer, S. M., & Ferron, J. M. (2016). Conceptualizing High School Students’ Mental Health Through a Dual-Factor Model. School Psychology Review, 45(4), 434–457.

Vickers, E. (2013, December 19). The stigma of mental health: Is it increased for athletes?

BelievePerform. Retrieved November 8, 2022, from

Wang, J., & Li, C. (2022). Research on the Influence of Physical Exercise Health on the Mental Health of University Students. Journal of Environmental & Public Health, 1–9.

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