Life on an Emotional Roller Coaster: NFL Players and Their Family Members’ Perspectives on Player Mental Health

in Journal of Clinical Sport Psychology

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Sarah A. McGraw The Hastings Center

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Christopher R. Deubert The Football Players Health Study at Harvard University

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Holly Fernandez Lynch The Football Players Health Study at Harvard University

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Alixandra Nozzolillo The Football Players Health Study at Harvard University

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Lauren Taylor Harvard Business School

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I. Glenn Cohen The Football Players Health Study at Harvard University

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This qualitative study examined how NFL players and their family members characterized the impact of an NFL career on the mental and emotional health of NFL players. We interviewed 25 NFL players (23 former and 2 current) and 27 family members (24 wives and 3 others) to elicit players’ experiences during and following their time in the NFL. While players experienced positive outcomes from their careers, they also described important mental health challenges including feelings of depression, loneliness, and stress. Many of their concerns during their careers were linked to anxiety about job performance and job security. Post-career concerns were linked to loss of social identity and connections. Players had difficulty finding help for their concerns. We conclude with eight recommendations, including improved resources, confidentiality, and support.

McGraw is with The Hastings Center, Garrison, NY. From 2014–2017, Deubert, Lynch, and Cohen were with the Law & Ethics Initiative of the Football Players Health Study at Harvard University, Boston, MA. Cohen is at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, Harvard University, Cambridge, MA. Deubert is now at Berg & Androphy, New York, NY. Nozzolillo is with the Faculty of Arts and Sciences, Harvard University, Cambridge, MA. Taylor is with the Harvard Business School, Harvard University, Boston, MA. Fernandez-Lynch is with the Dept. of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Address author correspondence to Christopher R. Deubert at cdeubert@gmail.com.
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  • Andrade, L., Caraveo-Anduaga, J.J., Berglund, P., Bijl, R.V., De Graaf, R., Vollebergh, W., … Wittchen, H.U. (2003). The epidemiology of major depressive episodes. International Journal of Methods in Psychiatric Research, 12(1), 321. doi:10.1002/mpr.138

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bar, K.-J., & Markser, V.Z. (2013). Sport specificity of mental disorders: The issues of sport psychiatry. European Archives of Psychiatry Clinical Neuroscience, 263(Suppl. 2), 205210. doi:10.1007/s00406-013-0458-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bauman, N.J. (2016). The stigma of mental health in athletes: are mental toughness and mental health seen as contradictory in elite sport? British Journal of Sports Medicine, 50, 135136. doi:10.1136/bjsports-2015-095570

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Berger, T. (2014, October). Internet-based psychotherapy notes. The Society for the Advancement of Psychotherapy. Retrieved from http://societyforpsychotherapy.org/internet-based-psychotherapy-treatments, archived at https://perma.cc/TA8X-W3LS

    • Search Google Scholar
    • Export Citation
  • Cogan, M. (2014, June 25). The Pursuit of ‘Radical Acceptance’: How Brandon Marshall is Confronting the NFL’s Mental Health Crisis Head-on. ESPN. Retrieved from http://espn.go.com/nfl/story/_/page/hotread140707/chicago-bears-brandon-marshall-spreads-awareness-nfl-mental-health-crisis-espn-magazine, Archived at http://perma.cc/RA36-2UX7

    • Search Google Scholar
    • Export Citation
  • Corrigan, P.W., Morris, S.B., Michaels, P.J., Rafacz, J.D., & Rusch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963973. PubMed ID: 23032675 doi:10.1176/appi.ps.201100529

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Didehbani, N., Cullom, C.M., Mansinghani, S., Conover, H., & Hart, J. (2013). Depressive symptoms and concussions in aging retired NFL players. Archives of Clinical Neuropsychology, 28(5), 418424. doi:10.1093/arclin/act028

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Deubert, C.R., Cohen, I.G., & Lynch, H.F. (2016). Protecting and Promoting the Health of NFL Players: Legal and Ethical Analysis and Recommendations. https://footballplayershealth.harvard.edu/wp-content/uploads/2016/11/01_Full_Report.pdf

    • Search Google Scholar
    • Export Citation
  • Deubert, C.R., Cohen, I.G., & Lynch, H.F. (2017). Comparing Health-Related Policies & Practices in Sports: The NFL and Other Professional Leagues. https://footballplayershealth.harvard.edu/wp-content/uploads/2017/05/Harvard-Comparative-League-Analysis-5.15.17.pdf

    • Search Google Scholar
    • Export Citation
  • Frank, R., Nixdorf, I., Beckmann, J., Kramer, U., Mangold, S., Krumm, P., & Burgstahler, C. (2013). Depression among elite athletes: prevalence and psychological factors. Deutsche Zeitschrift Sportmedizin, 64, 320326.

    • Search Google Scholar
    • Export Citation
  • Gordon, J.S. (2014). Mind-body skills groups for medical students: reducing stress, enhancing commitment, and promoting patient-centered care. BMC Medical Education, 14(198), 28. doi:10.1186/1472-6920-14-198

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Greeson, J.M., Michael, J.T., & Pearce, M.J. (2015). An Adapted, Four-Week Mind-Body Skills Group for Medical Students: Reducing Stress, Increasing Mindfulness, and Enhancing Self-Care. Explore, 11(3), 186192. PubMed ID: 25792145 doi:10.1016/j.explore.2015.02.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., Hanton, S., & Fleming, S. (2017). Are mental toughness and mental health contradictory concepts in elite sport? A narrative review of theory and evidence. Journal of Science and Medicine in Sport, 20(3), 307311. doi:10.1016/j.jsams.2016.08.006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gulliver, A., Griffiths, K.M., & Christensen, H. (2012, Sept ember). Barriers and facilitators to mental health help-seeking for young elite athletes: A qualitative study. BMC Psychiatry, 26(12), 114. doi:10.1186/1471-244X-12-157

    • Search Google Scholar
    • Export Citation
  • Guskiewicz, K., Marshall, S., Bailes, J., McCrea, M., Harding, H., Matthews, A., … Cantu, R. (2007). Recurrent concussion and risk of depression in retired professional football players. Medicine & Science in Sports & Exercise, 39(6), 903909. doi:10.1249/mss.0b013e3180383da5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hammond, T., Gialloreto, C., Kubas, H., & Davis, H. (2013, July). The prevalence of failure-based depression among elite athletes. Clinical Journal Sport Medicine, 23(4), 273277. doi:10.1097/JSM.0b013e318287b870

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hsieh, H.-F., & Shannon, S. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 12771288. doi:10.1177/1049732305276687

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hughes, L., & Leavey, G. (2012). Setting the bar: Athletes and vulnerability to mental illness. The British Journal of Psychiatry, 200, 9596. doi:10.1192/bjp.bp.111.095976

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kessler, R., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K., … Wang, P. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). The Journal of the American Medical Association, 289(23), 30953105. doi:10.1001/jama.289.23.3095

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Krippendorf, K. (2013). Content analysis: An introduction to methodology. Thousand Oaks, CA: Sage Publications.

  • Lapchick, R., Malveaux, C., Davison, E., & Grant, C. (2016). The 2016 Racial and Gender Report Card: National Football League. Retrieved from The Institute for Diversity and Ethics in Sport at the University of Central Florida website http://www.tidesport.org/nfl-rgrc.html

    • Search Google Scholar
    • Export Citation
  • Lehman, E., Hein, M., & Gersic, C. (2016). Suicide Mortality Among Retired National Football League Players Who Played 5 or More Seasons. The American journal of sports medicine, 44(10), 1 . PubMed ID: 27159317 doi:10.1177/0363546516645093

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Miles, M.B., Huberman, A.M. (1994). Qualitative data analysis: An expanded sourcebook,. Thousand Oaks, CA: Sage Publications.

  • National Football League. (2011). National Football League Players Association Collective Bargaining Agreement. https://nfllabor.files.wordpress.com/2010/01/collective-bargaining-agreement-2011-2020.pdf

    • Search Google Scholar
    • Export Citation
  • National Institute of Mental Health. (2017, May 12). Any Mental Illness (AMI) Among Adults. National Institute of Mental Health. Retrieved from http://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-adults.shtml, Archived at http://perma.cc/J28R-TNXB

    • Search Google Scholar
    • Export Citation
  • Reardon, C.L., Factor, R.M. (2010). Sport psychiatry: A systemic review of diagnosis and medical treatment of mental illness in athletes. Sport Medicine, 40(11), 961980. doi:10.2165/11536580-000000000-00000

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Renton, T., Tang, H., & Ennis, N. (2014). Web-based intervention programs for depression: A scoping review and evaluation. Journal of Medical Internet Research, 16(9), 209. PubMed ID: 25249003 doi:10.2196/jmir.3147

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rice, S.M., Purcell, R., De Silva, S., Mawren, D., McGorry, P.D., Parke, A.G. (2016). The mental health of elite athletes: A narrative systematic review. Sports Medicine, 46(9), 13331353. PubMed ID: 26896951 doi:10.1007/s40279-016-0492-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Roderick, M., Smith, A., Potrac, P. (2017). The Sociology or sports work, emotions, and mental health: Scoping the field and future directions. Sociology of Sport Journal, 34(2), 99107. doi:10.1123/ssj.2017-0082

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schwenk, T., Gorenflo, T., Dopp, R., & Hipple, E. (2007). Depression and pain in retired professional football players. Medicine & Science in Sports & Exercise, 39(4), 599605. PubMed ID: 17414796 doi:10.1249/mss.0b013e31802fa679

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shim, R., Baltrus, P., Ye, J., & Rust, G. (2011). Prevalence, Treatment, and Control of Depressive Systems in the United States: Results from the National Health and Nutrition Examination Survey (NHANES), 2005–08. Journal of the American Board of Family Medicine, 24(1), 3338. doi:10.3122/jabfm.2011.01.100121

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Spencer-Thomas, S., Hindman, J., & Conrad, J. (2014). Man therapy: Outreach and impact on men’s mental health program 18 months after launch. Retrieved from www.ManTherapy.org

    • Search Google Scholar
    • Export Citation
  • Weigand, S., Cohen, J., & Merenstein, D. (2013). Susceptibility for Depression in Current and Retired Student Athletes. Sports Health, 5(3). 263266. PubMed ID: 24427399 doi:10.1177/1941738113480464

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Weir, D., Jackson, J., & Sonnega, A. (2009). National Football League Player Care Foundation Study of Retired NFL Players. Retrieved from the Institute for Social Research at University of Michigan: https://ns.umich.edu/Releases/2009/Sep09/FinalReport.pdf, archived at https://perma.cc/6G5Q-LN2M?type=pdf

    • Search Google Scholar
    • Export Citation
  • Wolanin, A., Gross, M., & Hong, E. (2015). Depression in Athletes: Prevalence and Risk Factors. Current Sports Medicine Reports, 14(1), 5660. doi:10.1249/JSR.0000000000000123

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization (2016, April). Mental health: strengthening our response. World Health Organization. Retrieved from http://www.who.int/mediacentre/factsheets/fs220/en/, archived at https://perma.cc/QG4U-46EE

    • Search Google Scholar
    • Export Citation
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