Mental Toughness, Sport-Related Well-Being, and Mental Health Stigma Among National Collegiate Athletic Association Division I Student-Athletes

in Journal of Clinical Sport Psychology

Click name to view affiliation

Matthew D. Bird University of Lincoln

Search for other papers by Matthew D. Bird in
Current site
Google Scholar
PubMed
Close
*
,
Eadie E. Simons University of Lincoln

Search for other papers by Eadie E. Simons in
Current site
Google Scholar
PubMed
Close
*
, and
Patricia C. Jackman University of Lincoln

Search for other papers by Patricia C. Jackman in
Current site
Google Scholar
PubMed
Close
*
Restricted access

Mental toughness has been associated with factors related to psychological well-being, but little is known about its relationship with stigma toward mental health and mental health help-seeking. This study investigated the relationship between mental toughness, sport-related well-being, and personal stigma toward mental health in a sample of 154 National Collegiate Athletic Association Division I student-athletes. The moderating effect of mental toughness on the relationship between public stigma and self-stigma toward mental health help-seeking was also explored. Mental toughness was significantly and positively associated with sport-related well-being, but not significantly related to personal stigma toward mental health. Moderation analysis indicated that mental toughness was not a significant moderator of the relationship between public stigma and self-stigma, but higher levels of mental toughness were significantly associated with lower levels of stigma toward mental health help-seeking. Building mental toughness may be a way to increase well-being and to reduce stigma toward help-seeking in student-athletes.

The authors are with the School of Sport and Exercise Science, University of Lincoln, Lincoln, United Kingdom.

Bird (mbird@lincoln.ac.uk) is corresponding author.
  • Collapse
  • Expand
  • Aiken, L.S., & West, S.G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: SAGE.

  • Andersen, M.B. (2011). Who’s mental, who’s tough, and who’s both? Mutton constructs dressed up as lamb. In D. Gucciardi & S. Gordon (Eds.), Mental toughness in sport: Developments in theory and research (pp. 6988). New York, NY: Routledge.

    • Search Google Scholar
    • Export Citation
  • Anthony, D.R., Gucciardi, D.F., & Gordon, S. (2016). A meta-study of qualitative research on mental toughness development. International Review of Sport and Exercise Psychology, 9(1), 160190. doi:10.1080/1750984X.2016.1146787

    • 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(3), 135136. PubMed ID: 26626270 doi:10.1136/bjsports-2015-095570

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bird, M.D., Chow, G.M., Meir, G., & Freeman, J. (2018). Student-athlete and student non-athletes’ stigma and attitudes toward seeking online and face-to-face counseling. Journal of Clinical Sport Psychology, 12(3), 347364. doi:10.1123/jcsp.2017-0010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brown, G.T., Hainline, B., Kroshus, E., & Wilfert, M. (2014). Mind, body and sport: Understanding and supporting student-athlete mental wellness. Indianapolis, IN: National Collegiate Athletic Association.

    • Search Google Scholar
    • Export Citation
  • Caddick, N., & Ryall, E. (2012). The social construction of ‘mental toughness’—A fascistoid ideology? Journal of the Philosophy of Sport, 39(1), 137154. doi:10.1080/00948705.2012.675068

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chow, G.M., Bird, M.D., Gabana, N.T., Cooper, B.T., & Swanbrow Becker, M.A. (2020). A program to reduce stigma toward mental illness and promote mental health literacy and help-seeking in NCAA Division I student-athletes. Journal of Clinical Sport Psychology. Advanced online publication. doi:10.1123/jcsp.2019-0104

    • Search Google Scholar
    • Export Citation
  • Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., … Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 1127. PubMed ID: 24569086 doi:10.1017/S0033291714000129

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614625. PubMed ID: 15491256 doi:10.1037/0003-066X.59.7.614

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Corrigan, P.W., Watson, A.C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25(8), 875884. doi:10.1521/jscp.2006.25.8.875

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Coulter, T.J., Mallett, C.J., & Gucciardi, D.F. (2010). Understanding mental toughness in Australian soccer: Perceptions of players, parents, and coaches. Journal of Sports Sciences, 28(7), 699716. PubMed ID: 20496223 doi:10.1080/02640411003734085

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Coulter, T.J., Mallett, C.J., & Singer, J.A. (2016). A subculture of mental toughness in an Australian Football League club. Psychology of Sport and Exercise, 22, 98113. doi:10.1016/j.psychsport.2015.06.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cowden, R.G. (2017). Mental toughness and success in sport: A review and prospect. The Open Sports Sciences Journal, 10(1), 114. doi:10.2174/1875399X01710010001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cowden, R.G., Crust, L., Tibbert, S.J., & Jackman, P.C. (2020). Mental toughness development and training in sport. In M. Bertollo, E. Filho, & P.C. Terry (Eds.), Advancements in mental skills training. New York, NY: Routledge.

    • Search Google Scholar
    • Export Citation
  • Crust, L., & Clough, P.J. (2011). Developing mental toughness: From research to practice. Journal of Sport Psychology in Action, 2(1), 2132. doi:10.1080/21520704.2011.563436

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Crust, L., Swann, C., & Allen-Collinson, J. (2016). The thin line: A phenomenological study of mental toughness and decision making in elite high-altitude mountaineers. Journal of Sport and Exercise Psychology, 38(6), 598611. PubMed ID: 28033024 doi:10.1123/jsep.2016-0109

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Crust, L., Swann, C., & Allen-Collinson, J. (2019). Mentally tough behaviour in extreme environments: Perceptions of elite high-altitude mountaineers. Qualitative Research in Sport, Exercise and Health, 11(3), 334347. doi:10.1080/2159676X.2018.1494622

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Crust, L., Swann, C., Allen-Collinson, J., Breckon, J., & Weinberg, R. (2014). A phenomenological exploration of exercise mental toughness: Perceptions of exercise leaders and regular exercisers. Qualitative Research in Sport, Exercise and Health, 6(4), 441461. doi:10.1080/2159676X.2014.901986

    • Crossref
    • Search Google Scholar
    • Export Citation
  • DeLenardo, S., & Terrion, J.L. (2014). Suck it up: Opinions and attitudes about mental illness stigma and help-seeking behaviour of male varsity football players. Canadian Journal of Community Mental Health, 33(3), 4356. doi:10.7870/cjcmh-2014-023

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dudley, J.R. (2000). Confronting stigma within the services system. Social Work, 45(5), 449455. PubMed ID: 11029900 doi:10.1093/sw/45.5.449

  • Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Taylor & Francis Group.

  • Foster, B.J., & Chow, G.M. (2019). Development of the sport mental health continuum-short form (Sport MHC-SF). Journal of Clinical Sport Psychology, 13(4), 593608. doi:10.1123/jcsp.2017-0057

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gerber, M., Best, S., Meerstetter, F., Walter, M., Ludyga, S., Brand, S., … Gustaffsson, H. (2018). Effects of stress and mental toughness on burnout and depressive symptoms: A prospective study with young elite athletes. Journal of Science and Medicine in Sport, 21(12), 12001205. PubMed ID: 29859672 doi:10.1016/j.jsams.2018.05.018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Giles, B., Goods, P.S., Warner, D.R., Quain, D., Peeling, P., Ducker, K.J., … Gucciardi, D.F. (2018). Mental toughness and behavioural perseverance: A conceptual replication and extension. Journal of Science and Medicine in Sport, 21(6), 640645. PubMed ID: 29248306 doi:10.1016/j.jsams.2017.10.036

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Griffiths, K.M., Christensen, H., Jorm, A.F., Evans, K., & Groves, C. (2004). Effect of web-based depression literacy and cognitive–behavioural therapy interventions on stigmatising attitudes to depression. The British Journal of Psychiatry, 185(4), 342349. PubMed ID: 15458995 doi:10.1192/bjp.185.4.342

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., & Gordon, S. (2009). Development and preliminary validation of the cricket mental toughness inventory (CMTI). Journal of Sports Sciences, 27(12), 12931310. PubMed ID: 19736598 doi:10.1080/02640410903242306

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., Gordon, S., & Dimmock, J.A. (2008). Towards an understanding of mental toughness in Australian football. Journal of Applied Sport Psychology, 20(3), 261281. doi:10.1080/10413200801998556

    • 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. PubMed ID: 27568074 doi:10.1016/j.jsams.2016.08.006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., Hanton, S., Gordon, S., Mallett, C., & Temby, P. (2015). The concept of mental toughness: Tests of dimensionality, nomological network, and traitness. Journal of Personality, 83(1), 2644. PubMed ID: 24428736 doi:10.1111/jopy.12079

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., & Jones, M.I. (2012). Beyond optimal performance: Mental toughness profiles and developmental success in adolescent cricketers. Journal of Sport and Exercise Psychology, 34(1), 1636. PubMed ID: 22356880 doi:10.1123/jsep.34.1.16

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., Lines, R.L.J., Ducker, K.J., Peeling, P., Chapman, M.T., & Temby, P.T. (2020). Mental toughness as a psychological determinant of behavioural perseverance in Special Forces selection. Sport, Exercise, and Performance Psychology. Advance online publication. doi:10.1037/spy0000208

    • Search Google Scholar
    • Export Citation
  • Gucciardi, D.F., Stamatis, A., & Ntoumanis, N. (2017). Controlling coaching and athlete thriving in elite adolescent netballers: The buffering effect of athletes’ mental toughness. Journal of Science and Medicine in Sport, 20(8), 718722. PubMed ID: 28347719 doi:10.1016/j.jsams.2017.02.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hardy, L., Bell, J., & Beattie, S. (2014). A neuropsychological model of mentally tough behavior. Journal of Personality, 82(1), 6981. doi:10.1111/jopy.12034

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hayes, A.F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Publications.

    • Search Google Scholar
    • Export Citation
  • Kaiseler, M., Polman, R., & Nicholls, A. (2009). Mental toughness, stress, stress appraisal, coping and coping effectiveness in sport. Personality and Individual Differences, 47(7), 728733. doi:10.1016/j.paid.2009.06.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Keyes, C.L.M. (1998). Social well-being. Social Psychology Quarterly, 61(2), 121140. doi:10.2307/2787065

  • Keyes, C.L.M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207222. PubMed ID: 12096700 doi:10.2307/3090197

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Keyes, C.L.M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539548. PubMed ID: 15982151 doi:10.1037/0022-006X.73.3.539

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Keyes, C.L. (2016). Flourishing. In D. Harward (Ed.), Well-being and higher education (pp. 99107). Washington, DC: Bringing Theory to Practice.

    • Search Google Scholar
    • Export Citation
  • Keyes, C.L., & Lopez, S.J. (2009). Toward a science of mental health. In C.R. Snyder & S.J. Lopez (Eds.), Oxford handbook of positive psychology (pp. 8995). New York, NY: Oxford University Press.

    • Search Google Scholar
    • Export Citation
  • Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer Publishing Company.

  • Lundqvist, C. (2011). Well-being in competitive sports—The feel-good factor? A review of conceptual considerations of well-being. International Review of Sport and Exercise Psychology, 4(2), 109127. doi:10.1080/1750984X.2011.584067

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Luthar, S.S., & Cicchetti, D. (2000). The construction of resilience: Implications for interventions and social policies. Development and Psychopathology, 12(4), 857885. doi:10.1017/S0954579400004156

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mahoney, J.W., Gucciardi, D.F., Ntoumanis, N., & Mallet, C.J. (2014a). Mental toughness in sport: Motivational antecedents and associations with performance and psychological health. Journal of Sport and Exercise Psychology, 36(3), 281292. doi:10.1123/jsep.2013-0260

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mahoney, J.W., Gucciardi, D.F., Ntoumanis, N., & Mallet, C.J. (2014b). The motivational antecedents of the development of mental toughness: A self-determination theory perspective. International Review of Sport and Exercise Psychology, 7(1), 184197. doi:10.1080/1750984X.2014.925951

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Moreland, J.J., Coxe, K.A., & Yang, J. (2018). Collegiate athletes’ mental health services utilization: A systematic review of conceptualizations, operationalizations, facilitators, and barriers. Journal of Sport and Health Science, 7(1), 5869. PubMed ID: 30356496 doi:10.1016/j.jshs.2017.04.009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • National Collegiate Athletic Association. (2016). Interassociation consensus document: Mental health best practices. Retrieved from https://ncaaorg.s3.amazonaws.com/ssi/mental/SSI_MentalHealthBestPractices.pdf

    • Search Google Scholar
    • Export Citation
  • Nicholls, A., Polman, R., Levy, A.R., & Backhouse, S.H. (2008). Mental toughness, optimism, pessimism, and coping among athletes. Personality and Individual Differences, 44(5), 11821192. doi:10.1016/j.paid.2007.11.011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • O’Neil, J.M. (2008). Summarizing 25 years of research on men’s gender role conflict using the Gender Role Conflict Scale: New research paradigms and clinical implications. The Counseling Psychologist, 36, 358445. doi:10.1177%2F0011000008317057

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petrie, T.A., Deiters, J., & Harmison, R.J. (2014). Mental toughness, social support, and athletic identity: Moderators of the life stress–injury relationship in collegiate football players. Sport, Exercise, and Performance Psychology, 3(1), 1327. doi:10.1037/a0032698

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ponnusamy, V., Lines, R.L., Zhang, C.Q., & Gucciardi, D.F. (2018). Latent profiles of elite Malaysian athletes’ use of psychological skills and techniques and relations with mental toughness. PeerJ, 6, e4778. PubMed ID: 29780672 doi:10.7717/peerj.4778

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rice, S.M., Purcell, R., De Silva, S., Mawren, D., McGorry, P.D., & Parker, 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
  • Ross, S.G., Bruggeman, B., Maldonado, M., & Deiling, M. (2020). Examining personal, perceived, treatment, and self-stigma in college students: The role of parent beliefs and mental health literacy. Journal of College Student Psychotherapy, 34(3), 183197. doi:10.1080/87568225.2019.1580657

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ryan, R.M., & Deci, E.L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141166. PubMed ID: 11148302 doi:10.1146/annurev.psych.52.1.141

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ryff, C.D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 10691081. doi:10.1037/0022-3514.57.6.1069

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stamp, E., Crust, L., Swann, C., Perry, J., Clough, P., & Marchant, D. (2015). Relationships between mental toughness and psychological wellbeing in undergraduate students. Personality and Individual Differences, 75, 170174. doi:10.1016/j.paid.2014.11.038

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Steinfeldt, J.A., & Steinfeldt, M.C. (2010). Gender role conflict, athletic identity, and help-seeking among high school football players. Journal of Applied Sport Psychology, 22(3), 262273. doi:10.1080/10413201003691650

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Swann, C., Crust, L., & Allen-Collinson, J. (2016). Surviving the 2015 Mount Everest disaster: A phenomenological exploration into lived experience and the role of mental toughness. Psychology of Sport and Exercise, 27, 157167. doi:10.1016/j.psychsport.2016.08.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Van Rensburg, C.J., Surujlal, J., & Dhurup, M. (2011). Exploring wellness practices and barriers: A qualitative study of university student-athletes. African Journal for Physical, Health Education, Recreation and Dance, 17, 248265. doi:10.4314/ajpherd.v17i2.67664

    • Search Google Scholar
    • Export Citation
  • Vogel, D.L., Wade, N.G., & Ascheman, P.L. (2009). Measuring perceptions of stigmatization by others for seeking psychological help: Reliability and validity of a new stigma scale with college students. Journal of Counseling Psychology, 56(2), 301308. doi:10.1037/a0014903

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vogel, D.L., Wade, N.G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325337. doi:10.1037/0022-0167.53.3.325

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vogel, D.L., Wade, N.G., & Hackler, A.H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 4050. doi:10.1037/0022-0167.54.1.40

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wahto, R.S., Swift, J.K., & Whipple, J.L. (2016). The role of stigma and referral source in predicting college student-athletes’ attitudes toward psychological help-seeking. Journal of Clinical Sport Psychology, 10(2), 8598. doi:10.1123/JCSP.2015-0025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Weinberg, R., Butt, J., Mellano, K., & Harmsion, R. (2017). The stability of mental toughness across situations: Taking a social-cognitive approach. International Journal of Sport Psychology, 48, 280302. doi:10.7352/IJSP.2017.48.2

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 6932 2786 172
Full Text Views 295 138 15
PDF Downloads 355 175 16