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

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 7472 2395 259
Full Text Views 553 384 77
PDF Downloads 401 198 24