Tackle Your Feelings: Experience of Help-Seeking for Mental Well-Being Concerns in Professional Rugby Union Players

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Deirdre Lyons College of Health, Psychology and Social Care, University of Derby, Derby, United Kingdom
Rugby Players Ireland, Dublin, Ireland

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Philip Clarke College of Health, Psychology and Social Care, University of Derby, Derby, United Kingdom

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Robert C. Dempsey Department of Psychology, Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom

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Limited research into professional rugby union players’ experiences of seeking formal support for their mental health exists, despite comparable rates of mental health issues among elite rugby players with the general population. This qualitative study explored professional players’ actual experiences of accessing Rugby Players Ireland’s mental well-being service, via separate focus group discussions with professional players (n = 5) and player development managers (n = 4) who refer players into the service. An inductive reflexive thematic analysis identified three themes detailing players’ (a) journey to disclosure of their mental health difficulties, (b) their expectations and engagement with the well-being service, and (c) participants’ reflections on mental health experiences in a high-performance environment. Embedding mental health as a key component of player development in high-performance environments, improving mental health literacy, normalizing mental health experiences, and encouraging help-seeking would help promote player well-being and support holistic development alongside sporting performance.

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  • Bird, M.D., Chow, G.M., Meir, G., & Freeman, J. (2018). Student-athlete and student nonathletes’ stigma and attitudes toward seeking online and face-to-face counselling. Journal of Clinical Sport Psychology, 12, 347364. https://doi.org/10.1123/jcsp.2017-0010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589597. https://doi.org/10.1080/2159676x.2019.1628806

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Breslin, G., Haughey, T., O’Brien, W., Caulfield, L., Robertson, A., & Lawlor, M. (2018). Increasing athlete knowledge of mental health and intentions to seek help: The State of Mind Ireland (SOMI) pilot program. Journal of Clinical Sport Psychology, 12(1), 3956. https://doi.org/10.1123/jcsp.2016-0039

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Coyle, M., Gorczynski, P., & Gibson, K. (2017). “You have to be mental to jump off a board any way”: Elite divers’ conceptualizations and perceptions of mental health. Psychology of Sport and Exercise, 29, 1018. https://doi.org/10.1016/j.psychsport.2016.11.005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Crawford, K.L., Wilson, B., Hurd, L., & Beauchamp, M.R. (2022). Reaching out: Help-seeking among professional male ice hockey athletes. Qualitative Research in Sport, Exercise and Health. Advance online publication. https://doi.org/10.1080/2159676X.2022.2111458

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gorczynski, P.F., Coyle, M., & Gibson, K. (2017). Depressive symptoms in high-performance athletes and non-athletes: A comparative meta-analysis. British Journal of Sports Medicine, 51(18), 13481354. https://doi.org/10.1136/bjsports-2016-096455

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gouttebarge, V., Hopley, P., Kerkhoffs, G., Verhagen, E., Viljoen, W., Wylleman, P., & Lambert, M. (2018). A 12-month prospective cohort study of symptoms of common mental disorders among professional rugby players. European Journal of Sport Science, 18(7), 10041012. https://doi.org/10.1080/17461391.2018.1466914

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gulliver, A., Griffiths, K.M., & Christensen, H. (2012). Barriers and facilitators to mental health help-seeking for young elite athletes: A qualitative study. BMC Psychiatry, 12, 157171. https://doi.org/10.1186/1471-244X-12-157

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Henriksen, K., Schinke, R., Moesch, K., McCann, S., Parham, W.D., Larsen, C.H., & Terry, P. (2019). Consensus statement on improving the mental health of high-performance athletes. International Journal of Sport and Exercise Psychology, 18(5), 553560. https://doi.org/10.1080/1612197X.2019.1570473

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hughes, L., & Leavey, G. (2012). Setting the bar: Athletes and vulnerability to mental illness. British Journal of Psychiatry, 200(2), 9596. https://doi.org/10.1192/bjp.bp.111.095976

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). Mental health literacy: A survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • King, L., Cullen, S., McArdle, J., McGoldrick, A., Pugh, J., Warrington, G., & Losty, C. (2022). Barriers and facilitators to help-seeking for mental health difficulties among professional jockeys in Ireland. Journal of Clinical Sport Psychology. Advance online publication.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kola-Palmer, S., Buckley, S., Kingston, G., Stephen, J., Rodriguez, A., Sherretts, N., & Lewis, K. (2019). “Someone to talk to”: Influence of player welfare provision on mental health in professional rugby league players. Journal of Clinical Sport Psychology, 13(3), 486503. https://doi.org/10.1123/jcsp.2018-0041

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kola-Palmer, S., Lewis, K., Rodriguez, A., & Kola-Palmer, D. (2020). Help-seeking for mental health issues in professional rugby league players. Frontiers in Psychology, 11, 570690. https://doi.org/10.3389/fpsyg.2020.570690

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kuettel, A., & Larsen, C.H. (2020). Risk and protective factors for mental health in elite athletes: A scoping review. International Review of Sport and Exercise Psychology, 13(1), 231265. https://doi.org/10.1080/1750984X.2019.1689574

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Larsen, C.H., Moesch, K., Durand-Bush, N., & Henriksen, K. (Eds.). (2021). Mental health in elite sport: Applied perspectives from across the globe. Routledge.

    • Search Google Scholar
    • Export Citation
  • Marsters, C., & Tiatia-Seath, J. (2019). Young Pacific male rugby players’ perceptions and experiences of mental wellbeing. Sports, 7(4), 83. https://doi.org/10.3390/sports7040083

    • Search Google Scholar
    • Export Citation
  • Maxwell, J.A. (2012). A realist approach for qualitative research. Sage.

  • Mind. (2014). Performance matters. Mental Health in Elite Sport. https://www.mind.org.uk/media-a/4354/mental-health-and-elite-sport.pdf

  • Moesch, K., Kenttä, G., Kleinert, J., Quignon-Fleuret, C., Cecil, S., & Bertollo, M. (2018). FEPSAC position statement: Mental health disorders in elite athletes and models of service provision. Psychology of Sport and Exercise, 38, 6171. https://doi.org/10.1016/j.psychsport.2018.05.013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nicholls, A.R., Madigan, D.J., Fairs, L.R., & Bailey, R. (2020). Mental health and psychological well-being among professional rugby league players from the UK. BMJ Open Sport & Exercise Medicine, 6(1), e000711. http://doi.org/10.1136/bmjsem-2019-000711

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ojio, Y., Matsunaga, A., Hatakeyama, K., Kawamura, S., Horiguchi, M., Yoshitani, G., Kanie, A., Horikoshi, M., & Fujii, C. (2021). Anxiety and depression symptoms and suicidal ideation in Japan rugby top league players. International Journal of Environmental Research and Public Health, 18(3), 1205. https://doi.org/10.3390/ijerph18031205

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Purcell, R., Gwyther, K., & Rice, S.M. (2019). Mental health in elite athletes: Increased awareness requires an early intervention framework to respond to athlete needs. Sports Medicine Open. 5, 46. https://doi.org/10.1186/s40798-019-0220-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Purcell, R., Pilkington, V., Carberry, S., Reid, D., Gwyther, K., Hall, K., . . . Rice, S. (2022). An evidence-informed framework to promote mental wellbeing in elite sport. Frontiers in Psychology, 13, 780359. https://doi.org/10.3389/fpsyg.2022.780359

    • Search Google Scholar
    • Export Citation
  • Rice, S., Butterworth, M., Clements, M., Josifovski, D., Arnold, S., Schwab, C., . . . Purcell, R. (2020). Development and implementation of the national mental health referral network for elite athletes: A case study of the Australian Institute of Sport. Case Studies in Sport and Exercise Psychology, 4(Suppl. 1), S1-27S1-35. https://doi.org/10.1123/cssep.2019-0016

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rickwood, D. (2020). Help-seeking in young people. In A.R. Yung, J. Cotter, & P.D. McGorry (Eds.), Youth mental health: Approaches to emerging mental ill-health in young people. Routledge.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Roberts, C.M., Faull, A.L., & Tod, D. (2016). Blurred lines: Performance enhancement, common mental disorders and referral in the UK athletic population. Frontiers in Psychology, 7, 1067. https://doi.org/10.3389/fpsyg.2016.01067

    • Search Google Scholar
    • Export Citation
  • Rochlen, A.B., & Hoyer, W.D. (2005). Marketing mental health to men: Theoretical and practical considerations. Journal of Clinical Psychology, 61(6), 675684. https://doi.org/10.1002/jclp.20102

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Roller, M.R., & Lavrakas, P.J. (2015). Applied qualitative research design: A total quality framework approach. Guilford Publications.

  • Schinke, R.J., Stambulova, N.B., Si, G., & Moore, Z. (2018). International society of sport psychology position stand: Athletes’ mental health, performance, and development. International Journal of Sport and Exercise Psychology, 16(6), 622639. https://doi.org/10.1080/1612197X.2017.1295557

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sebbens, J., Hassmén, P., Crisp, D., & Wensley, K. (2016). Mental health in sport (MHS): Improving the early intervention knowledge and confidence of elite sport staff. Frontiers in Psychology, 7, 911. https://doi.org/10.3389/fpsyg.2016.00911

    • Search Google Scholar
    • Export Citation
  • Seidler, Z.E., Rice, S.M., Oliffe, J.L., Fogarty, A.S., & Dhillon, H.M. (2017). Men in and out of treatment for depression: Strategies for improved engagement. Australian Psychologist, 53(5), 405415. https://doi.org/10.1111/ap.12331

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sparkes, A., & Smith, B. (2014). Qualitative research methods in sport, exercise and health: From process to product. Routledge

  • Watson, J.C. (2005). College student-athletes’ attitudes toward help-seeking behavior and expectations of counseling services. Journal of College Student Development, 46(4), 442449. https://doi.org/10.1353/csd.2005.0044

    • Search Google Scholar
    • Export Citation
  • Woods, G., McCabe, T., & Mistry, A. (2022). Mental health difficulties among professional footballers: A narrative review. Sports Psychiatry, 1(2), 5769. https://doi.org/10.1024/2674-0052/a000010

    • Search Google Scholar
    • Export Citation
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