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National Collegiate Athletic Association Coaches’ Beliefs Toward Seeking Mental Health Services for Themselves: Instrument Validation and Exploratory Investigation

Kim Tolentino and Johannes Raabe

While the environment in which National Collegiate Athletic Association coaches operate makes them susceptible to mental health issues, many do not seek professional help. The Reasoned Action Approach posits that attitudes, perceived behavioral control, and perceived norms shape intentions for help-seeking behaviors. This study was designed to: (a) validate two commonly utilized instruments measuring psychological help-seeking beliefs for use with National Collegiate Athletic Association coaches; (b) assess coaches’ attitudes, perceived behavioral control, and perceived norms toward seeking mental health services for themselves; and (c) examine differences in beliefs based on gender, race, coaching role, age, and coaching experience. N = 1,424 National Collegiate Athletic Association Division I, II, and III coaches participated. Confirmatory factor analyses indicated the Inventory of Attitudes Toward Seeking Mental Health Services provides valid and reliable measurements for participants’ beliefs toward seeking services for themselves. Participants reported moderately positive attitudes, perceived behavioral control, and perceived norms. Male coaches indicated significantly lower positive beliefs than female coaches.

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A Program and Session Evaluation of Student-Athletes’ Experiences Participating in a Mental Illness Destigmatization Intervention

Graig M. Chow, Nicole T. Gabana, Charles Cox, Brandon T. Cooper, and Matthew D. Bird

Evidence-based stigma reduction interventions for student-athletes exist, but researchers have focused on assessing their effectiveness with little attention paid to understanding how participants experience such programs. The current study aimed to qualitatively evaluate a mental illness destigmatization intervention delivered to 35 National Collegiate Athletic Association Division I student-athletes. The program consisted of four weekly 1 hr empirically based sessions. Program-level results showed that participants increased their understanding of student-athlete mental health and identified actionable ways to combat stigma. Session-level results revealed intervention components impacted knowledge and application consistent with their theoretical underpinnings (i.e., mental health literacy). Practical guidelines based on the findings suggest stigma reduction interventions aimed at student-athletes should provide information specific to the athletic context (i.e., common symptoms experienced by athletes), consider content that moves beyond mental health literacy (e.g., contact-based interventions), and present opportunities for participants to apply what they have learned (i.e., roll play displaying empathy).

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Psychology of Ultrarunning: Evaluating Validation, Social Identity, and Disharmony in the Long-Distance Experience

Thomas S. Mueller

This study (N = 394) investigated motivators and detractors in ultrarunners. Latent factors Validation, Social Identity, and Disharmony were identified. Network analysis supported Social Identity through the hub node “ultra tells a lot about me” associated with “glimpse of who I am” with “can tell a lot about the person.” The regression “upset if unable to participate,” F(5, 365) = 16.90, p < .001, R 2 = .019, view Cognitive Involvement (t = 4.54, p < .001), Disharmony (t = 2.96, p = .003), and Social Identity (t = 2.41, p = .016) as significant predictors. “Lone Wolf” isolationist runners were highly masculine and motivated by emotional involvement. Back and middle of the pack runners viewed Disharmony differently than front of the pack runners. Text analysis sentiment “Affect Friends and Family” supports the Disharmony factor. Event promoters and product marketers should acknowledge ultrarunning motivators and detractors, and promote wellness among competitors.

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Using the Anxiety Sensitivity Index-3 With Athletes: A Psychometric Evaluation of Factor Structure and Measurement Invariance

Christopher E.J. DeWolfe, Pablo Romero-Sanchiz, Margo C. Watt, and Sherry H. Stewart

To meaningfully use the Anxiety Sensitivity Index-3 (ASI-3) with athletes, measurement invariance must be established. Thus, we sought to determine appropriate factor structures for the ASI-3 in an athlete sample, assess measurement invariance between an athlete sample and a less active sample, and compare ASI-3 scores between these groups. Two university student samples were recruited: an athlete sample (n = 216) and a less active control sample (n = 321). Results supported bifactor and hierarchical factor structures for the ASI-3 overall and in the athlete sample. Measurement invariance of these factor structures was established. ASI-3 score comparisons indicated that the athlete sample had significantly lower levels of global anxiety sensitivity, and lower physical and social concerns. Results support the use of the ASI-3 to address mental health concerns in athletes and permit meaningful comparisons between athletes and nonathletes using the ASI-3 and its subscales.

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Developing Self-Awareness and Emotional Intelligence in Adolescent Soccer: A Community Outreach Pilot Program

Sabrina Gomez Souffront, Enzo R.N. Everett, and Jason Kostrna

Sport provides opportunities for adolescents to develop psychological skills. To realize this potential, sport facilitators must actively create a culture that develops adolescent athletes. Psychological skills training and biofeedback training have been effective at developing psychological skills in adult athletes. However, little research has focused on the effects of psychological skills training and biofeedback training in adolescent athletes. This study tests the efficacy of a pilot community outreach program to promote psychological skills development in adolescent soccer players from a travel soccer team (n = 21). During the 2-week intervention, researchers taught participants psychophysiological content related to self-awareness, emotional intelligence, and decision making. The psychological skills training sessions included active learning activities, group discussions, and reflection. Throughout the sessions, researchers used biofeedback to demonstrate and train participants in psychophysiological concepts. The 2-week intervention gave participants opportunities each day to monitor and reflect on their psychological performance state. Program evaluation data showed descriptive improvements in the ability to focus, control arousal, reduce stress, and control emotions. Wilcoxon signed-rank tests revealed significant positive changes occurred for decision-making self-efficacy. The intervention and efficacy of this study support applied practitioners’ integration of biofeedback and psychological skills training to improve adolescents’ self-awareness, emotional intelligence, and decision making.

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Predictive Factors for Compulsive Exercise in Adolescent Athletes: A Cross-Sectional Study

Martine Fortier, Christopher Rodrigue, Camille Clermont, Anne-Sophie Gagné, Audrey Brassard, Daniel Lalande, and Jacinthe Dion

Although exercise is generally considered a healthy lifestyle habit, it may be problematic for some people. This has led to growing research on compulsive exercise—an uncontrollable urge for physical activity despite its deleterious effects. A maintenance model of compulsive exercise has been developed for adults exhibiting weight and shape concerns, weight control behaviors, and specific psychological states (including depression and anxiety) as predictive factors. We identified predicting factors for compulsive exercise in adolescent athletes using the same model framework. These athletes completed the compulsive exercise test and several well-validated psychometric measures. Gender-specific multiple regression models identified stronger drive for thinness, perfectionism, and body image investment in sport as significant predictors of compulsive exercise in boys and girls. Among girls, asceticism and bulimia symptoms were also significantly associated with compulsive exercise. These findings support the relevance of the model for clinical intervention and research on compulsive exercise in adolescent athletes.

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Volume 17 (2023): Issue 4 (Dec 2023): JCSP Special Issue Burnout in Sport and Performance, Part 2

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The Effectiveness of a Sleep Optimization Program on Insomnia, Anxiety, Perceived Stress, and Emotion Dysregulation Among Football Players With Sleep Complaints

Kazem Emami, Shahram Nazari, Amy M. Bender, Rasool Norouzi Seyed Hossini, and Ebrahim Norouzi

Research has shown that elite athletes frequently experience both insufficient and poor-quality sleep. In the present study, we examined the effectiveness of a sleep optimization intervention comprised of mindfulness and sleep hygiene on insomnia severity, symptoms of anxiety, stress, and emotion dysregulation among football players with sleep complaints. Sixty male football players with sleep complaints (mean age = 29.31, SD = 3.8) were randomly assigned to the active control condition (wellness program) or the sleep optimization intervention program (mindfulness plus sleep hygiene). All participants filled out questionnaires on insomnia severity, anxiety, perceived stress, and emotion dysregulation. Three data assessments were made: one at the start of the intervention (baseline), one at the end of the intervention 8 weeks later (posttest), and one 4 weeks after the posttest (follow-up). The severity of insomnia, anxiety, stress, and emotion dysregulation decreased over time in the sleep optimization group from baseline to posttest and at the follow-up. According to the present results, a sleep optimization intervention reduced insomnia, anxiety, stress symptoms, and emotion dysregulation in football players with sleep complaints.

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Trait Perfectionism, Perfectionistic Self-Presentation, and Muscle Dysmorphia in Male Exercisers: A Structural Equation Modeling Strategy

Michael C. Grugan and Kieran J. Wright

Perfectionism is positively related to muscle dysmorphia (MD). However, research on this relationship is limited by conceptual and methodological issues (e.g., conceptualizing perfectionism as unidimensional, suboptimal analytical techniques, and failing to examine whether perfectionistic self-presentation is also related to MD). To address these issues, we used a structural equation modeling strategy to examine whether dimensions of perfectionistic self-presentation add incrementally to the prediction of MD. A sample of 402 adult males who exercise regularly completed the study. We found that perfectionistic self-promotion, nondisplay of imperfection, and nondisclosure of imperfection accounted for significant increases in variance explained in MD (ΔR 2 = .126–.192). This means that clinicians and practitioners need to consider not only whether exercisers are motivated by a drive to be perfect (inherent in dimensions of trait perfectionism), but also whether they are motivated by a drive to appear perfect to others (inherent in dimensions of perfectionistic self-presentation).

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Transition (From Sport) Experiences of Former National Football League Players: An NFL-LONG Study

J.D. DeFreese, Erianne A. Weight, Landon B. Lempke, Samuel R. Walton, Zachary Yukio Kerr, Benjamin L. Brett, Avinash Chandran, Rebekah Mannix, Ruben J. Echemendia, Michael A. McCrea, William P. Meehan III, and Kevin M. Guskiewicz

Transition from professional football life has important implications for the health and well-being of former National Football League (NFL) players. The study purpose was to examine former NFL players’ experiences of transitioning from sport including factors that helped and factors that made transition difficult. This study used a convenience sample of former NFL players drawn from a larger study of health and function. Participants included 1,784 former NFL players, mean age = 52.3 ± 16.3 years, 59% White, and a discontinuation mean of 24.0 ± 15.6 years after leaving the league. Participants responded to open-ended transition questions via mail or electronic questionnaire with responses analyzed using conceptual content analysis. The most frequently reported factors that helped transition included career transition plan/options (48%) and social support (40%). Whereas, structure- (33%) and identity-related (23%) difficulties were reported as factors that made transition difficult. Findings identify areas for targeted interventions to enhance NFL player well-being during transition from sport.