Over 80% of National Football League (NFL) retirees experience daily pain. Pain acceptance is an important psychological construct implicated in the intensity of chronic pain, though these findings have not been extended to NFL retirees. Therefore, the current study examined the association between pain acceptance and pain intensity among former NFL athletes. NFL retirees (N = 90) recruited from 2018 to 2019 completed questionnaires that assessed pain, substance use, and NFL career information. Multiple linear regression examined the association between current pain acceptance and pain intensity while adjusting for other risk factors of pain. NFL retirees reported average scores of 33.31 (SD = 10.00), and 2.18 (SD = 2.40) on measures of pain acceptance and pain intensity, respectively. After covariate adjustment, greater pain acceptance (β = −0.538, p < .001) was associated with lower pain intensity. These findings can further inform the behavioral and mental health care of retired NFL athletes.
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Pain Acceptance Among Retired National Football League Athletes: Implications for Clinical Intervention
Zachary L. Mannes, Erin G. Ferguson, Nicole Ennis, Deborah S. Hasin, and Linda B. Cottler
Alcohol and Athletics: A Study of Canadian Student-Athlete Risk
Siobhan K. Fitzpatrick and Janine V. Olthuis
American student-athletes (SAs) are at heightened risk for hazardous alcohol consumption compared with their nonathlete peers. However, little is known about this risk or the influence of psychosocial predictors on drinking behavior among Canadian SAs. This study compared rates of alcohol use across Canadian SAs and nonathletes and investigated whether the use of athlete-specific psychosocial predictors can improve the prediction of alcohol use outcomes in SAs. Participants (179 varsity athletes and 366 nonathletes) completed anonymous self-report questionnaires. Results suggest that Canadian athletes are at a heightened risk for experiencing alcohol-related problems compared with nonathletes, with general psychosocial predictors explaining the majority of variance in SA alcohol use. However, and quite notably, athlete-specific positive reinforcement motives predicted SA binge drinking. This research provides some of the first evidence of drinking-related problems among Canadian SAs and supports the potential use of preventative efforts to help SAs develop safe strategies for alcohol use.
An Exploration of the Relationship Between Disordered Eating, Exercise Dependence, and Athletic Injury
Carrie B. Scherzer, Jeremy Trenchuk, Meaghan Peters, and Robert Mazury
Athletes can be at elevated risk for developing eating disorders, the effects of which can be devastating. Few researchers have examined the influence of a predisposition toward an eating disorder on athletic injury. Exercise dependence might bridge the gap toward understanding this relationship. This study sought to examine the relationship between predisposition toward an eating disorder and exercise dependence and looked at both as predictors of athletic injury. College students (n = 132) completed the Eating Disorders Inventory and the Exercise Dependence Questionnaire, as well as provided demographic, activity, and injury information. Subscales of the Eating Disorders Inventory and Exercise Dependence Questionnaire were significant predictors of having at least one athletic injury in the preceding year. These findings suggest that both predisposition toward an eating disorder and exercise dependence may be contributing factors to injury.
Developmental Differences in Burnout Among High School Athletes in the United States: A Gendered Perspective
Tsz Lun (Alan) Chu, Bailey Sommerfeld, and Tao Zhang
Building on recent research examining athlete burnout trajectories, this study implemented the developmental model of sport participation to compare emotional and physical exhaustion, reduced sense of accomplishment, and sport devaluation between age groups (specializing [aged 13–15 years] vs. investment [aged 16–18 years]) and gender (boys vs. girls) among U.S. high school athletes. Participants were 367 high school athletes (M = 15.53; 212 males; 186 specializing) across various individual and team sports who completed a survey assessing their demographic information, sport backgrounds, and burnout perceptions. A 2 × 2 multivariate analysis of covariance, controlling for training hours, showed greater emotional and physical exhaustion and sport devaluation in the investment than the specializing group, but no developmental differences in reduced sense of accomplishment. Contrary to our hypothesis, no gender or interaction effects were found. Findings inform interventions and future research that address the role of developmental stages and gender in athlete burnout.
Perfectionism and Attitudes Toward Sport Psychology Support and Mental Health Support in Athletes
Dean R. Watson, Andrew P. Hill, and Daniel J. Madigan
Attitudes toward help-seeking will contribute to whether athletes ask for support for performance and mental health issues when needed. While research outside of sport has found perfectionism is related to negative attitudes toward help-seeking, no studies have examined the relationship in sport. The authors provided the first test of whether perfectionism predicted attitudes toward both sport psychology support and mental health support. One hundred and sixty-six collegiate athletes completed measures of perfectionism and attitudes toward sport psychology support and mental health support. Multiple regression analyses revealed that perfectionistic concerns positively predicted closedness and stigma toward sport psychology support and mental health support, and negatively predicted help-seeking toward mental health support. However, perfectionistic strivings negatively predicted stigma toward sport psychology support and mental health support, and positively predicted confidence in sport psychology support and help-seeking toward mental health support. Athletes higher in perfectionistic concerns are less likely to seek support when required.
Mental Health Literacy and Confidence in a Sample of Student Athletic Therapists
Philip Sullivan and Laura Tennant
Intercollegiate student-athletes appear to be a high-risk population with respect to mental health. Student athletic therapists are one of the groups with whom these athletes may be comfortable disclosing concerns. The current study investigated the relationship between mental health literacy and mental health referral efficacy in a sample of intercollegiate student therapists. One hundred and eleven student athletic therapists (81 female, 29 male, 1 nondiscloure) competed a revised version of the multicomponent mental health literacy measure and a four-item measure of mental health referral efficacy. T tests revealed statistically significant differences in mental health literacy by gender and personal history, and a multiple linear regression revealed a significant model predicting referral efficacy from mental health literacy. There are several implications of these results, particularly when working with a high-risk population of student-athletes.
Mental Health Profiles of Danish Youth Soccer Players: The Influence of Gender and Career Development
Andreas Kuettel, Natalie Durand-Bush, and Carsten H. Larsen
The purpose of this study was (a) to investigate gender differences in mental health among Danish youth soccer players, (b) to discover the mental health profiles of the players, and (c) to explore how career progression and mental health are related. A total of 239 Danish youth elite soccer players (M = 16.85, SD = 1.09) completed an online questionnaire assessing mental well-being, depression, anxiety, along with other background variables. Female players scored significantly lower on mental well-being and had four times higher odds of expressing symptoms of anxiety and depression than males. Athletes’ mental health profiles showed that most athletes experience low depression while having moderate mental well-being. Depression, anxiety, and stress scores generally increased when progressing in age, indicating that the junior–senior transition poses distinct challenges to players’ mental health, especially for female players. Different strategies to foster players’ mental health depending on their mental health profiles are proposed.
Perceived Barriers and Facilitators of Sports Rehabilitation Adherence in Injured Volleyball Athletes: A Qualitative Study From Greece
Eleftherios Paraskevopoulos, Georgios Gioftsos, Georgios Georgoudis, and Maria Papandreou
Adherence to exercise rehabilitation has been shown to be an important factor that may influence successful treatment. In professional athletes, a significant reduction in exercise adherence delays recovery. The aim of this study was to explore barriers to and facilitators of exercise rehabilitation adherence in injured volleyball athletes. Eight professional volleyball athletes were recruited, and qualitative data were collected using semistructured interviews. All athletes had completed their rehabilitation program after they had suffered a musculoskeletal injury. All data were analyzed using thematic analysis after the investigators ensured that saturation had been reached. Pain was identified as a significant barrier to exercise adherence by all athletes. The provision of social support, including mental, practical, and task related, also had a significant positive impact. The athletes’ ability to develop the necessary coping strategies and confidence on performing exercises at home was also mentioned as a factor that affected exercise adherence, although less often.
Savoring Sport: Connections With Athlete Passion and Burnout
Benjamin J.I. Schellenberg, Jérémie Verner-Filion, and Patrick Gaudreau
Athletes can respond to positive experiences in sport by engaging in savoring—that is, by attempting to prolong or amplify their positive feelings. In this research, the authors tested if savoring was predicted by levels of harmonious or obsessive passion for sport and if savoring was associated with symptoms of burnout. In Study 1 (n = 499), the authors found that savoring was positively associated with harmonious passion and negatively associated with obsessive passion. In addition, savoring predicted lower levels of burnout and played an indirect role in the relationship between both passion types and burnout. The authors replicated these findings in Study 2 (n = 298), with collegiate-level athletes, prospectively, over the course of a season. Overall, athletes with strong levels of harmonious passion appear to be most likely to engage in savoring, a response that may protect them from experiencing higher levels of burnout.
Teammate Relationships, Loneliness, and the Motivational and Well-Being Experiences of Adolescent Athletes
Christine E. Pacewicz and Alan L. Smith
Interpersonal exchanges may contribute to athletes’ motivational and well-being experiences through their contribution to athletes’ feelings of loneliness. Loneliness is understudied in sport, yet it is potentially salient in connecting social relationships with motivational processes and well-being of athletes. The purpose of the current research was to examine (a) the association of aspects of teammate relationships with athletes’ perceptions of burnout and engagement and (b) whether loneliness explained these associations. Adolescent athletes (N = 279) completed established measures of teammate relationships, loneliness, burnout, and engagement. The mediational model was invariant between boys and girls. Loneliness mediated the relationship of social support (β = −0.14, 0.10), corumination (β = 0.09, −0.06), and appraisal of peer rejection (β = 0.11, −0.08) with burnout and engagement, respectively. Continued examination of athletes’ loneliness will extend understanding of athletes’ motivational and well-being experiences and inform the promotion of adaptive sport experiences.