Well-being research conducted in competitive athletics has been marred by the lack of a context-specific measurement instrument. The purpose of this study was to adapt the Mental Health Continuum – Short Form (MHC-SF) to create a sport-specific well-being instrument, the Sport Mental Health Continuum—Short Form (Sport MHC-SF), and test its initial psychometric properties. Participants were 287 collegiate athletes from a variety of sports. Confirmatory factor analysis (CFA) determined a three-factor structure of sport well-being, consisting of subjective, psychological, and social factors, as the model of best fit. Internal consistency reliabilities of the subscales exceeded .88. Moderate positive correlations were found between Sport MHC-SF subscales and quality of life indices, notably physical and emotional quality of life, demonstrating convergent validity. The Sport MHC-SF will facilitate empirical research by providing a more accurate and comprehensive measurement of well-being for an athletic population.
Brian J. Foster and Graig M. Chow
Jessica Ross and Peter D. MacIntyre
Flow is a desirable state of consciousness and absorption in an optimally challenging activity. Prior research has investigated individual differences in flow. The present study investigates flow by contrasting physical versus mental activities, using a mixed-methods, sequential explanatory design. The sample from the quantitative phase included 205 undergraduate university students assessed on measures of personality, difficulties in emotion regulation, and flow. The big-five traits intellect and conscientiousness, as well as the emotion regulation subscale “lack of emotional clarity” predicted flow during mental activities, but unexpectedly no variables significantly predicted physical flow activities. The second phase used semi-structured interviews with 10 participants. Analyses of the interviews helped further explain the statistical findings, revealing four main themes: role of stress, source of guilt, presence of others, and satisfaction and fulfillment. We conclude that flow is especially relevant in physical activities which have advantages over mental activities in opportunities to experience flow.
Luke Wilkins, Jen Sweeney, Zoella Zaborski, Carl Nelson, Simon Tweddle, Eldre Beukes and Peter Allen
The purpose of the present study was to address perceptions towards Cognitive Behavioral Therapy (CBT) in soccer. Twenty-four male, elite academy soccer players (M age = 20.04) completed a custom-made questionnaire which included education on CBT. The results found that: i) initially, only 8% of players had heard of CBT whilst only 4% of players knew what CBT was, ii) players strongly agreed that CBT should be offered to all players, iii) not knowing how/where to seek help was identified as the main barrier to CBT, iv) players indicated a preference for one-to-one and face-to-face CBT, as opposed to small-group or online-CBT, and v) players perceived they would receive most support from family/friends, and least support from teammates, if they were to undertake CBT. These findings demonstrate that whilst initial awareness and knowledge of CBT is low, general perceptions towards CBT are positive once athletes are educated on the area.
Bradley Donohue, Marina Galante, Julia Maietta, Bern Lee, Nina Paul, Joanne E. Perry, Arianna Corey and Daniel N. Allen
The conspicuous absence of validated screening measures specific to mental health symptomology in collegiate athletes has negatively affected clinical practice in this population. Therefore, this study was performed to develop a sport specific measure to optimally identify collegiate athletes who are particularly likely to benefit from mental health programming. Participants were 289 collegiate-athletes who were assessed for mental health symptomology using the Global Severity Index of Symptom Checklist-90-Revised (GSI), factors that interfere with sport performance using the Problems in Sport Competition Scale (PSCS) and Problems in Sport Training Scale (PSTS), and motivation to pursue professional counseling using the Desire to Pursue Sport Psychology Scale (DSPS). As hypothesized, a hierarchical multiple regression analysis indicated that PSCS, PSTS and DSPS scores significantly predicted GSI scores, controlling gender and sport status (NCAA, club, intramural). Receiver operating characteristic (ROC) analysis indicated that high-risk athletes (GSI T-scores ≥ 60) could be correctly classified by PSTS and PSCS scores. Results suggest the PSCS and PSTS may assist identification of collegiate athletes who are especially appropriate for mental health programs. These scales additionally identify factors directly relevant to athletes’ sport performance.
Nicole T. Gabana, Aaron D’Addario, Matteo Luzzeri, Stinne Soendergaard and Y. Joel Wong
Salient aspects of an athlete’s identity hold implications for how sport psychology practitioners conceptualize and intervene on both the mental health and performance realms of the athlete person. Given that spirituality, religiosity, and gratitude have been associated in previous literature, the current study examined whether athletes differed in dispositional gratitude based on their spiritual and religious identification. Results indicated that among 331 NCAA Division I-III athletes, those who identified as both spiritual and religious scored significantly higher in dispositional gratitude than self-identified spiritual/non-religious and non-spiritual/non-religious athletes. Non-spiritual/non-religious and spiritual/non-religious athletes did not significantly differ in levels of gratitude. Findings and limitations of the current study warrant further investigation on this topic, and recommendations for future research and practice are provided.
Shelby Waldron, J.D. DeFreese, Brian Pietrosimone, Johna Register-Mihalik and Nikki Barczak
Sport specialization has been linked to multiple negative health related outcomes including increased injury risk and sport attrition, yet a gap remains in our understanding of potential psychological outcomes of early specialization (≤ age 12). The current study evaluated the associations between retrospective athlete reports of sport specialization and both retroactive and current psychological health outcomes. Early specializers reported significantly higher levels of multiple maladaptive psychological outcomes (e.g., global athlete burnout, emotional and physical exhaustion, sport devaluation, amotivation). Overall, findings suggest that specialization environment factors, in addition to the age of specialization, are potentially critical factors in determining health and well-being outcomes. Findings support prominent position statements suggesting early specialization may be associated with increased health risks. Study findings may also inform the development of guidelines and recommendations to aid parents, coaches, and athletes in positively impacting athlete psychosocial outcomes.
Diane M. Wiese-Bjornstal, Kristin N. Wood, Andrew C. White, Amanda J. Wambach and Victor J. Rubio
The purpose of this study was to explore religiosity/spirituality (R/S) in coping with sport injuries, based on predictions of the integrated model of psychological response to the sport injury and rehabilitation process. A concurrent mixed methods design framed an online survey incorporating quantitative measures of R/S identification and commitment, health locus of control for sport injury, and ways of coping with sport injury, as well as qualitative open-ended questions about mechanisms through which R/S affected and was affected by coping with sport injuries. Participants included 49 physically active adults who experienced sport injuries, with 37 identifying as R/S. Quantitative findings among R/S participants showed religious commitment was a predictor of God health locus of control and positive religious coping. Quantitative results relative to differences between R/S and no-R/S participants showed that those self-identified as R/S relied on a God health locus of control and utilized active coping more so than did those self-identified as no-R/S, whereas no-R/S participants relied more than did R/S participants on an internal health locus of control. Thematic analyses exploring qualitative data revealed three main themes characterizing mechanisms through which R/S affected and was affected by coping with sport injuries: positive, negative, and no R/S coping strategies and effects. Findings support the predictions of the integrated model of psychological response to the sport injury and rehabilitation process and provide evidence-bases for clinical and counseling interventions that reflect cultural competence in accommodating patient or client R/S during recovery from sport injury.
Shelby J. Martin and Timothy Anderson
Despite elevated risk of eating pathology (EP) among athletes, utilization of EP-treatment among athletes is low. Factors that may inhibit EP-help-seeking among athletes include perceived social stigma, self-stigma, and perfectionism. Heightened stigma associated with EP and sport climates may be exacerbated by negative perfectionism characteristic of athletes and decrease intentions to seek help for EP. We tested the following moderated-mediation model among a sample of collegiate athletes (N = 201) via online questionnaires: EP indirectly relates to EP help-seeking intentions through perceived and self-stigma and these relations are conditional on negative perfectionism. EP help-seeking intentions were negatively associated with EP severity, stigma, and negative perfectionism. EP was related to eating-specific help-seeking intentions through perceived social stigma, influencing self-stigma, but this was not moderated by negative perfectionism. Targeting mental-health treatment stigma among athletes may reduce risk of untreated EP among collegiate athletes.
Emily Kroshus, Sara P.D. Chrisman, Jeffrey J. Milroy and Christine M. Baugh
Purpose: Assess whether athletes with a prior concussion diagnosis are more likely to continue play with a possible concussion. Additionally, explore whether reasons for concussion under-reporting are different among athletes with a prior concussion when compared to other athletes. Methods: Cross-sectional survey of 328 collegiate athletes. Results: Athletes with a prior concussion diagnosis had significantly greater relative risk of continuing play while symptomatic of a possible concussion during their most recent season compared to athletes without prior concussion diagnosis. Significant differences exist in the reasons that athletes provided for not reporting by history of concussion. Conclusions: Findings suggest that learning may have occurred as a result of the prior diagnosis; however, this learning did not appear to result in safer reporting behavior. Additional research is necessary to clarify why athletes who have been previously diagnosed with a concussion are more likely to continue playing while experiencing concussion symptoms.
Graig M. Chow, Matthew D. Bird, Stinne Soendergaard and Yanyun Yang
This manuscript seeks to offer insight about how coaches can better address drinking among collegiate student-athletes. Using a mixed-methods design, 519 NCAA coaches reported their attitudes and behaviors toward student-athlete drinking, and responded to open-ended questions about their perceived role, strategies, and challenges to addressing problems in this population. Three dimensions of coaches’ attitudes and behaviors toward student-athlete drinking emerged that were consistent regardless of the players’ or coach’s gender or division: Concerned Communication, Conditional Leniency, and Enforcement. Effective strategies identified by coaches included enforcement of policy, education about consequences of drinking, establishment of quality coach-athlete relationships, and management of athletes’ schedules. Coaches indicated the need to play a role in managing, educating, influencing, and supporting the student-athletes to prevent alcohol misuse. Coaches reported challenges regarding the culture of drinking on college campuses, individual differences (e.g., age) among student-athletes, acceptance and enforcement of the alcohol policy, lack of awareness about student-athletes’ activities, and identification of alcohol misuse.