As long as athletes strive to attain optimal performance states and consistently reach high performance goals, psychological interventions will be used to assist in the development of skill and the maintenance of performance. In the pursuit of these goals, newer evidence-driven models based on mindfulness- and acceptance-based approaches have been designed to achieve these ends. Based upon questionable efficacy data for traditional psychological skills training procedures that emphasize reduction or control of internal processes, mindfulness- and acceptance-based approaches develop skills of nonjudging mindful awareness, mindful attention, and experiential acceptance to aid in the pursuit of valued goals. The most formalized and researched mindfulness- and acceptance-based approach within sport psychology is the manualized Mindfulness-Acceptance-Commitment (MAC) protocol. In the 8 years since the MAC was first developed and presented, and the 5 years since the first publication on the protocol, the MAC program has accumulated a continually growing empirical base for both its underlying theory and intervention efficacy as a performance enhancement intervention. This article reviews the empirical and theoretical foundations of the mindfulness- and acceptance-based approaches in general, and MAC in particular; reviews the accumulated empirical findings in support of the MAC approach for performance enhancement; and presents recent MAC developments and suggested future directions.
Search Results
Theoretical and Empirical Developments of the Mindfulness-Acceptance-Commitment(MAC) Approach to Performance Enhancement
Zella E. Moore
Application of the Mindfulness-Acceptance-Commitment (MAC) Protocol With an Adolescent Springboard Diver
Lori Schwanhausser
This study presents the case of Steve, an adolescent competitive springboard diver. This diver, referred by his coach, received the Mindfulness-Acceptance-Commitment (MAC) approach for performance enhancement. The MAC protocol, originally written for an adult population, was used in modified form (under consultation from the authors) to ensure appropriateness for an adolescent population. Conducted in nine individual sessions, the intervention targeted abilities in attention and value-driven behavior to enhance focus, poise, and overall diving performance. Self-report measures of mindfulness and flow, along with objective measures of diving performance were collected pre- and postintervention. Results indicated increases in mindful awareness, mindful attention, experiential acceptance, flow, and diving performance from pre- to postintervention. This case supports the applicability of the MAC protocol with an adolescent athlete population.
The Role of Body Awareness and Mindfulness in the Relationship Between Exercise and Eating Behavior
Rachel Martin, Ivanka Prichard, Amanda D. Hutchinson, and Carlene Wilson
This study examined the potential mediating roles of mindfulness and body awareness in the relationship between exercise and eating behavior. Female exercisers (N = 159) recruited from fitness centers, yoga centers, and the community completed a questionnaire incorporating measures of exercise behavior, body awareness, trait mindfulness, mindful eating, dietary intake, and disordered eating symptoms. Participation in yoga was associated with significantly lower disordered eating (mediated by body awareness), whereas the amount of time spent participating in cardio-based exercise was associated with greater eating disturbance. The relationships between amount of exercise and actual food intake were not mediated by trait mindfulness or body awareness. The differential findings for dietary intake and disordered eating indicate that the body awareness cultivated in different forms of exercise may be more beneficial for clinical populations or those at risk for eating disorders than for modifying actual dietary intake in the general population.
Mindful Sport Performance Enhancement: Mental Training for Athletes and Coaches
Daya Alexander Grant
By Keith A. Kaufman, Carol R. Glass, and Timothy R. Pineau. Published 2018 by the American Psychological Association , Washington, DC. $99.95. 304 pp. ISBN: 9781433827877 Mindfulness. A buzzword of this decade. Isn’t it funny how a practice steeped in Eastern spiritual philosophy thousands of
Remote Monitoring of Cancer Patient Participation in a 12-Week Online Yoga Study: Challenges and Directions for Future Research
Ryan Eckert, Jennifer Huberty, Heidi Kosiorek, Shannon Clark-Sienkiewicz, Linda Larkey, and Ruben Mesa
.D. , Paniagua , S.M. , Kazanis , W. , Jones , S. , & Potter , J.S. ( 2018 ). Quality of life among women diagnosed with breast cancer: A randomized waitlist controlled trial of commercially available mobile app‐delivered mindfulness training . Psycho‐Oncology, 27 ( 8 ), 2023 – 2030 . PubMed ID
An Investigation of the Relationship Between Mindfulness, Preshot Routine, and Basketball Free Throw Percentage
Amy Gooding and Frank L. Gardner
Seventeen (17) members of three NCAA Division I men’s basketball teams completed measures of mindfulness and sport-related anxiety to examine the relationship between mindfulness, preshot routine, trait arousal, and basketball free throw shooting percentage. It was hypothesized that (a) mindfulness scores would predict game free throw shooting percentage, (b) practice free throw percentage (indicative of basic skill) would predict game free throw percentage, and (c) consistency in the length of prefree throw routine would predict game free throw percentage. Results indicate that levels of mindfulness significantly predict game free throw percentage and that practice free throw percentage also predicts game free throw percentage. Length and/or consistency of preshot routine were not predictive. Although not proposed as a hypothesis, a statistically significant relationship was also found between an athlete’s year in school (which reflects competitive basketball experience) and game free throw percentage. Together, these results clearly suggest that the combination of mindfulness, skill (practice free throw percentage), and competitive experience (year in school) all contribute to the prediction of competitive free throw percentage and that these variables are more central to successful free throw percentage at this level of competition than length/consistency of one’s preshot routine.
Mindful Recovery: A Case Study of a Burned-Out Elite Shooter
John Jouper and Henrik Gustafsson
Research on how to recover from athlete burnout is scarce. The current aim is therefore to describe an intervention with an elite shooter suffering from burnout, and the use of mindfulness and Qigong to reestablish sport functioning as well as general well-being. The participant used mindfulness and Qigong exercise on a daily basis. Exercise frequency, exercise time, concentration level and Qigong state were noted daily, and levels of stress, energy and primordial force were self-rated weekly for 20 weeks, and followed up after 30, 40 and 50 weeks. The participant recovered from burnout to a state of general well-being (energy and primordial force changed from weak to strong), and her ability to stay concentrated in a Qigong state changed from weak to strong. Her capacity to shoot high scores was reestablished, even if her shooting endurance was not fully recovered. Mindfulness and Qigong techniques may be useful in the prevention of and recovery from athlete burnout.
The Power of Now: Brief Mindfulness Induction Led to Increased Randomness of Clicking Sequence
Ying Hwa Kee, Iti Chaturvedi, Chee Keng John Wang, and Lung Hung Chen
The capacity for random movement production is known to be limited in humans (e.g., Newell, Deutsch, & Morrison, 2000). We examined the effects of a brief mindfulness induction on random movement production because there are useful implications for variability in solving movement-related problems. The main task involved randomly clicking the 9 boxes in a 3 × 3 grid presented on a computer screen for five minutes. We characterized the sequence of clicking in terms of degrees of randomness, or periodicity, based on the fit, or probability, of the experimental data with its best fitting Bayesian network (4-click memory nodes) using the Markov chain Monte Carlo (MCMC) approach. Sixty-three participants were randomly assigned to either the experimental or the control condition. Mixed design repeated-measures ANOVA results show that the short mindfulness induction had a positive effect on the randomness of the sequence subsequently produced. This finding suggests that mindfulness may be a suitable strategy for increasing random movement behavior.
Effects of Mindfulness-Based Interventions in High School and College Athletes for Reducing Stress and Injury, and Improving Quality of Life
Haley Petterson and Bernadette L. Olson
Clinical Scenario:
Student athletes experience a variety of stressors from school and social activities, as well as the additional demands of sport participation. Mindfulness-based interventions can help increase mental awareness and acceptance, as well as mitigate negative thoughts and emotions. The use of mindfulness-based interventions may be beneficial for reducing thoughts of stress, injury reduction, and improving overall wellbeing.
Clinical Question:
Does the use of mindfulness-based interventions for student-athletes aged 13–24 years reduce stress and injury as well as improve overall quality of life?
Summary of Findings:
The literature was searched for studies that investigated the use of mindfulness-based strategies for student-athletes specifically for reducing stress and injury and/or improving quality of life. The literature search returned 8 possible studies related to the clinical question and 3 studies met the inclusion criteria (1 randomized control trial, 2 nonrandomized control cohort studies). All 3 included studies demonstrated overall improved levels of mindfulness among student-athletes after the use of a mindfulness-based intervention. Mindfulness-based interventions had positive effects for reducing negative thoughts and levels of perceived stress. The number of injury occurrences were found to decrease following the integration of a mindfulness-based intervention within an athletic population.
Clinical Bottom Line:
There is sufficient evidence supporting the use of mindfulness-based interventions with student-athletes for increasing mindfulness, managing negative emotions and perceived stress, as well as improving overall well-being. There is also current literature that advocates the use of mindfulness-based interventions for reducing injury, but further research is needed for support.
Strength of Recommendation:
Grade B evidence exists to support that the use of mindfulness-based interventions for student-athletes will reduce stress and improve overall well-being as well as support the possibility that if a student-athlete is more mindful, it may help decrease risk of injury incurred if the student-athlete is under mental stress.
Mindfulness Intervention With a U.S. Women’s NCAA Division I Basketball Team: Impact on Stress, Athletic Coping Skills and Perceptions of Intervention
Zeljka Vidic, Mark St. Martin, and Richard Oxhandler
This mixed methodology study investigated the effects of a ten session mindfulness-based intervention on a women’s collegiate basketball team’s (n = 13) perceived stress, athletic coping resources, and perceptions of the mindfulness intervention. Quantitative results showed a progressive decrease in stress and an increase in athletic coping skills over the course of the intervention. Qualitative results indicated the mindfulness intervention was beneficial in various aspects of the athletes’ lives in the form of improved awareness, control, focus, presence and relaxation. These results suggest that mindfulness training may be an effective approach in assisting college athletes attain benefits in both sport and life.
