Mental health is an important topic in competitive sports, but there is only limited data from Switzerland. Although mental health is a prominent topic, it is difficult to estimate the efforts of Swiss sports federations to promote mental health. A representative sample of Swiss athletes (N = 1003, Mage = 21.69, SDage = 7.09, 54% women, 37% team sports, 10% injured) answered questions about symptoms of mental health problems and their well-being. We also asked about the extent of basic need satisfaction and perceived organizational support. Overall, the numbers on symptoms of mental health problems (17% depression, 10% anxiety, 22% eating disorders, 18% sleep disorders) and well-being are comparable to other elite sport samples and the general Swiss population. However, we found large group differences. For example, 52% of women athletes were affected by at least one mental disorder symptom, compared with 30% of men athletes. Injured athletes were most affected in terms of depressive symptoms. The study also shows that need satisfaction and frustration in conjunction with demographic factors is related to well-being and symptoms of mental health problems. Furthermore, the more support athletes perceive from their federations, the better their mental health. We conclude that a substantial proportion of athletes are affected by symptoms of mental disorders and more measures are needed to improve this situation, for example through supporting need satisfaction in the sport setting.
Mindfulness and acceptance are core concepts of the third wave of cognitive and behavioral psychotherapies. Their aim is not to overpower thoughts and emotions by suppression and using control techniques but to change the relationships with them. This article focuses on mindfulness- and acceptance-based approaches in sports. It briefly outlines these approaches and concludes that they are characterized by promoting three processes, which are present-moment attention, metacognitive awareness, and acceptance. Subsequently, the paper describes one approach particularly suitable for sports in detail—Acceptance and Commitment Therapy—with a special focus on how athletes can promote psychological flexibility and thrive in their effort to perform. This paper further addresses the question of whether mindfulness- and acceptance-based approaches are effective in sports by summarizing research from the past five years in the form of a mini-review. Findings from 19 reviewed studies, including 15 controlled or randomized controlled studies, suggest that different athlete populations can benefit from mindfulness- and acceptance-based approaches in terms of athletic performance and well-being. Positive effects on performance and well-being could be mediated by other psychological processes, e.g., enhanced emotion regulation. Further research is needed, especially regarding the mechanisms that impact mindfulness- and acceptance-based interventions in sports.
Introduction Non-functional overreaching (NFOR) and overtraining syndrome (OTS) are highly feared phenomena in competitive sports. Research has suggested the multifactorial aetiology of NFOR/OTS and causes, symptoms and consequences are almost identical with the ones of adjustment disorder (AD). Additionally, mindfulness and acceptance based approaches and their stress-buffering role have been shown to be effective in the treatment of AD. This contribution aims to explore the stress-buffering effect of habitual mindfulness on the development of overtraining states viewed as a sport-specific form of AD. Methodology 580 athletes (women=320; men=260; Mage=21.3) from 6 different sports completed a17-item survey about underperformance and symptoms of NFOR/OTS in their past career and the Comprehensive Inventory of Mindfulness Experience. Athletes were classified as NFOR/OTS or no-overreaching (NO)/functional overreaching (FOR) according to the overtraining definition of the ECSS. Data were analysed using logistic regression and ANOVA. Results NO/FOR athletes revealed significantly higher habitual mindfulness values in present moment awareness, acceptance and metacognitive awareness than athletes classified as NFOR/OTS. Logistic and multinomial regression suggested that especially acceptance might have an influence on the buffering effect on the development of NFOR/OTS. An enhancement of 1 unit in acceptance reduces the risk of being in the NFOR/OTS group by 55%. Discussion Although OTS and AD are multi-causal phenomena, habitual mindfulness seems to have a buffering influence on the development of these maladaptive psychological processes. In this context, the process of acceptance seems to play a significant role. Nevertheless, the role of present-moment awareness and meta-cognitive awareness should be further investigated.
Mental health (MH) does not only mean the mere absence of psychiatric disorders but also the presence of well-being. Competitive athletes are exposed to risk factors for poor MH specific to the competitive sport context. One such risk factor are athletic career transitions, whereby the junior-to-senior-level transition (JST) is considered one of the most difficult of within career transitions. During this time, developmental changes must be mastered on a psychological, athletic, and educational level and conflicts that occur between the different areas of life, such as school, family, and sports can become more acute. JST is thus a particularly vulnerable period for the MH of competitive sport athletes. In this article, we describe a counseling approach that seems well suited to promote the MH of JST athletes within a sport psychology consulting setting. The approach is based on self-determination theory and ego-state theory. We illustrate the application of our counseling approach with an exemplary case. Finally, we provide recommendations for how sport psychology practitioners can promote MH in JST athletes
Background Mental training intends to support athletes in mastering challenges in sport. The aim of our study was to investigate the differential and shared effects of psychological skills training and mindfulness training on psychological variables relevant to athletic performance (e.g., handling emotions or attention control). We assumed that each approach has its own strengths (e.g., mindfulness has a differential effect on the acceptance of emotions), but for some goals (e.g., attention control), both training forms are expected to be equally successful (i.e., shared effects). Methods A total of 95 athletes (Mage = 24.43, SDage = 5.15; 49% female) were randomly assigned into three groups: psychological skills training intervention (PST), mindfulness training intervention (MT), and wait-list control group (WL). Participants completed a questionnaire battery before and after the training (pretest and posttest). We assessed mindfulness, use of mental strategies, handling of emotions, attention in training and competition, as well as the dealing with failure. The two intervention programs each consisted of four 90-min group workshops conducted over a period of 4 weeks. Results Both interventions passed the manipulation check, that is, PST led to more mental strategies being used (probabilities > 95%), and MT led to an increase in two of three aspects of mindfulness (probabilities > 98%) when compared to WL. Compared to WL, both interventions equally improved in the ability to not let emotions interfere with performance (probabilities > 99%) and in controlling attention in training and competition (probabilities > 89%). To a lesser extend, both interventions showed shared improvements in dealing with failure indicated by more action orientation (probabilities > 82%). We found a differential effect of MT on decreased experiential avoidance: MT decreased compared to WL and PST (probabilities > 92%), whereas PST did not differ from WL. Conclusion We conclude that both forms of mental training lead to improvements in performance-relevant psychological factors, especially concerning the handling of emotions and attention control. The results of our study suggest that different paths may lead to the desired outcomes, and accordingly, both forms of mental training seem justified.
Abstract. Mindfulness-based interventions are found beneficial to improving well-being and alleviating symptoms of psychological distress, although accurate measurement of the psychological construct of mindfulness remains a challenge. Theoretical work has highlighted characteristics of mindfulness, which can be assessed comprehensively by the recently developed eight-factor Comprehensive Inventory of Mindfulness Experiences (CHIME). While the instrument has demonstrated acceptable psychometric properties, its ability to discriminate precisely across individual mindfulness levels has not been rigorously investigated. The current study subjected responses of 443 participants to Rasch analysis to investigate and enhance the psychometric properties of the CHIME. The best fit to the Rasch model was achieved for every individual subscale with only minor modifications that involved combining some locally dependent items into a testlet. The total scale was then fitted to the Rasch model with individual subscales treated as testlets, and the best model fit was attained after two correlated subscales were treated as a single testlet, χ2(63) = 70.76, p = .23. Therefore, it was possible to generate ordinal-to-interval conversion tables for individual subscales and the total scale scores, which increase the instrument’s precision. The results support internal construct validity and enhance psychometric properties of the CHIME.
This article provides protocols of a mindfulness and acceptance-based intervention and a psychological skills training intervention. Both consist of four 90-minute group workshops in a time period of one month. All workshops were accompanied with methods that support behavioral change. We considered four principles in the program development to support behavioral change (i.e., supporting processing and learning of the workshop content, strengthening motivation to get involved with the program, promoting regular practice of formal exercises, reactivation of content between workshops). We conclude with evaluating the participants’ feedback on the workshops and by giving advice how practitioners could use these programs.
Self-compassion describes a supportive attitude towards oneself. Research outside the sport context suggests that self-compassion might be beneficial in terms of psychological processes that are helpful for athletic performance. At the same time, there are reasons to assume that athletes may fear a negative influence of SC on their self-improvement motivation. Therefore, it seemed worthwhile to clarify the role of self-compassion in the competitive sport setting by reviewing the current research. The aim of this scoping review is to give an overview of the current literature on SC in competitive sports and to answer the question, whether SC is helpful for competitive athletes. A literature search was conducted using PsycINFO, PsycARTICLES, PSYNDEX, and SPORTDiscus. Eligibility criteria were peer-reviewed publication, publication in English, original research and research investigating self-compassion in competitive athletes. From 17 publications that met the inclusion criteria, we identified 19 studies, most of which were quantitative, employing a cross-sectional design. Additionally, we found only one intervention study, one experimental study and four qualitative studies using interviews. We provided an integrative narrative description of the study aims, hypotheses, methodological characteristics and study results. Based on the reviewed findings we concluded that in the future more intervention and longitudinal studies are needed. Furthermore, a comprehensive theoretical framework should be developed, which explains how SC is beneficial for athletes. Thus far, qualitative studies highlight the potential ambivalence of athletes towards SC (i.e., they expect benefits after failures but fear that too much SC leads to mediocrity). Quantitative research indicates that SC is beneficial for athletes’ well-being and their ability to deal with adversities in sports, whereas the role of self-compassion for self-improvement motivation remains unanswered.
Abstract BACKGROUND: Mindfulness as a present-oriented form of mental training affects cognitive processes and is increasingly considered meaningful for sport psychological training approaches. However, few intervention studies have examined the effects of mindfulness practice on physiological and psychological performance surrogates or on performance outcomes in sports. OBJECTIVE: The aim of the present meta-analytical review was to examine the effects of mindfulness practice or mindfulness-based interventions on physiological and psychological performance surrogates and on performance outcomes in sports in athletes over 15 years of age. DATA SOURCES: A structured literature search was conducted in six electronic databases (CINAHL, EMBASE, ISI Web of Knowledge, PsycINFO, MEDLINE and SPORTDiscus). The following search terms were used with Boolean conjunction: (mindful* OR meditat* OR yoga) AND (sport* OR train* OR exercis* OR intervent* OR perform* OR capacity OR skill*) AND (health* OR adult* OR athlete*). STUDY SELECTION: Randomized and non-randomized controlled studies that compared mindfulness practice techniques as an intervention with an inactive control or a control that followed another psychological training program in healthy sportive participants were screened for eligibility. DATA EXTRACTION: Eligibility and study quality [Physiotherapy Evidence Database (PEDro)] scales were independently assessed by two researchers. A third independent researcher was consulted to achieve final consensus in case of disagreement between both researchers. Standardized mean differences (SMDs) were calculated as weighted Hedges' g and served as the main outcomes in comparing mindfulness practice versus control. Statistical analyses were conducted using a random-effects inverse-variance model. RESULTS: Nine trials of fair study quality (mean PEDro score 5.4, standard deviation 1.1) with 290 healthy sportive participants (athletics, cyclists, dart throwers, hammer throwers, hockey players, hurdlers, judo fighters, rugby players, middle-distance runners, long-distance runners, shooters, sprinters, volleyball players) were included. Intervention time varied from 4 weeks to over 2 years. The practice frequency lasted from twice daily to just once a week, and the mean session time covered 50-60 min. In favor of mindfulness practice compared with the control condition, large effects with narrow confidence limits and low heterogeneity were found for mindfulness scores [SMD 1.03, 90% confidence interval (CI) 0.67-1.40, p < 0.001, I 2 = 17%]. Physiological performance indices depicted wide confidence limits accompanied with very large heterogeneity. However, the effect sizes remained very large, with confidence limits that did not overlap zero (SMD 3.62, 90% CI 0.03-7.21, p = 0.10, I 2 = 98%). Moderate to large effects were observed for both psychological performance surrogates (SMD 0.72, 90% CI 0.46-0.98, p < 0.001, I 2 = 14%) and performance outcomes in shooting and dart throwing (SMD 1.35, 90% CI 0.61-2.09, p = 0.003, I 2 = 82%). CONCLUSIONS: Mindfulness practice consistently and beneficially modulates mindfulness scores. Furthermore, physiological and psychological surrogates improved to a meaningful extent following mindfulness practice, as well as performance outcomes in shooting and dart throwing. It seems reasonable to consider mindfulness practice strategies as a regular complementary mental skills training approach for athletes, at least in precision sports; however, more high-quality, randomized, controlled trials on mindfulness practice and performance improvements in diverse sport settings are needed.
