Cumulative lifetime stress exposure,depression, anxiety,and well-being in elite athletes: A mixed-method study

Research suggests that elite athletes are at increased risk of poor mental health, partly due to the intense demands associated with top-level sport. Despite growing interest in the topic, the factors that influence the mental health and well-being of elite athletes remain unclear. From a theoretical perspective, the accumulation of stress and adversity experienced over the life course may be an important factor. To investigate this possibility, we employed a mixed-method design to: (a) examine whether cumulative lifetime stress predicted depression, anxiety, and well-being in elite athletes; and (b) help explain why cumulative lifetime stress exposure might have resulted in poor mental health and well-being. Ninety-five elite athletes (M_age = 29.81, SD = 10.88) completed the Stress and Adversity Inventory, Patient Health Questionnaire, Generalized Anxiety Disorder 7-item scale, and the Scales of General Well-Being. Hierarchical regression analyses revealed that total count and severity of lifetime stressor exposure significantly predicted greater depression (β = .42, p < .001; β = .46, p < .001) and anxiety symptoms (β = .34, p = .003; β = .28, p = .018), and worse well-being (β = -.42, p < .001; β = -.30, p = .015). Semi-structured interviews were then conducted with six athletes. Thematic analysis revealed that cumulative lifetime stress exposure fostered poor mental health and well-being by promoting maladaptive long-term coping strategies, increasing susceptibility to future stress, and limiting interpersonal relationships. We believe these findings can help practitioners identify, and intervene accordingly with, elite athletes at risk of experiencing stress-related mental health problems.     

Plaudits and pitfalls in studying elite athletes

The study of elite athletes, because of their rarity, renders statistical power difficult to achieve, control groups difficult or impossible to find, and generalizability difficult to demonstrate. Alternative methods of analysis may be better suited to such study.     

Longitudinal analysis of stressors,stress, coping and coping effectiveness in elite esports athletes

ObjectiveThe current study aimed to longitudinally examine the stressors, stress appraisal, coping, and coping effectiveness experienced by elite esports athletes.DesignSix elite male League of Legends (LoL) athletes, competing in the Oceanic Challenger Series (OCS), completed diaries over the 2020 competitive season (87 days).MethodAthletes completed weekly diaries after three events: solo training, team training, and competitive matches. Each diary collected data on the stressors experienced, stressor intensity and threat/challenge perception (appraisal), coping strategies used, and perceived coping effectiveness.ResultsGeneral performance, outcome, critical moment performance, and teammate mistakes accounted for 55% of the stressors reported. More stressors were reported in competitive diaries than in training diaries. Competitive stressors were rated as being more intense than training stressors. There were no differences in overall challenge and threat perception, but performance stressors were more likely to be perceived as a challenge, and teammate stressors were more likely to be perceived as a threat. Problem-focused coping (PFC) was the most frequently employed coping strategy. PFC and emotion-focused coping (EFC) strategies were perceived as more effective at reducing stress than avoidance coping (AC).ConclusionsElite LoL athletes experienced a small number of reoccurring stressors over an 87-day competitive period. Athletes reported more stressors around competitive matches and perceived competitive stressors as more intense than team and solo training stressors. Similarly to traditional sports athletes, PFC strategies were the most frequently employed and, PFC and EFC were rated as being more effective than AC.     

Pregnancy and motherhood in elite sport: The longitudinal experiences of two elite athletes

Since the end of the 20th century, the elite athlete mother has been a growing social phenomenon, with increasing numbers of female athletes returning to elite level sport postpartum. Allyson Felix and Serena Williams are two recent elite athletes who successfully transitioned into their new identity of elite athlete mother. However, there is no guarantee that all transitional journeys will be as successful. The purpose of the present study was to enhance current knowledge of the experiences during pregnancy and motherhood in elite sport by exploring how becoming a mother impacted on the perceived personal and physical identity of elite athletes. Two elite athletes who had recently given birth to their first child were interviewed at two-months, six-months, and 15–16 months post-birth. Interviews were analyzed using a reflexive thematic analysis to explore how identity may have changed over the initial 15–16 months of motherhood. Three themes were developed, comprising: athlete identity; mother identity; and athlete mother identity. The sub-themes of identity, physical identity, shifting of goals, juggling athlete and mother identity, dual identity, priorities, and lifestyle were generated and demonstrated both similarities and nuances in the experiences of the two athletes. This study is the first to provide longitudinal insights into the experiences of both para and non-para elite athlete mothers during the initial stages of motherhood. Findings highlight the individual nature of such an experience and illuminate some of the negotiations of the personal, athlete, and mother identity that an athlete mother may experience.     

Integrating technology in psychological skills training for performance optimization in elite athletes: A systematic review

ObjectivesThe aim of the current study was to systematically review the literature on the integration of technology in psychological skills training (PST) to optimize elite athletes’ performance.DesignSystematic review.MethodPublished English, Italian, and Russian language articles were identified using electronic databases. Eighteen articles (out of 3753 records) fulfilled the inclusion criteria, and their quality was assessed using the Mixed Method Appraisal Tool (MMAT). Six papers were judged to be excellent and four to be high quality. There were significant methodological inconsistencies across eight studies. An overall score of quality assessment ranged from 20% to 100%.ResultsThe included studies implemented various technologies, in combination with PST, to identify, monitor and/or have an intervention aimed at optimizing elite athletes' performance. The results suggested that the integration covered different meanings, i.e., functional integration, integration between technologies and measures, integration between technology, theoretical framework, and psychological skills training. There was no distinct consistency between the studies with regards to the theory or model used.ConclusionsTechnology and mental training should not be viewed as interchangeable facets of performance enhancement, but rather as complementary ones – where technology integrated in psychological skills training can lead to identify and monitor optimal performance and to implement more effective interventions.     

Detecting structural and functional neuroplasticity in elite ice-skating athletes

Using resting-state fMRI, this study investigated long-term ice-skating training related changes in elite ice-skating athletes and compared them to healthy age-matched non-athletes under resting-state conditions. Significant differences were found in both structural and functional plasticity. Specifically, elite ice-skating athletes showed higher gray matter volume in the posterior cerebellum, frontal lobe, temporal lobe, posterior cingulate, caudate, and thalamus. The functional plasticity changes were primarily concentrated in the posterior cerebellar lobe. Additionally, stronger connectivity between the posterior cerebellar lobe and fusiform gyrus was also found in elite ice-skating athletes. Overall, the results are consistent with other studies that concluded long-term professional motor skill training can cause structural and functional plasticity in the regions of the brain related to motor planning, execution, and supervision. Both structural plasticity and functional plasticity are primarily enhanced in the posterior cerebellum. These changes may be related to the outstanding capability of speed and coordination caused by long-term ice-skating training. Present results add new evidence and may help us to understand the neural mechanisms of long-term motor skill training.     

Temporal pattern of pre-shooting psycho-physiological states in elite athletes: A probabilistic approach

Objective

The IZOF-based probabilistic approach provides a methodology to study within-individual patterns of a performer's states. So far, the time course of physiological data before performance have not been investigated within the probabilistic methodology framework. The purpose of this study was to examine the value of the probabilistic approach in the assessment of the time course of physiological indicators of arousal/activation and vigilance during the period preceding the shot, in comparison with the performance-based method.

Design

Longitudinal assessment of psycho-physiological data and performance outcomes was conducted on eight elite pistol shooters in a controlled setting.

Methods

Each participant performed 60 air-pistol shots in 2 sessions. Skin conductance level and cardiac activity were recorded. Affective states intensity was evaluated on a modified 11-point Borg scale. Affect, HR and SC level were evaluated with a Performance-based approach and a Probabilistic method, and results compared at an individual level.

Results

Findings showed the higher effectiveness of the probabilistic method to analyse physiological parameters (skin conductance and heart rate) and to describe the physiological mechanisms associated with shooters’ performance.

Conclusions

The probabilistic method better discerned the contribution of arousal/activation and vigilance to optimal and non-optimal performance in elite shooters, thereby providing a sharper representation of the temporal pattern of performers' states before shooting. From an applied perspective, we believe that the probabilistic approach can help athletes become aware of the subtle variations occurring in their psychophysical states during the preparatory period preceding the shot and not only at the moment of shot release.     

Exploring adversity and the potential for growth among elite female athletes

ObjectivesThe purposes of this study were to (a) explore experiences of adversity and (b) to examine perceptions of growth following adversity among elite female athletes.MethodsSemi-structured interviews were conducted with five elite female athletes (ages 18–23 years) who competed internationally in track and field, swimming, long-distance running, and basketball. Interviews were analyzed using an interpretative phenomenological approach (Smith, Flowers, & Larkin, 2009).ResultsIncidents of performance slumps, coach conflicts, bullying, eating disorders, sexual abuse, and injuries were reported. The shared ‘essential’ features of participants’ experiences of adversity were isolation/withdrawal, emotional disruption, questioning identity as an athlete, and understanding experiences within a context of perceived expectations. It appeared that as participants sought and found meaning in their experiences, they identified opportunities for growth associated with social support and also as they realized the role of sport in their lives. Aspects of growth include realizing strength, gaining perspective of their problems, and gaining a desire to help others. Athletes’ experiences with adversity were seen as part of an ongoing journey through elite sport.ConclusionsAthletes’ experiences of adversity may have initiated a process of questioning their identities and searching for meaning in their experiences. Findings highlighted the complexity associated with social support and athletes’ growth following adversity. Growth following adversity appears to be a valuable area of research among elite athletes.     

Maltreatment experiences and mental health indicators among elite athletes

This study explored the relationships between athletes’ experiences of maltreatment and mental health indicators. Canadian National Team athletes completed an online, anonymous survey that assessed reported experiences of maltreatment (psychological, physical, sexual harm and neglect), and mental health indicators of well-being, eating disorders and self-harming behaviours. All forms of maltreatment had a significant, positive correlation with eating disorder and self-harming behaviours, and a negative correlation with well-being. The relationships between maltreatment and mental health indicators differed based on identity characteristics of the athletes. Further work is needed on the prevention and intervention of maltreatment in sport to reduce the behaviours associated with negative health outcomes.     

Falling for smartphones: A smartphone-centric data collection tool for measuring distracted walking

Falls and severe head injuries have been increasingly associated with the use of smartphones while walking. A growing body of academic research identifies cognitive, perceptual, and motor deficits caused by smartphone use while walking. Despite the dangers associated with smartphone use while walking, the true prevalence can be challenging to assess. To better address the growing injury risk related to smartphone-induced distraction, we have built a smartphone-based data collection tool to assess smartphone use frequency while walking. In the current study, 35 participants installed the data collection app on their Android smartphones. On average, the application collected 520 data points per day. The application also indicated participants walked 12% of their day, and 49% of their time walking included smartphone use. The current study demonstrates the prevalence of smartphone-induced distraction while walking and smartphone applications' potential efficacy to collect behavioral data.     

Measurement of cognitive functions in experts and elite athletes: A meta‐analytic review

An extraordinary physiological capacity combined with remarkable motor control, perception, and cognitive functioning is crucial for high performance in sports. Tests that assess the physical abilities are already well established. Moreover, a growing area of research evolved in the recent past that is particularly concerned with the basic cognitive functions by means of neurocognitive tests in experts and elite athletes. The aim of this meta‐analysis (k = 19) is to quantify differences among experts and nonexperts as well as elite athletes and non‐elite athletes. In addition, it aims to assemble and compare previous research and analyze possible differences in cognitive functions depending on age, skill level, and used cognitive tasks. Overall, the mean effect size was small to medium (r = 0.22), indicating superior cognitive functions in experts and elite athletes. The factor of skill definition significantly differentiates the cognition–expertise relationship. In contrast, differences in age groups and cognitive areas appeared but were not significant. Future research should prefer the elite rather than the expert definition and distinguish between high‐performance and amateur athletes. Furthermore, the findings suggest that it can be beneficial for coaches and sport clubs to integrate cognitive tests as an additional tool for scouting and for optimizing the athletic development of their players.     

Gaze characteristics of elite and near-elite athletes in ice hockey defensive tactics

Traditional visual search experiments, where the researcher pre-selects video-based scenes for the participant to respond to, shows that elite players make more efficient decisions than non-elites, but disagree on how they temporally regulate their gaze. Using the vision-in-action [J.N. Vickers, J. Exp. Psychol.: Human Percept. Perform. 22 (1996) 342] approach, we tested whether the significant gaze that differentiates elite and non-elite athletes occurred either: early in the task and was of more rapid duration [A.M. Williams et al., Res. Quart. Exer. Sport 65 (1994) 127; A.M. Williams and K. Davids, Res. Quart. Exer. Sport 69 (1998) 111], or late in the task and was of longer duration [W. Helsen, J.M. Pauwels, A cognitive approach to visual search in sport, in: D. Brogan, K. Carr (Eds.), Visual Search, vol. II, Taylor and Francis, London, 1992], or whether a more complex gaze control strategy was used that consisted of both early and rapid fixations followed by a late fixation of long duration prior to the final execution. We tested this using a live defensive zone task in ice hockey. Results indicated that athletes temporally regulated their gaze using two different gaze control strategies. First, fixation/tracking (F/T) gaze early in the trial were significantly shorter than the final F/T and confirmed that the elite group fixated the tactical locations more rapidly than the non-elite on successful plays. And secondly, the final F/T prior to critical movement initiation (i.e. F/T-1) was significantly longer for both groups, averaging 30% of the final part of the phase and occurred as the athletes isolated a single object or location to end the play. The results imply that expertise in defensive tactics is defined by a cascade of F/T, which began with the athletes fixating or tracking specific locations for short durations at the beginning of the play, and concluded with a final gaze of long duration to a relatively stable target at the end. The results are discussed within the context of gaze research in open and closed skills, as well as theoretical models of long-term memory and decision making in sport.     

Validation of the Cycling Behavior Questionnaire: A tool for measuring cyclists' road behaviors

IntroductionEven though cycling is an activity whose benefits in terms of urban mobility and health are globally recognized, its disproportional growth during the past few decades has led to some unexpected dynamics. In fact, the increasing number of traffic injuries and deaths involving cyclists has a high cost for public health systems. Considering the available empirical evidence, aberrant and positive behaviors on the road constitute relevant predictors for the injuries suffered by road users. Nevertheless, the scarcity of tools that measure and evaluate the behavior of road users, especially in the case of cyclists, constitutes a serious lack in terms of explaining, intervening and preventing traffic crashes through behavioral approaches.ObjectiveThis study had two essential purposes: first, to describe in detail the validation of measurement of risky and positive road user behaviors of cyclists using the Cycling Behavior Questionnaire. Second, to compare the mean scores of the validated version of the CBQ according to demographic and cycling-related factors.MethodAs a part of a larger collaborative research project, our data was collected from 1064 Spanish-speaking cyclists (between 17 and 80 years old) from 20 countries, who filled out an anonymous electronic survey on their riding behaviors. The data was analyzed using competitive Confirmatory Factor Analyses (CFA), thus obtaining basic psychometric values and an optimized structure for the scale.ResultsThe obtained results suggest that the CBQ has a clear factorial structure, items with high factorial weight, and good internal consistency. In particular, the results of the latent variable model with three factors, which were labeled errors, violations and positive behaviors, show that the CBQ is satisfactorily adjusted.ConclusionThe findings of this research support the idea that the CBQ may have important applications in the improvement of road safety through the study of cyclists' behavioral factors and their relationship to demographic and cycling-related factors.     

Review of sports performance research with youth, collegiate, and elite athletes

This brief review summarizes translational and intervention research in the area of sports performance. We describe studies with youth, collegiate, and elite athletes; identify recent trends; and propose recommendations for future research.