Effects of a single bout of moderate-to-vigorous physical activity on executive functions in children with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

ObjectivesThe aim of this study was to systematically review the literature investigating the acute effects of moderate-to-vigorous physical activity (MVPA) on executive functions (EFs) in children with attention-deficit/hyperactivity disorder (ADHD) and perform a meta-analysis of the effects of MVPA on task components that require lower and higher EF demand in this population.MethodsThe systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Six electronic databases, i.e., PubMed, Scopus, Web of Science, Embase, SPORTDiscus, and Education Resources Information Center (ERIC), were searched for eligible studies. Random-effects weights were used to pool the effect sizes. Publication bias was assessed by Egger’s regression test and Rosenthal’s fail-safe N. This study is registered on PROSPERO, number CRD42020184082.ResultsThe electronic database search yielded 12 studies, which met the inclusion criteria, comprising a total of 375 participants. Eleven studies with data from 275 participants were included in the meta-analysis to examine the acute effects of MVPA on tasks with lower and higher EF demand. A single bout of MVPA had a small positive effect on tasks with lower (n = 10, g = 0.32, 95% CI = 0.123–0.517) and higher (n = 10, g = 0.25, 95% CI = 0.13–0.371) EF demand. No publication bias was found.ConclusionsA single bout of MVPA may have a general facilitative effect on cognition, indicating that acute MVPA may be a transient nonpharmacological adjunctive treatment for childhood ADHD.     

Spontaneous and experimentally induced action planning and coping planning for physical activity: A meta-analysis

ObjectivesThe main objective of this review was to provide summary effects for spontaneous and experimentally induced action planning (AP) and coping planning (CP) for physical activity (PA). These summary effects were then used to test key theoretical postulates using meta-analytic path analysis, and examine possible boundary conditions via moderation analyses.DesignThis review employed a quantitative research synthesis design.MethodUsing the method of Lipsey and Wilson (2001), fixed- and random-effects meta-analysis was performed on over 150 effect sizes from 23 correlational and 21 experimental studies. The method of Viswesvaran and Ones (1995) was used to test two mediation models using the correlational meta-analytic data. Group comparisons and meta-regression were used to test moderation.ResultsAmong the correlational studies, findings indicated a medium-to-large summary effect of spontaneous AP (φ = .41) and CP (φ = .38) on PA. Among the experimental studies, results revealed a small-to-medium summary effect (φ = .24) when comparing all experimental conditions versus all controls and a medium-to-large summary effect (φ = .37) when comparing purely planning conditions versus neutral controls. Support was found for AP and CP as partial mediators in the relation between intention and PA. Numerous significant moderators emerged.ConclusionThis review offers the first meta-analytic estimates of both spontaneous and experimentally induced AP and CP for PA, while supporting the role of both spontaneous AP and CP as mediators in both a multiple and sequential mediation model. Relevant moderators will serve to inform future research in this area.     

A longitudinal study of the relationship between leisure-time physical activity and depressed mood among adolescents

ObjectiveThe aim of this study was to examine and test the possible directions of the relationships between leisure-time physical activity and depressed mood.MethodA 10-year longitudinal study with a sample of 924 adolescents was conducted, and data were collected 8 times from the age of 13 years to the age of 23 years. The data were analysed using multivariate latent curve modelling.ResultsLeisure-time physical activity and depressed mood covary inversely through adolescence. However, baseline levels of leisure-time physical activity do not predict later changes in depressed mood, and baseline levels of depressed mood do not predict later changes in leisure-time physical activity.ConclusionChanges in leisure-time physical activity and depressed mood are related, but the results do not provide support for the common assumption that a high early level of physical activity protects against later depressed mood, nor that a high early level of depressed mood acts as a barrier for later physical activity.     

Physical activity participation and physical aggression in children and adolescents: A systematic review and meta-analysis

BackgroundAggressive behaviour is a substantial behavioural problem in children and adolescents. This review systematically summarises the current evidence on the relationship between physical activity participation and aggressive behaviour and quantifies the effects of physical activity interventions on aggression in children and adolescents.MethodsStudies were identified through a search of five electronic databases (PsycINFO, SPORTDiscus, MEDLINE, CINAHL and Web of Science) with combinations of three groups of keywords. Two independent reviewers screened and extracted data from the individual studies. The reporting quality and publication bias were assessed. The relationship between physical activity participation and aggressive behaviour was systematically summarized. Data (effect sizes) were pooled to investigate the effects of physical activity interventions on aggressive behaviour. A moderator meta-analysis was performed to identify potential moderators of the effects of physical activity interventions on aggressive behaviour.ResultsNineteen studies met the inclusion criteria. The relationship between physical activity participation and aggressive behaviour was mixed. A significant reduction in aggressive behaviour was observed after physical activity interventions (k = 8, SMD = −0.53, 95% CI [−0.27, −0.79], p < 0.001). The moderator meta-analysis showed that physical activity interventions involving team-based physical activity had greater effects than those involving individual-based physical activity (β = 0.42, SE = 0.18, p = 0.02). In addition, interventions involving physical activity alone were more effective in reducing aggressive behaviour than those that combined physical activity with other activities such as a philosophy course (β = −0.63, SE = 0.11, p < 0.001).ConclusionThe current meta-analysis presents evidence for the effect of physical activity interventions on aggressive behaviour in children and adolescents. Physical activity–only interventions involving team-based physical activity might be used for preventing or reducing aggressive behaviour in children and adolescents. Possible mechanisms, methodological strengths and weaknesses, implications, and suggestions for future studies were discussed.     

Using motivation regulations in a person-centered approach to examine the link between social physique anxiety in physical education and physical activity-related outcomes in adolescents

ObjectivesThis study explored how social physique anxiety (SPA) combined with different patterns of motivation regulations might facilitate versus deter effort and enjoyment in physical education (PE) and leisure-time physical activity.DesignCross-sectional survey.MethodsHigh school students (N = 298; M_age = 15.72, SD_age = 1.24 years) completed an in-class survey including SPA in PE, motivation regulations for PE, enjoyment and effort in PE and leisure-time physical activity.ResultsFour profiles of students were identified in cluster analysis based on autonomous motivation, introjected regulation, external regulation and SPA. Profile one (“high diverse motivation”; n = 84) reflected relatively high motivation across all regulations and average SPA. Profile two (“moderate autonomous motivation”; n = 92) included those with average scores on autonomous motivation and relatively low scores on introjected and external regulation and SPA. Profile three (“moderate diverse motivation and anxious”; n = 59) had relatively high SPA combined with average motivation regulations. Profile four (“externally controlled and anxious”; n = 63) also had relatively high SPA but relatively low autonomous motivation and introjected regulation and relatively high external regulation. MANOVA results showed that “externally controlled and anxious” students reported the lowest physical activity behavior and enjoyment in PE. Conversely, the “moderate diverse motivation and anxious” students have physical activity experiences that do not differ from the two profiles that exhibited lower SPA.ConclusionsHigher feelings of SPA in PE appear linked with lower levels of enjoyment and effort in PE and leisure-time physical activity outside of school only when coupled with higher external regulation. This finding helps explain inconsistent associations between SPA and physical activity outcomes.     

Socioeconomic status as a moderator between social cognitions and physical activity: Systematic review and meta-analysis based on the Theory of Planned Behavior

BackgroundHealth inequalities are to a substantial degree due to socioeconomic status (SES) related differences in health behaviors such as physical activity. However, little is known about the role SES plays in the self-regulation of physical activity.PurposeThis systematic review with meta-analysis examines whether a comprehensive set of indicators of SES (income, education, occupational status) impacts on the behavioral self-regulation by moderating the relationships between social cognitions in the Theory of Planned Behavior (TPB) and physical activity.MethodsA systematic literature search identified 99 studies from 88 articles that provided information on sample SES and correlations between TPB variables and physical activity. Random-effects meta-analyses were used to pool correlations corrected for sampling and measurement error. Random-effects meta-regression was used to examine moderating effects of study-level SES on these correlations.ResultsEducation moderated the relationship between intentions and physical activity, such that studies with better educated samples reported stronger intention-physical activity relationships.ConclusionsThese results suggest that education might play a major role in the self-regulation of physical activity, with better educated samples more likely to translate intentions into behavior. This can both help to explain heterogeneity in the relation between intentions and physical activity as well as support the development of more effective interventions targeting intentions and physical activity.     

Personality,motivational, and social cognition predictors of leisure-time physical activity

ObjectiveThe purpose of the present study was to investigate associations between personality traits of extraversion and neuroticism, autonomous motivation, and the Theory of Planned Behavior (TPB) constructs and leisure-time physical activity. The study examined whether autonomous motivation and the TPB constructs mediate the association between personality traits and physical activity, and whether personality traits moderate the relationship of autonomous motivation and the TPB constructs with physical activity.MethodsMiddle-aged women (N = 441) completed self-report measures of personality traits, autonomous motivation, attitudes, subjective norms, perceived behavioral control (PBC) and intention. Moderate-to-vigorous leisure-time physical activity (MVPA) was measured using accelerometers approximately seven weeks later. Participants’ past accelerometer-based MVPA was available from four years earlier.ResultsOnly autonomous motivation and past MVPA directly predicted MVPA. Neuroticism and past MVPA were indirectly related with MVPA through autonomous motivation. No support for a moderator role of personality traits was found.ConclusionsCurrent data suggest that autonomous motivation and past experience are prominent determinants of accelerometer-based leisure-time MVPA, but not beliefs and intentions.     

Self-determination theory based instructional interventions and motivational regulations in organized physical activity: A systematic review and multivariate meta-analysis

This study aimed to provide a quantitative synthesis of the effect of Self-determination theory (SDT) based instructional interventions on the motivational regulations of participants in organized physical activity. We conducted a systematic review and meta-analysis on experimental studies conducted before December 2021. The search using the online databases PsychINFO, PsychARTICLES, ERIC, SportDISCUS, and ProQuest Dissertations and Theses, and Google Scholar and other supplementary search strategies yielded 7774 articles, with 38 articles (142 effects and 12,457 participants) meeting the inclusion criteria. The articles were analyzed using a meta-analytic multivariate model. The study showed that SDT-based instruction had a positive heterogeneous small effect on intrinsic motivation (g = 0.29; CI 95% [0.17, 0.41]) and identified regulation (g = 0.23; CI 95% [0.10, 0.35]) and a negative heterogeneous, small effect on external regulation (g = −0.16; CI 95% [-0.31, −0.00]) and amotivation (g = −0.14; CI 95% [-0.28, −0.01]). SDT-based instruction did not have an effect on integrated regulation (g = 0.08; CI 95% [-0.11, 0.28]) nor introjected regulation (g = 0.03; CI 95% [-0.7, 0.13]). Univariate categorical moderator analyses highlighted multiple variables that impacted the size of the effects on the outcomes, including type of intervention and control group, length of study, age of participants, and study quality. Findings from the moderator analyses challenge the practical implications of SDT-based instructional interventions in improving motivation in organized physical activity. High-quality experimental trials using careful and precise conceptualizations of need-supportive behaviors and strategies would benefit the discipline.     

The impact of sport and physical activity on the well-being of combat veterans: A systematic review

ObjectivesThis review examined the potential impact of sport and physical activity upon the subjective and psychological well-being of combat veterans in the aftermath of physical or psychological combat trauma.DesignA systematic review was conducted. The question guiding this review was ‘what is the impact of sport and physical activity on the well-being of combat veterans?’MethodsKey databases were searched for articles relating to the use of sport and/or physical activity in supporting combat veterans. 11 studies were identified as relevant for inclusion. Data from these studies were extracted by means of a directed content analysis, the results of which were reported in a narrative synthesis.ResultsSport and physical activity enhances subjective well-being in veterans through active coping and doing things again, PTSD symptom reduction, positive affective experience, activity in nature/ecotherapy, and quality of life. Impact on psychological well-being includes determination and inner strength, focus on ability and broadening of horizons, identity and self-concept, activity in nature/ecotherapy, sense of achievement/accomplishment, and social well-being. Participating in sport and/or physical activity can also enhance motivation for living.ConclusionsThe review advances knowledge by producing a synthesis of evidence that highlights the value of sport and physical activity for supporting the well-being and rehabilitation of disabled combat veterans and combat veterans diagnosed with Post-Traumatic Stress Disorder. It also develops knowledge by identifying the type of sports and physical activities used to promote well-being, offering the first definition of combat veterans in the sport literature, taking a critical approach, and highlighting the under researched role of nature-based physical activity.     

Predicting change in middle school students’ leisure-time physical activity participation: A prospective test of the trans-contextual model

We applied the trans-contextual model (TCM) to examine the effects of middle school students’ perceived autonomy support from their physical education (PE) teachers on autonomous motivation toward PE in school and, critically, autonomous motivation toward, and actual participation in, leisure-time physical activity (PA). The research adopted a three-wave prospective design enabling the modeling of change in the TCM constructs over time. Middle school students (N = 248) aged from 12 to 16 years reported their perceived autonomy support, autonomous motivation in PE, autonomous motivation toward leisure-time PA, attitudes, subjective norms, perceived behavioral control (PBC), intentions for PA in leisure-time, and leisure-time PA participation. The psychological constructs and leisure-time PA were measured at baseline (T0) and at a first follow-up occasion (T1) 5 weeks later. Another measure of PA was taken at a second follow-up occasion (T2) a further 5 weeks later. A single-indicator structural equation model using residualized change scores revealed that perceived autonomy support predicted autonomous motivation in PE (β = .345), and autonomous motivation in PE predicted autonomous motivation for leisure-time PA (β = .484). Autonomous motivation toward leisure-time PA predicted attitudes (β = .425), subjective norms (β = .264), and PBC (β = .517). Autonomous motivation toward leisure-time PA (β = .376), attitude (β = .231), and subjective norms (β = .185) predicted intentions toward leisure-time PA, and intentions predicted PA (β = .198). Findings extend research on the TCM by demonstrating its efficacy in predicting change in middle school students’ autonomous motivation across PE and leisure-time contexts, and accounting for change in intentions toward, and actual participation in, leisure-time PA.     

Intrinsic goals for leisure-time physical activity predict children's daily step counts through autonomous motivation

ObjectivesThe present study tested a motivational sequence in which children's goals for leisure-time sport and physical activity (PA) from Goal Content Theory predicted pedometer-determined PA through behavioural regulation constructs from Self-Determination Theory.DesignQuantitative cross-sectional study.MethodsA sample of 1272 Flemish (Dutch speaking part of Belgium) sixth graders (M age = 11.42 years) filled in a questionnaire on PA goal content, behavioural regulations and pubertal status. Children's height and weight were measured to assess Body Mass Index (BMI). To measure daily PA behaviour, participants wore a pedometer for seven consecutive days. Structural equation modelling was performed to test the proposed motivational sequence and to examine the mediation effect of behavioural regulations towards leisure-time sport and PA on the relation between PA goal content and daily step counts.ResultsA structural equation model supported the hypothesized sequence in which intrinsic goals for leisure-time sport and PA predicted children's daily step counts through autonomous motivation towards leisure-time sport and PA. Multi-sample invariance testing revealed that the proposed model was largely invariant across BMI groups, pubertal status and gender.ConclusionsThe findings highlight the importance of emphasizing intrinsic goals for participation in leisure-time sport and PA in children aged 10–12 years. By stimulating children to participate in PA and sports by referring to intrinsic goals, children are more likely to enjoy PA, which in turn might increase the likelihood of a regular and long-term PA engagement.     

Effects of school-based interventions on motivation towards physical activity in children and adolescents: A systematic review and meta-analysis

IntroductionAssuming that motivation is the key to initiate and sustain beneficial health behaviors, the aim of this systematic review was to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards PA in school-aged children and adolescents.MethodsA comprehensive literature search was carried out in six electronic databases to identify randomized controlled trials and quasi-experimental trials examining the effects of PA interventions implemented during the regular school day, e.g., during physical education lessons or lunch breaks. Primary outcomes of interest were students' motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Meta-analyses were conducted for these outcomes using Comprehensive Meta-analysis software. Secondarily, intervention effects on students' PA behaviors were examined and the findings summarized narratively. Methodological quality of studies was evaluated using the Cochrane Collaboration's tool for assessing risk of bias for randomized trials; certainty of evidence on outcome level was evaluated using the GRADE approach.ResultsIn total, 57 studies carried out between 2001 and 2018 were included in this review. Sixteen individual meta-analyses were performed and revealed significant pooled effects for the outcomes enjoyment (g = 0.310), perceived autonomy (g = 0.152), identified regulation (g = 0.378), intrinsic motivation (g = 0.419), self-determination index (g = 0.672), task/mastery climate (g = 0.254), ego/performance climate (g = −0.438), autonomy supportive climate (g = 0.262), task goal orientation (g = 1.370), ego goal orientation (g = −0.188). The narrative data synthesis indicated an increase in students' PA behavior. The overall risk of bias was high across all studies and certainty of evidence of meta-analyzed outcomes ranged from very low to moderate. Moderate certainty of evidence was found for ego/performance climate and ego goal orientation. Conclusions: Meta-analyses suggest that school-based PA interventions may be effective in increasing a variety of motivational outcomes. However, the certainty of evidence was limited in the majority of outcomes. Further research is needed to identify effective intervention strategies that increase students’ motivation towards PA.     

Reciprocal effects of motivation in physical education and self-reported physical activity

ObjectivesThe present study tested whether self-reported school and leisure-time physical activity have a reciprocal relationship with Physical Education (PE)-based motivational regulations described by self-determination theory. Participants were 635 11- and 12-year-old school children from the United Kingdom.Design & MethodA cross-lagged longitudinal design over two time points was employed. Study hypotheses were analyzed using latent factor reciprocal effects models.ResultsFollowing temporal invariance tests, data revealed positive relationships between both types of physical activity and subsequent changes in autonomous motivation, but not the oft-stated reverse relationship. No relationships were observed involving introjected regulation. Theoretically aligned relationships between external regulation and changes in physical activity were observed, but no reverse relationships. Both types of physical activity behavior were negatively associated with changes in amotivation in PE, but surprisingly, amotivation in PE positively predicted changes in leisure-time physical activity.ConclusionsIn general, physical activity participation may help children internalize reasons for partaking in PE and foster self-determination. However, the widespread theory that self-determined PE motives can develop school and leisure-time physical activity participation was not compellingly demonstrated.     

Patient-targeted googling by psychological therapists: A narrative review of the literature and ethical implications

Background

“Patient-Targeted Googling” (PTG) refers to a healthcare professional using the Internet to discover information about a patient. The present review explores PTG by psychological therapists. The review focused on the prevalence of PTG, how often consent is sought from the patient, and the motivations for and consequences of PTG.

Method

A narrative literature review of published PTG studies was undertaken. Potentially eligible studies were identified by searching PsycINFO, PsycARTICLES, Psychology and Behavioural Sciences Collection, and MEDLINE. Results were screened for suitability for inclusion in the sample (n = 9). All studies were appraised for quality using a structured tool developed for this review.

Results

PTG prevalence rates ranged from 20% to 98%, with rates of non-consent ranging from 60% to 84%. Motivations for PTG included curiosity, to gather new information and to verify existing information. Consequences of PTG included enhancing the therapist's sense of safety and causing harm to the therapeutic relationship.

Discussion

Current literature on PTG is limited and focussed largely in the United States. This review revealed no published PTG studies including UK-based psychological therapists, as well as issues in defining and operationalising PTG. Further research is needed to understand the prevalence of PTG by UK-based psychological therapists, as well as the motivations behind, and consequences of, PTG. This evidence base will inform the development of PTG professional guidelines and training, neither of which currently exist for therapists practising in the UK. Both would be timely given the increasing move of the therapeutic frame to the online environment due to the COVID-19 pandemic.     

A cluster randomized trial to evaluate need-supportive teaching in physical education on physical activity of sixth-grade girls: A mixed method study

ObjectiveThe purpose of this study was to evaluate the efficacy of need-supportive teaching in physical education on girls' daily moderate-to-vigorous physical activity using a mixed method evaluation.Methods507 sixth-grade girls aged 9–14 years of 33 single-sex physical education classes participated in the cluster randomized control trial. During the 16-week intervention period, trained teachers conducted enhanced physical education lessons which were designed based on self-determination theory. In a randomized process, independent researchers using a computer-based algorithm allocated classes to the trial groups (IG n = 19 classes, CG n = 14). These lessons were subject to repeated systematic observations. The students' perceptions of basic psychological need support and satisfaction in physical education were measured using repeated self-report questionnaires. Students' daily moderate-to-vigorous physical activity (MVPA) was assessed by accelerometry. Semi-structured interviews provided a deeper understanding of how purposively sampled focus groups perceived teacher behavior in physical education. After a separate analysis of qualitative and quantitative data, results were merged to investigate the intervention's efficacy and treatment fidelity.FindingsThroughout the school year, the girls' MVPA levels decreased in both groups. Girls who reported their complete physical activity data had a lower body mass index than girls who reported no, or only one or two sets of physical activity data. Results of mixed measures converge on the finding that the teachers in the intervention group provided slightly stronger need support than the control teachers, however, intervention components were not delivered consistently. Therefore, a significant intervention effect on daily MVPA could not be quantified. Autonomy satisfaction significantly predicted MVPA.ConclusionQualitative insights of teaching behavior in PE underlined the importance of need support and revealed structural barriers, which compromised the implementation quality.Trial registrationEthics Committee of the Technical University of Munich 155/16S; Bavarian Ministry of Education IV.8-BO6106/52/12.FundingGerman Research Foundation grant DE2680/3-1.     

Are action planning and physical activity mediators of the intention-habit relationship?

ObjectivesPhysical activity is associated with many health benefits that are important for older adults. These health benefits can only be obtained and preserved when physical activity is maintained over a long period of time. Habit formation has been proposed as a way to ensure long-term maintenance of physical activity. Intention, action planning, and physical activity are suggested to be determinants of physical activity habits. However, how they determine physical activity habits in older adults is largely unknown. This study examined whether the relationship between intention and habit is mediated by action planning and/or physical activity.DesignA four-wave prospective design was used.MethodsTwo independent studies were conducted in 469 (Study 1; M_age = 63.07, SD_age = 7.61) and 322 (Study 2; M_age = 64.31, SD_age = 9.39) older adults. Study 2 was conducted with the aim of replicating findings of Study 1. In both studies the older adults completed questionnaires on intention, physical activity, and habit at baseline, action planning at three months, physical activity at six months, and habit at twelve months.ResultsStructural equation modeling analyses showed significant intention-physical activity-habit paths, nonsignificant intention-action planning-habit paths, and nonsignificant intention-action planning-physical activity-habit paths in both studies.ConclusionsThe relationship between physical activity habit and intention was mediated by physical activity. Intention was neither associated with habit via action planning as a single mediator, nor via action planning and physical activity as sequential mediators. Possible conditions under which intention-action planning-habit paths and intention-action planning-physical activity-habit paths exist are discussed.     

Effects of psychological interventions on competitive anxiety in sport: A meta-analysis

ObjectivesThis study reviewed the effects of psychological interventions on competitive anxiety in sport.DesignMeta-analysis and systematic review.MethodPsycINFO, PsycARTICLES, SPORTDiscus, Web of Science, ProQuest, and Sage databases were searched for experimental studies that fulfilled the inclusion criteria. Risk of bias was assessed using the 12 criteria Cochrane Review Book Group tool. Hedge's g and 95% confidence intervals (CIs) were calculated and pooled using a random effects model employing the Hartung-Knapp-Sidik-Jonkman (HKSJ) method.ResultsThe search strategy identified 37 studies which fulfilled the inclusion criteria. The meta-analysis was conducted on 34 studies after removal of outliers. The results showed an overall small to medium-sized effect for psychological interventions on competitive anxiety in athletes (g = −0.42; 95% CI, −0.58 to −0.25). Subsequent subgroup analyses showed that this finding was robust regardless of experimental design, anxiety measure, anxiety type, gender, country, sport, intervention component, intervention delivery method, and intervention duration. The results indicated that the effects might be greater for athletes of higher levels of competition as compared to those from lower levels of competition. Separate meta-analyses also suggested that there were medium to large-sized effects for cognitive anxiety (g = −0.54) and self-confidence (g = 0.55) intensity, and a small to medium-sized effect for somatic anxiety (g = −0.36) intensity.ConclusionThe findings from this review study provide a robust evidence base for the use of psychological interventions to help reduce competitive anxiety in athletes. Future studies need to investigate how psychological interventions might affect the directional interpretation of anxiety symptoms.     

What do we know about the effects of mental training applied to combat sports? A systematic review

ObjectivesThis study aimed to investigate the effects of mental training applied to combat sports athletes.MethodsA systematic review was conducted, following the criteria recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, from inception up to February 2021, with an electronic search in PubMed, Scopus, Web of Science, PsycINFO, and SPORTDiscus databases. As eligibility criteria, this review included original studies that carried out any type of mental training, with or without a control group, acute or chronic, in combat sports athletes, of both sexes, age >16 and < 45 years old, from any competitive level, and evaluated the effect of these interventions on psychological measures. The quality assessment was conducted through the application of the Cochrane Collaboration tool.ResultsIn total, 1921 studies were found and after application of the inclusion and exclusion criteria, 21 articles were included in this review. A total of 417 subjects were investigated from the 21 studies. As results, despite the variations in the type and characteristics of the interventions, studies showed that mental training seems to improve anxiety, mood, self-confidence, emotions, cohesion, emotional balance, and relaxation, in addition to physical and athletic performance.ConclusionsThis systematic review based on the evidence from the selected studies indicates that mental training seems to be beneficial for athletes in combat modalities, while combat sports can benefit from mental training in preparation, competition, and recovery. However, the interpretation of these findings must consider that there is limited scientific production with good quality studies investigating the effects of psychological intervention protocols in athletes of combat sports in different combat modalities.Prospero register numberCRD42020169793.