Canadian athletes' perspectives of mental health care and the importance of clinicians' sport knowledge: A multi-method investigation

The purpose of this inquiry was to explore Canadian competitive athletes' perspectives on their mental health care experiences using a sequential multi-method design. The overarching aims of the study were to explore athletes' self-reported reasons for seeking mental health care, their awareness of their clinician's knowledge of sport, and the importance they placed on their clinician having knowledge of the sport context. A sequential mixed methods design was employed in which two studies were conducted to address these aims. In study one, 70 current and former Canadian athletes completed a short survey assessing basic demographics, athletes' reasons for seeking treatment, and the importance they placed on their clinician having sport knowledge for effective care. In study two, ten athletes participated in individual semi-structured interviews in which similar topics were explored. Fifty-six percent of surveyed athletes reported that their clinicians' knowledge of sport did not impact their treatment experience, however only 29% reported being aware of their clinician having such knowledge. Thematic analysis of the interview data suggested that the connectedness of athletes' mental health issues and sport participation played a role in the importance they placed on their clinician having sport knowledge. Key components of a successful therapeutic alliance included the clinician validating the importance of sport, normalizing athlete mental health challenges, and understanding the demands of the competitive sport culture. Conclusions of this inquiry include that assessing how inter-related an athlete perceives their mental health challenges and sport participation to be, and demonstrating an understanding of the importance of sport in competitive athletes' lives, are likely helpful strategies in working clinically with this population even if a clinician does not have specific experience with the sport context.     

Different athletes cope differently during a sport competition: a cluster analysis of coping

This study aimed at examining the ways in which different athletes may combine the use of several coping strategies and at testing whether perceived goal attainment, affective states, and experience of control would differ across distinctive profiles of coping. A sample of 151 French-Canadian athletes out of 200 who were approached by a research assistant completed l’Inventaire des Strat gies de Coping en Comp tition Sportive (Gaudreau & Blondin, 2002a), the PANAS ( Watson, Clark, & Tellegen, 1988), and a series of items measuring experience of control and perceived goal attainment. Results of a cluster analysis indicated that athletes could be classified in four groups according to their in-competition use of coping strategies. After controlling for athletes’ self-referenced goal attainment, their experience of control, positive affective state, and anger-dejection state differed significantly (p<0.008) across the four profiles of coping. Athletes who have used high level of task-oriented coping in combination with low level of disengagement-oriented coping reported better goal and psychological adjustment than athletes who have used high level of disengagement-oriented coping in combination with low level of task-oriented coping. Overall, these findings suggested that research should move from coping strategies to coping profiles in order to provide a deeper understanding of how different individuals cope with stress.     

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.     

Goals and responses to failure: Knowing when to hold them and when to fold them

The ability to disengage from hopeless situations is critical to goal attainment and effective self-regulation. Two experiments investigated the effects of striving to attain success (approach goals) versus striving to avoid failure (avoidance goals) on persistence. Participants completed anagrams designed so that less persistence during an initial set of unsolvable anagrams was beneficial. In Study 1, participants reported how motivated they were by approach and avoidance goals. In Study 2, participants were primed to set approach or avoidance goals. Participants with avoidance goals persisted longer during failure, with more intense and enduring emotional distress, than those with approach goals. Greater anger predicted spending more time on subsequent unsolvable anagrams and accounted for differences in persistence. The results suggest that people with approach goals are better able to identify when they should disengage during failure, and disengage more completely, than people with avoidance goals. An earlier version of this article was presented at the Society for Personality and Social Psychology conference, Palm Springs, CA, January, 2006.     

A media analysis of a sport celebrity: Understanding an informal “team cancer” role as a socio-cultural construction

Objectives

Negative informal roles in sport such as a “team cancer” warrant further attention because of the association with athletes’ negative psychological experiences, impaired team processes, and reduced performance. The purpose of the current study is to extend understandings of the team cancer role by analyzing the socio-cultural context (i.e., sport media narratives surrounding a sport celebrity and key media incident) within which one “team cancer” was constituted in a professional sport context.

Method

National Hockey League (NHL) star Sean Avery was the sport celebrity of interest. The key media incident was the “sloppy seconds” comment made by Avery regarding his former girlfriend. The comment was an attack towards the opposing team’s defenseman, who was dating her. Newspaper representations of the comment (n = 62) were explored via ethnographic content analysis (see Altheide, 1996).

Results

It was found that the depiction of the team cancer emerged differently depending on two paradoxical discourses found within the media: a hockey moral code as truth vs. a hockey moral code as hypocrisy. This paradox surrounding the morality of sport was exemplified within the two hockey moral code discourses surrounding the personification of Avery’s team cancer identity and the “sloppy seconds incident”.

Conclusions

This study adds to our understanding regarding how the media influences the construction of an informal team cancer role from one professional sport incident. This focus opens up a window of new understandings and possibilities for research and application beyond current theories and understandings of negative informal team roles in sport psychology.     

Obsessive and harmonious passion in physically active Spanish and Hungarian men and women: A brief report on cultural and gender differences

Increased research on passion in exercise calls for direct examination of possible moderating variables, such as culture and gender, that could influence the interpretation of the research results. This study using a nation by gender between‐participants design, examined differences in obsessive‐ and harmonious passion in Spanish and Hungarian physically active individuals. Participants (n = 1002) completed the Passion Scale, reported their gender, age and weekly hours of physical activity. Multivariate analysis of covariance revealed that the experiencing of physical activity‐related obsessive‐ and harmonious passion differed between the 2 countries and Hungarian women scored significantly higher on harmonious and obsessive passion than Spanish women. However, Hungarian men only scored significantly higher on obsessive passion, but not harmonious passion compared to Spanish men. These results suggest that gender and cultural differences are likely to affect the interpretation and generalisation of research on passion and exercise.     

Working within an Individual Zone of Optimal Functioning (IZOF) framework: Consultant practice and athlete reflections on refining emotion regulation skills

Objective

To examine how working within Hanin’s (2000a) Individual Zone of Optimal Functioning theoretical model (IZOF) informs intervention development for enhancing athletes’ emotion regulation skills.

Design

A single case study design was adopted to examine the applied process of facilitating a female university cross-country runner’s emotion regulation skills.

Method

Consultant reflections followed Boud’s (2001) reflective learning model for immediate and delayed reflection that informed an action research narrative organized round Kellmann and Beckmann’s (2003) action research cycle. A social validation interview was conducted following program completion to examine the athlete’s responses to the emotion regulation intervention.

Results

Consultant’s professional practice decisions and action taken to support the intervention are highlighted. Specifically, the employment and extension of Hanin’s (2000c) IZOF profiling process to inform the development of athlete skills in emotion regulation are described. Moreover, how the content and intensity of performance related subjective emotion, physiological symptom, and cognitive zone profiles for optimal performance guided the identification and enhancement of techniques contributing to effective emotion regulation is illustrated. Athlete interview responses support the overall efficacy of the intervention program.

Conclusion

The present case study supports the efficacy of working within an IZOF framework from a consultant perspective. Furthermore, athlete reflections suggest enhanced skills in emotion regulation were perceived to result from the intervention.     

Self-compassion and responses to negative social feedback: The role of fronto-amygdala circuit connectivity

ABSTRACT

Self-compassion has been shown to have significant relationships with psychological health and well-being. Despite the increasing growth of research on the topic, no studies to date have investigated how self-compassion relates to neural responses to threats to the self. To investigate whether self-compassion relates to threat-regulatory mechanisms at the neural level of analysis, we conducted a functional MRI study in a sample of college-aged students. We hypothesized that self-compassion would relate to greater negative connectivity between the ventromedial prefrontal cortex (VMPFC) and amygdala during a social feedback task. Interestingly, we found a negative correlation between self-compassion and VMPFC-amygdala functional connectivity as predicted; however, this seemed to be due to low levels of self-compassion relating to greater positive connectivity in this circuit (rather than high levels of self-compassion relating to more negative connectivity). We also found significant relationships with multiple subcomponents of self-compassion (Common Humanity, Self-Judgment). These results shed light on how self-compassion might affect neural responses to threat and informs our understanding of the basic psychological regulatory mechanisms linking a lack of self-compassion with poor mental health.     

The impact of the amount of social evaluation on psychobiological responses to a body image threat

The present study examined the impact of amount of social-evaluative body image threat on psychobiological responses. Women (N = 123) were randomized into an individual-threat, group-threat or no-threat condition. Participants completed a measure of state body shame and provided a sample of saliva (to assess cortisol) at baseline and following their condition. Both threat conditions had higher baseline-adjusted body shame following the threat compared to the no-threat condition; however, no difference on baseline-adjusted body shame between the threat conditions was found. The same pattern of results was found for cortisol – both threat conditions had higher baseline-adjusted response cortisol than the no-threat condition, with no significant differences between the threat groups. Findings suggest that the magnitude of psychobiological responses to a social-evaluative body image threat does not differ with the amount of social-evaluative threat (individual- versus group-threat). These findings provide insight into the context of body image threats of women.     

Sport bodies: An examination of positive body image,sport-confidence,and subjective sport performance in Jamaican athletes

Guided by the Sport-Confidence Model, this study examined the associations among a positive body image, sport-confidence, and sport performance evaluations. Using a cross-sectional design, a purposive sample of 314 Jamaican athletes (male = 70.7%; $M_{age}$ = 22.85; SD = 4.89) completed measures of body and functionality appreciation, sport-confidence, and subjective sport performance. Results from path analysis provided evidence for good model-data fit. Body (B = 9.03, p < .001) and functionality (B = 4.93, p = .036) appreciation exerted direct effects on sport-confidence. Sport-confidence exerted a direct effect on sport performance evaluations (B = 0.09, p < .001). Body (B = 0.79, CI_95% [0.44, 1.17]) and functionality (B = 0.43, CI_95% [0.05, 0.92]) appreciation exerted indirect effects on sport performance evaluations through sport-confidence. Results indicate that supporting the development of a positive body image in athletes may contribute to feelings of sport-confidence and positive performance outcomes.     

An assessment of body appreciation and its relationship to sexual function in women

Objectification theory posits internalization of an observer's gaze may negatively impact women's feelings about their bodies, which may subsequently affect their sexual function. Subjective body image and body size (i.e., body mass index [BMI]) have mixed relationships to women's sexuality, but assessment of positive body image as a sign of resistance to objectification has not been researched. This study explored relations between body appreciation and sexual function in women and assessed whether body size impacted this relationship. Cross-sectional data were collected online from 247 women, ages 18 to 58. Body appreciation scores were modestly negatively correlated with BMI, while BMI was not related to sexual function scores. After controlling for sexual orientation, partner status, and age, body appreciation predicted the arousal, orgasm, and satisfaction aspects of sexual function. Practitioners’ encouragement of body appreciation may improve sexual function in a way that encouraging a reduction in body size may not.     

A person-oriented approach to sport and school burnout in adolescent student-athletes: The role of individual and parental expectations

ObjectivesThe present study aimed to examine what kind of burnout profiles exist among student-athletes based on their sport and school burnout symptoms. Moreover, it was investigated whether athletes' expectations of success in sport and school, on the one hand, and parental expectations, on the other hand, were predictors of the likelihood of the athlete to show a certain profile, after taking into account the effects of gender, grade point average, type of sport, and level of competition.Design and methodsThe participants were 391 student-athletes (51% females) from six different upper secondary sport schools in Finland, and 448 parents (58% mothers). The athletes filled in questionnaires about burnout and success expectations at the beginning of the first year of upper secondary school. At the same time point, parents were asked to answer a questionnaire on their success expectations for their child. Structural equation modeling and latent profile analysis were used to analyze the data.ResultsFour burnout profiles were identified: well-functioning, mild sport burnout, school burnout, and severe sport burnout. Athletes' and parents' expectations of success seemed to protect against burnout in the same domain, but this protection did not extend to the other domain. Moreover, high success expectations in one domain seemed to increase the risk for burnout in another domain.ConclusionsBurnout needs to be investigated within and across context in order to gain a holistic understanding of student-athletes' wellbeing.     

Attitudes towards women managers: Development and validation of a new measure with Turkish samples

This study reports the development of a new instrument measuring attitudes towards women managers (ATWoM). To test its reliability and validity data were collected from 456 Turkish employees from 23 organizations. Reliability and validitiy of ATWoM's final version were also tested with a separate sample comprised 312 students enrolled in junior–senior undergraduate and MBA programmes. ATWoM's psychometric properties were superior to one of the most widely used instruments measuring the same construct, Women as Managers Scale (WAMS). ATWoM was negatively correlated with traditional attitudes towards gender roles and positively correlated with respondents' report of quality in their interaction with women managers and general preference to work with women managers.     

Rational emotive behaviour therapy in high schools to educate in mental health and empower youth health. A randomized controlled study of a brief intervention

Rational emotive behaviour therapy (REBT) is effective in reducing distress in several target groups. No other study has tested the mental health effects on adolescents in a high school setting while expanding a Cognitive Behaviour-based therapy, REBT, into the concept of mental health literacy. The format of the ABC model, which is an important element of REBT, functioned as a working manual in and between three sessions. This study tested whether knowledge and practical use of the ABC model increased self-esteem and hope, and reduced symptoms of anxiety and depression, and dysfunctional thinking. Sixty-two high school students with subclinical levels of anxiety and depression were randomly allocated into three groups; three individual REBT sessions, or three individual attentional placebo (ATP) sessions or no sessions (control). However, dysfunctional thinking, self-esteem and hope were not measured in the control group. Repeated measures with ANOVA and t-tests were conducted. Both REBT and ATP significantly reduced symptoms of anxiety and depression, but only REBT was significantly different from the control group at the six-month follow-up. Only REBT significantly reduced dysfunctional thinking, and both REBT and ATP significantly increased self-esteem and hope. REBT had both an immediate and a long-term effect. The findings show the potential positive effects of educating well-documented psychological techniques as ordinary education in school. Further research might contribute to decide whether or not to change the school system by enclosing mental health literacy classes for all students.     

Approach-avoidance responses to infant facial expressions in nulliparous women: Associations with early experience and mood induction

Infant expressions are important signals for eliciting caregiving behaviors in parents. The present study sought to test if infant expressions affect adults’ behavioral response, taking into account the role of a mood induction and childhood caregiving experiences. A modified version of the Approach Avoidance Task (AAT) was employed to study nulliparous female university students’ implicit responses to infant faces with different expressions. Study 1 showed that sad, neutral and sleepy expressions elicit a tendency for avoidance, while no tendency for approach or avoidance was found for happy faces. Notably, differences between approach and avoidance response latencies for sad faces and participants’ negative caregiving experiences were positively correlated (r = 0.30, p = 0.04, Bonferroni corrected), indicating that individuals who experienced insensitive parental care show more bias toward sad infant faces. In Study 2, we manipulated participants' current mood (inducing sad and happy mood by asking to recall a happy or sad event of their recent life) before the AAT. Results showed that sad mood enhanced the bias toward sad faces that is buffered by positive mood induction. In conclusion, these findings indicate that implicit approach avoidance behaviors in females depend on the emotional expression of infant faces and are associated with childhood caregiving experiences and current mood.     

When time is of the essence: The use of rational emotive behavior therapy (REBT) informed single-session therapy (SST) to alleviate social and golf-specific anxiety,and improve wellbeing and performance,in amateur golfers

Anxieties associated with the social evaluative nature of golf are present in the majority of athletes and impact directly on their wellbeing and objective performance. One potential intervention that could reduce social anxiety in golfers is rational emotive behavior therapy (REBT). There is limited research into the effectiveness of REBT in reducing social anxiety and even less research to assess if REBT can be delivered in time-constricted situations when the expectations for immediate results are high, as is the case with many handicap golfers. The current study used an idiographic single-case study design to assess the effects of REBT-informed single-session therapy (SST) on the social anxiety of five amateur golfers. REBT was employed in a short telephone call to target the performance issue, followed up with a single face-to-face session. Data were collected prior to, immediately following, and four weeks after the REBT intervention. Visual analysis following single-case guidelines revealed substantial reductions in irrational beliefs and social anxiety as well as improvements in wellbeing, scoring average, competition placings and handicap reductions in four out of five golfers. Discussion with golfers at a telephone follow-up indicated the positive receipt of REBT by the golfers and supported the visual analysis findings. This current study supports the effectiveness of REBT and also extends the research by demonstrating that REBT-informed SST can be an effective intervention, in a time-restricted environment, for those golfers with a clear target problem and who are ready to take care of business, providing clear implications for future research and practice.     

Sex differences in response to a panicogenic challenge procedure: an experimental evaluation of panic vulnerability in a non-clinical sample

Epidemiological studies show that women are twice as likely as men to develop panic disorder (PD) during their lifetimes. Data from retrospective studies also suggest that women are more distressed by panic and other negative emotional states than men, and that this tendency may precede the development of PD. The present prospective study sought to expand this work by evaluating sex differences in the predisposition to panic in individuals without PD or other forms of psychopathology. Participants (N=96; 52 women) were exposed to 12 panicogenic inhalations of 20% CO2-enriched air while physiological (e.g., heart rate, electrodermal response, Frontalis EMG) and self-report (e.g., subject distress, fear, frequency and severity of DSM-IV panic symptoms) response domains were monitored. As expected, magnitude of autonomic responding failed to reliably discriminate between women and men. Yet, women reported more fear and panic immediately following the challenge procedure relative to men, and this sex difference persisted when assessed again 30 min post-challenge. Implications of these results are discussed broadly in the context of biopsychosocial accounts of sex differences in the clinical presentation of PD.     

Increasing nontraditional career choices in women: Relation of attitudes toward women and responses to a career intervention

This study examined whether 80 college women, grouped according to their scores on the Attitudes Toward Women Scale (AWS; J. T. Spence, R. Helmreich, & J. Stapp 1973 Bulletin of the Psychonomic Society, 2, 219–220), were differentially affected by a videotape career intervention. The videotape was entitled “Women: Choices and Changes,” and it focused on career development, broadly defined. It was developed as part of Project Born Free. A variety of outcome measures were used, including a brief measure of career decidedness, a measure of the traditionality of the women's own career choices and of the career choices they selected for their hypothetical daughters. In addition, two measures of self-efficacy were used, the Vocational Self-Efficacy Scale (Hackett & Betz 1981) and the Career Decision Making Self-Efficacy Scale (K. M. Taylor & N. E. Betz 1983 Journal of Vocational Behavior, 22, 63–81). The results indicated that AWS scores were related to the traditionality of the careers chosen for the subjects' hypothetical daughters and to self-efficacy. Increases were found for the Career Decision Making Self-Efficacy Scale and on career decidedness. Careers chosen by the women for themselves and for their daughters were more non-traditional after the videotape intervention. These results are discussed and their implications for career counseling and future research are examined.