A systematic review of religion/spirituality and sport: A psychological perspective

ObjectiveThe study aimed to review the existing literature on religion/spirituality (R/S) in sport from the psychological perspective.DesignA systematic review using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was employed.MethodThe literature search was completed in December 2018 using five different databases and Google Scholar. The titles and abstracts of the articles were reviewed for the selection process. The selected articles were classified into nine categories: the role of religion/spirituality, consultants, confidence, religious/spiritual faith, flow or being in the zone, identity, anxiety and depression, coping with adversity, and well-being and healing.ResultsA total of 56 studies met the criteria. The selected articles comprised various types of study design that were quantitative, qualitative, mixed-methods, as well as conceptual, review, theoretical, commentary, and perspective articles. The findings show that R/S can play a significant role among athletes in several ways (e.g., coping with uncertainties, building team cohesion, and alleviating anxiety). This study has also uncovered a few issues that should be emphasized for future research such as developing quantitative tools for R/S and sport-performance measurement and designing a religious/spiritual coping strategy that can be used among athletes from various cultures/religions.ConclusionAlthough R/S is often overlooked in sport psychology, the existing literature shows that it can have positive effects on mental health and contribute to achieving better sporting performance.     

Sleep interventions for performance,mood and sleep outcomes in athletes: A systematic review and meta-analysis

Sleep is fundamental to sports performance and other health outcomes such as mental wellbeing. This systematic review explored the effects of sleep interventions implemented among athletes on performance, sleep, and mood outcomes. Five databases were searched, returning 5996 records for screening. Of these, 27 articles met the inclusion criteria (16 controlled deigns, 11 uncontrolled; athletes n = 617; male n = 432, female n = 93, non-binary/other n = 0 or not reported n = 92). Narrative synthesis of all studies based on intervention type suggested that sleep hygiene, assisted sleep, and sleep extension interventions may be associated with improved sleep, performance, and mood outcomes. Twelve controlled trials were eligible for quantitative meta-analysis, investigating the effect of sleep interventions on athlete sleep, performance, and negative affect, compared to controls post-intervention. Utilizing random-effects meta-analyses, sleep interventions improved subjective sleep quality (g = 0.62, 95% CI [0.21, 1.02]), reduced sleepiness (g = 0.81, 95% CI [0.32, 1.30]) and decreased negative affect (g = 0.63, 95% CI [0.27, 0.98]), but did not appear to influence subjective sleep duration. No effects were identified for objective sleep measures (e.g., actigraphy), or aerobic/anaerobic performance indices. While sleep interventions may offer some benefit to athletes, caution is warranted given limitations of the extant research relating to small, non-representative studies with methodological concerns.     

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.     

Self-perception of driving abilities in older age: A systematic review

Older adults have become the fastest growing age group worldwide and will continue to make up a more significant portion of the driving population. Given the increased potential for age-related perceptual, cognitive, and physical declines, it is important to understand the perception that older drivers have regarding their own driving abilities. This awareness often motivates their driving behavior and patterns.A systematic review was conducted to synthesize the literature regarding the self-perception of driving abilities in older age. The PRISMA method was used and 10 databases (SCOPUS, TRID, PsycINFO, AgeLine, Web of Science, Abstracts in Social Gerontology, Inspec, Compendex, PubMed, and Medline) were searched to identify relevant articles. A total of 25 articles met the search criteria and were included in the qualitative synthesis.Overall, methods used to assess self-perception of driving abilities in older adults vary considerably. Some studies employ only subjective questionnaires, while others administer questionnaires in addition to on-road driving or simulated evaluations. Nonetheless, the studies overwhelmingly report that older drivers tend to rate highly, and often overestimate, their driving abilities. They perceive their driving abilities to be better than themselves at a younger age, their cohorts, and all other drivers. However, more work is needed to develop improved subjective assessments that guide drivers in more accurately estimating their true driving abilities, as well as to compare subjective ratings to objective performance-based measures of driving abilities.This review may assist researchers in better understanding the characteristics that influence driving self-perception and may inform the development of interventional strategies that help older drivers to better calibrate how they perceive their driving.     

Drop-out from team sport among adolescents: A systematic review and meta-analysis of prospective studies

During the last decades, an increased drop-out rate in adolescents’ team sport participation is observed. Given the potential adverse consequences of drop-out from team sport more information about risk factors for drop-out is warranted. The objectives of this systematic review were to (1) synthesise the literature on factors associated with future drop-out from team sport among adolescents and (2) investigate the strength of associations between drop-out and related factors with meta-analysis. The databases Academic Search Elite, ERIC, PsycINFO, PubMed and SPORTDiscus were searched for relevant publications from the earliest reported date until October 8, 2021. Articles were included if: (1) data about drop-out was collected; (2) the focus was on adolescents; (3) the context was team sport and (4) studies were of prospective design. We used the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) to assess the risk of bias in included studies. A narrative synthesis was conducted according to the reporting guideline of synthesis without meta-analysis. Studies that presented statistical data necessary for the calculation of Hedge’s g effect sizes were included in the meta-analysis. In total, 16 studies met the inclusion criteria and were included in the narrative synthesis. The meta-analysis included 12 of the studies. Altogether, 6304 adolescent team sport players participated in the selected studies. Of those studies, most had a focus on intrapersonal factors relationship with drop-out. The results showed that constructs related to motivation as well as sport experience had the strongest relationships with drop-out. To prevent drop-out from adolescents’ team sport, organisations and clubs are recommended to focus on developing a high-quality motivation climate that facilitates motivation and enjoyment.     

Exergame-based exercise training for depressive symptoms in adults: A systematic review and meta-analysis

ObjectiveThe aim of this study was to pool existing data to investigate the overall effectiveness of exergame-based exercise training in improving depressive symptoms in adults.DesignA systematic review and meta-analysis.MethodsTen databases were systematically searched from inception to August 18, 2021, and the search was last updated on November 6, 2021. Standardized mean differences (SMDs) were calculated using random effects models. The Risk of Bias 2 (RoB 2) tool was used to assess the methodological quality of the studies, and GRADEpro software was used to assess confidence in the cumulative evidence. Funnel plots, Egger's test, and Begg's test were used to analyse publication bias. Sensitivity, subgroup and meta-regression analyses were performed to explore potential sources of heterogeneity.ResultsTwenty-one studies were included, and the results showed exergame-based exercise training had a significant effect on depressive symptoms in adults (SMD = −0.69; 95% CI, −1.01 to −0.36; P < 0.001; 19 RCTs, 924 participants; low-quality evidence). The predictive interval was not significant (95% PI, −3.45, 2.07). Subgroup analysis showed that in the intervention with the general adult population, game devices with Kinect and long-term interventions appeared to be more effective. Sensitivity analysis found the results to be robust.ConclusionExergame-based exercise training has the potential to reduce depressive symptoms. Additionally, different populations, devices and durations of intervention could influence the effect. In the future, high-quality studies with large samples, multiple centres and long follow-up durations should be performed to further explore the efficacy of exergame-based exercise training.     

Gait variability in people with neurological disorders: A systematic review and meta-analysis

There has been growing evidence showing gait variability provides unique information about gait characteristics in neurological disorders. This study systemically reviewed and quantitatively synthesized (via meta-analysis) existing evidence on gait variability in various neurological diseases, including Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), cerebellar ataxia (CA), Huntington’s disease (HD), multiple sclerosis (MS), and Parkinson’s disease (PD). Keyword search were conducted in PubMed, Web of science, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library. Meta-analysis was performed to estimate the pooled effect size for gait variability for each neurological group. Meta-regression was performed to compare gait variability across multiple groups with neurological diseases. Gait variability of 777 patients with AD, ALS, CA, HD, MS, or PD participating in 25 studies was included in meta-analysis. All pathological groups had increased amount of gait variability and loss of fractal structure of gait dynamics compared to healthy controls, and gait variability differentiated distinctive neurological conditions. The HD groups had the highest alterations in gait variability among all pathological groups, whereas the PD, AD and MS groups had the lowest. Interventions that aim to improve gait function in patients with neurological disorders should consider the heterogeneous relationship between gait variability and neurological conditions.     

Correlates of youth sport attrition: A review and future directions

ObjectivesThis review aims to (a) identify correlates of youth sport attrition, (b) frame correlates within a multilevel model of youth sport participation (i.e., biological, intra-personal, inter-personal, institutional, community, and policy levels), and (c) assess the level of evidence for each correlate.DesignReview paper.MethodsSystematic review method.ResultsEntering relevant search terms into PubMed, PsycINFO, SPORTDiscus and Web of Knowledge databases identified 23 articles with a total of 8345 participants. Satisfactory articles largely examined sport-specific attrition and sampled youth from western countries (e.g., Canada, France, Spain, United States). Of the 141 correlates examined, most were framed at the intrapersonal (90) and inter-personal levels (43). The level of evidence for each correlate (i.e., high, low, insufficient) was systematically assessed based on the quantity and quality of supporting articles. In total, 11 correlates were categorized as having a high quality level of evidence and 10 as having a low quality. High quality correlates included, among others, age, autonomy, perceived competence, relatedness, and task climate.ConclusionsOverall, established correlates of youth sport attrition are largely social in nature. Future directions surrounding (a) the need to examine correlates at lower (i.e., biological level) and higher (i.e., institutional, community, policy) analytic levels, (b) to sample participants from more culturally diverse societies and (c) to examine sport-general attrition are offered.     

Memory impairment among people who are homeless: A systematic review

Cognitive impairment may interfere with an individual's ability to function independently in the community and may increase the risk of becoming and remaining homeless. The purpose of this study was to systematically review the literature on memory deficits among people who are homeless in order to gain a better understanding of its nature, causes and prevalence. Studies that measured memory functioning as an outcome among a sample of homeless persons were included. Data on sampling, outcome measures, facet of memory explored and prevalence of memory impairment were extracted from all selected research studies. Included studies were evaluated using a critical appraisal process targetted for reviewing prevalance studies. Eleven studies were included in the review. Verbal memory was the most commonly studied facet of memory. Potential contributing factors to memory deficits among persons who are homeless were explored in seven studies. Memory deficits were common among the samples of homeless persons studied. However, there was a great deal of variation in the methodology and quality of the included studies. Conceptualisations of “homelessness” also differed across studies. There is a need for more controlled research using validated neuropsychological tools to evaluate memory impairment among people who are homeless.     

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.     

A systematic review of interventions for adults who stutter

PurposeTo examine the effectiveness of (i) face to face interventions (ii) models of service delivery and (iii) psychological treatments combined with speech-focused interventions for adults who stutter.MethodsFive electronic databases and three clinical trial registries were searched. Systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with adults who stutter were included. Pharmaceutical interventions were excluded. Primary outcomes included a measure of stuttering severity. Risk of bias assessment was conducted on included studies and overall quality of the evidence was graded.ResultsFive RCTS, four registered trials and three systematic reviews met inclusion criteria. Intervention approaches included speech restructuring programs (e.g. Camperdown Program) and transcranial direct current stimulation (tDCS). One study investigated cognitive behaviour therapy (CBT) alongside speech restructuring. Overall, studies were classified low risk of bias and good quality. Speech restructuring was included in all but one study (tDCS study) and had the most evidence i.e. supported by the greatest number of RCTs. On average, stuttering frequency was reduced by 50–57 % using speech restructuring approaches. No study reduced stuttering to the same level as community controls who don’t stutter. The study on tDCS reduced stuttering frequency by 22–27 %. Speech restructuring delivered via telehealth was non-inferior to face-to-face intervention. One study reported CBT was an effective adjunct to speech restructuring interventions.ConclusionSpeech restructuring interventions were found to reduce stuttering in adults, however degree and maintenance of fluency varied. The body of evidence surrounding tDCS and psychological interventions is limited. Replication studies should be considered.     

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.     

A review of competitive sport motivation research

ObjectivesThe purpose of this review was to synthesise contemporary research on competitive sport motivation (1995–2016) with a view to identifying trends and gaps in sample characteristics, research designs and analytical strategies, and classifying associated topics.DesignNarrative review.MethodFour databases were searched using a focused search strategy, leading to 63 studies that met the inclusion criteria. These were then evaluated in five sections: Theoretical Frameworks, Sample Characteristics, Research Designs, Analytical Strategies and Topics.ResultsA total of 63 studies comprising 12,440 participants were appraised. The average sample size and participant age were 197 and 22.6 years, respectively. Just over half of the studies described their sample as high-level. The majority of studies were quantitative and employed a cross-sectional design. A range of innovative statistical analyses were used, with structural equation modelling being increasingly adopted. In addition to studies focusing on motivation as a stand-alone topic, researchers in the area also investigated its relationship with motivational climate, burnout, doping, perfectionism, injury, and several other related variables.ConclusionsAfter reviewing the body of research on this specific topic area, promising directions for future research are presented. The focused approach particularly seeks to encourage researchers to employ different methodologies, and prioritise underused topics in future research on competitive athlete groups. Furthermore, the review points to several practical implications for competitive sport stakeholders.     

Interventions for children and adolescents who stutter: A systematic review,meta-analysis,and evidence map

PurposeThis systematic review critically appraises and maps the evidence for stuttering interventions in childhood and adolescence. We examine the effectiveness of speech-focused treatments, the efficacy of alternative treatment delivery methods and identify gaps in the research evidence.MethodsNine electronic databases and three clinical trial registries were searched for systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with children (2–18 years) who stutter. Pharmacological interventions were excluded. Primary outcomes were a measure of stuttering severity and quality assessments were conducted on all included studies.ResultsEight RCTs met inclusion criteria and were analysed. Intervention approaches included direct (i.e. Lidcombe Program; LP) and indirect treatments (e.g. Demands and Capacities Model; DCM). All studies had moderate risk of bias. Treatment delivery methods included individual face-to-face, telehealth and group-based therapy. Both LP and DCM approaches were effective in reducing stuttering in preschool aged children. LP had the highest level of evidence (pooled effect size=-3.8, CI -7.3 to -0.3 for LP). There was no high-level evidence for interventions with school-aged children or adolescents. Alternative methods of delivery were as effective as individual face-to-face intervention.ConclusionThe findings of this systematic review and evidence mapping are useful for clinicians, researchers and service providers seeking to understand the existing research to support the advancement of interventions for children and adolescence who stutter. Findings could be used to inform further research and support clinical decision-making.     

Evaluating single-case research data for systematic review: A commentary for the special issue

The purpose of this commentary is to provide observation on the statistical procedures described throughout this special section from the perspective of researchers with experience in conducting systematic reviews and meta-analyses of single-case research to address issues of evidence-based practice. It is our position that both visual and statistical analyses are complimentary methods for evaluating single-case research data for these purposes. Given the recent developments regarding the use of single-case research to inform evidence-based practice and policy, the developments described in the present issue will be contextualized within the need for a widely accepted process for data evaluation to assist with extending the impact of single-case research. The commentary will, therefore, begin with providing an overview of the conceptual underpinnings of a systematic review of single-case research and will be followed by a discussion of several features that are essential to the development of a conceptually sound and widely used statistical procedure for single-case research. The commentary will conclude with recommendations and guidelines for the use of both visual and statistical analyses within primary research reports and recommendations for future research.     

Working memory outcomes following traumatic brain injury in children: A systematic review with meta-analysis

The aim of this review is to systematically examine the literature concerning multicomponent working memory (WM)—comprising a central executive (CE), two storage components (phonological loop, PL and visuo-spatial sketchpad, VSSP), and episodic buffer (EB)—in pediatric traumatic brain injury (TBI). Electronic searches were conducted of MEDLINE, PsychINFO and EMBASE up to October 2014 with the inclusion criteria of children and adolescents with TBI, and quantitative methods to assess at least one component of WM. Meta-analytic procedures calculated pooled effect sizes for WM outcomes. Of the studies examined, 27 met the inclusion criteria. Children with TBI exhibited deficits in the CE and PL, but not in the VSSP, and no study could be found which examined the EB. Qualitative analysis found that greater TBI severity was associated with poorer CE functioning in five out of nine studies. Differences in patterns of brain activation were evident in four out of five fMRI studies that examined WM in TBI children and controls. Deficits in CE were associated with poorer mathematical skills in the only study that examined relations between WM and academic deficits. Notwithstanding the heterogeneity of the studies reviewed, TBI places children at risk of WM deficits. Moreover, this meta-analysis suggests that various components of WM have differential vulnerability to pediatric TBI, with significant deficits found in the CE and PL, but not in the VSSP (although the VSSP has rarely been examined to date). Future studies should be theoretically driven, employ tasks assessing all components of the WM model and examine the functional ramifications (including academic outcomes) of WM deficits in this population.     

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.     

运动员咀嚼口香糖行为与竞赛焦虑的关系

为考察运动员咀嚼口香糖行为与竞赛焦虑的关系,本研究采用自编《咀嚼口香糖与竞赛焦虑问卷CGSCA》与《运动竞赛焦虑测验SCAT》,调查了457名运动员。结果发现,SCAT表明,运动员在竞赛情景下普遍处于应激状态并容易体验到焦虑;CGSCA表明,竞赛咀嚼行为与竞赛焦虑存在显著正相关,竞赛焦虑高的个体拥有更多的竞赛咀嚼行为,并更多地采用咀嚼口香糖的方式来缓解竞赛焦虑。本研究表明,咀嚼口香糖可以缓解运动员的竞赛焦虑。