Mental health challenges and interventions among collegiate athletes: A thematic literature review (2010–2025)
DOI:
https://doi.org/10.64268/jospa.v1i2.6Keywords:
Mental health, Athletes, Elite athletes, Team cohesion, PerformanceAbstract
Background: Athlete' psychological well-being is fundamental to their success and resilience. Recognizing this critical link, understanding how to enhance mental health for improved sport performance is invaluable to the athletic community. Aims: This article aims to concisely examine the intricate relationship between athlete mental health and performance, synthesizing current information and strategies to optimize both. Methods: A systematic literature review was conducted to identify, select, and analyze relevant studies on the impact of mental health on athletic performance across various sports. A thematic narrative synthesis summarized findings, informing practical recommendations. Results: Findings consistently show that elite and collegiate athletes face comparable or heightened risks of mental health disorders due to intense competition, public scrutiny, and career uncertainties. Conversely, strong team cohesion and social support significantly enhance athletes' mental well-being and performance. Practical strategies include ensuring access to specialized mental health professionals, integrating mindfulness and relaxation techniques (e.g., Progressive Muscle Relaxation), utilizing mental health checklists for self-assessment, and implementing comprehensive coaching guidelines. These guidelines emphasize open communication, mental health education for coaches, and proactive stress management within training programs. Conclusion: The profound connection between mental health and athletic performance necessitates a proactive, multifaceted approach. At the same time, current research provides valuable insights, but limitations exist, including potential publication bias and a narrow time frame in many studies. Future research should prioritize longitudinal studies to understand long-term effects, explore technological interventions for accessibility, and rigorously evaluate student support services. These efforts will contribute to more effective, evidence-based support systems for athletes.
References
Alicea, S., Sackett, S. C., & Winter, A. (2024). A wellness application: Use of imagery for athletes’ stress reduction and relaxation. Journal of Imagery Research in Sport and Physical Activity, 19(s1). https://doi.org/10.1515/jirspa-2023-0036
Åkesdotter, C., Kenttä, G., Eloranta, S., & Franck, J. (2020). The prevalence of mental health problems in elite athletes. Journal of Science and Medicine in Sport, 23(4), 329-335. https://doi.org/10.1016/j.jsams.2019.09.006
Bruner, M. W., Eys, M. A., Wilson, K. S., & Côté, J. (2014). Group cohesion and positive youth development in team sport athletes. Sport, Exercise, and Performance Psychology, 3(4), 219–231. https://doi.org/10.1037/spy0000021
Castaldelli-Maia, J. M., e Gallinaro, J. G. D. M., Falcão, R. S., Gouttebarge, V., Hitchcock, M. E., Hainline, B., Reardon, C. L., Swartz, L., & Stull, T. (2019). Mental health symptoms and disorders in elite athletes: A systematic review on cultural influencers and barriers to athletes seeking treatment. British Journal of Sports Medicine, 53(11), 707-721. https://doi.org/10.1136/bjsports-2019-100711
Chang, C. J., Putukian, M., Aerni, G., Diamond, A. B., Hong, E. S., Ingram, Y. M., Reardon, C. L., & Wolanin, A. T. (2020). Mental Health Issues and Psychological Factors in Athletes: Detection, Management, Effect on Performance, and Prevention: American Medical Society for Sports Medicine Position Statement. Clinical Journal of Sport Medicine, 30(2), e61. https://doi.org/10.1097/JSM.0000000000000817
DeFreese, J. D., & Smith, A. L. (2013). Teammate social support, burnout, and self-determined motivation in collegiate athletes. Psychology of Sport and Exercise, 14(2), 258-265. https://doi.org/10.1016/j.psychsport.2012.10.007
Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R. (2013). A systematic review of the psychological and social benefits of participation in sport for children and adolescents: Informing development of a conceptual model of health through sport. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 1-21. https://doi.org/10.1186/1479-5868-10-98
Foskett, R. L., & Longstaff, F. (2018). The mental health of elite athletes in the United Kingdom. Journal of Science and Medicine in Sport, 21(8), 765-770. https://doi.org/10.1016/j.jsams.2017.11.002
Gouttebarge, V., Castaldelli-Maia, J. M., Gorczynski, P., Hainline, B., Hitchcock, M. E., Kerkhoffs, G. M., Mountjoy, M., Purcell, R., Reardon, C. L., & Swartz, L. (2019). Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(11), 700-706. https://doi.org/10.1136/bjsports-2019-100671
Harmon, H., Siegien, J., Watt, C., Rebers, K., & Pennington, C. G. (2019). Attachment theory in coach-athlete relationships. Professional Association of Athlete Development Specialists Research Digest, 3(9), 14-16. https://www.paads.org/page/researchdigest
Henriksen, K., Schinke, R., Moesch, K., McCann, S., Parham, W. D., Larsen, C. H., & Terry, P. (2020). Consensus statement on improving the mental health of high performance athletes. International Journal of Sport and Exercise Psychology, 18(5), 553-560. https://doi.org/10.1080/1612197X.2020.1790212
Jef. (2023, March 28). Communication in sports: Build winning teams. Lead ‘Em Up. https://leademup.com/communication/communication-in-sports-build-winning-teams/
Jewett, R., Kerr, G., & Tamminen, K. (2019). University sport retirement and athlete mental health: A narrative analysis. Qualitative Research in Sport, Exercise and Health, 11(3), 416–433. https://doi.org/10.1080/2159676X.2018.1506497
Kindbridge. (2023, October 18). How does mental health affect athletic sports performance? Kindbridge Behavioral Health. https://kindbridge.com/mental-health/how-does-mental-health-affect-athletic-sports-performance/
Magness, B. S. a. S. (2019, November 5). How extended breaks in training help elite athletes—and why you should take them too. Sports Illustrated. https://www.si.com/edge/2017/06/07/peak-performance-book-extended-breaks-rest-workouts
Moesch, K., Kenttä, G., Kleinert, J., Quignon-Fleuret, C., Cecil, S., & Bertollo, M. (2018). FEPSAC position statement: Mental health disorders in elite athletes and models of service provision. Psychology of Sport and Exercise, 38, 61-71. https://doi.org/10.1016/j.psychsport.2018.06.010
Mujika, I., Halson, S., Burke, L. M., Balagué, G., & Farrow, D. (2018). An integrated, multifactorial approach to periodization for optimal performance in individual and team sports. International Journal of Sports Physiology and Performance, 13(5), 538-561. https://doi.org/10.1123/ijspp.2017-0582
Nixdorf, I., Frank, R., & Beckmann, J. (2016). Comparison of athletes’ proneness to depressive symptoms in individual and team sports: Research on psychological mediators in junior elite athletes. Frontiers in Psychology, 7, 893. https://doi.org/10.3389/fpsyg.2016.00893
Patel, M. P., & Chaudhari, M. A. D. (2014). Sports for positive mental health: A comparative study of mental health among individual athletes, team athletes and non-athletes. International Journal of Indian Psychology, 1(4). https://doi.org/10.25215/0104.004
Pennington, C. G. (2018). The cost of an “all-nighter”: Sleep and college athletes’ performance. Professional Association of Athlete Development Specialists Research Digest, 3(6), 6. https://www.paads.org/page/researchdigest
Pennington, C. G. (2019). Creating and confirming a positive sporting climate. Journal of Physical Education, Recreation & Dance, 90(4), 15-20. https://doi.org/10.1080/07303084.2019.1568936
Perron, A., Brendgen, M., Vitaro, F., Côté, S. M., Tremblay, R. E., & Boivin, M. (2012). Moderating effects of team sports participation on the link between peer victimization and mental health problems. Mental Health and Physical Activity, 5(2), 107-115. https://doi.org/10.1016/j.mhpa.2012.06.001
Pharr, J. R., Lough, N. L., & Terencio, M. A. (2019). Health and sociodemographic differences between individual and team sport participants. Sports, 7(6), 150. https://doi.org/10.3390/sports7060150
Pluhar, E., McCracken, C., Griffith, K. L., Christino, M. A., Sugimoto, D., & Meehan III, W. P. (2019). Team sport athletes may be less likely to suffer anxiety or depression than individual sport athletes. Journal of Sports Science & Medicine, 18(3), 490. https://doi.org/10.3390/sports7060150
Prinz, B., Dvořák, J., & Junge, A. (2016). Symptoms and risk factors of depression during and after the football career of elite female players. BMJ Open Sport & Exercise Medicine, 2(1). https://doi.org/10.1136/bmjsem-2016-000124
Publisher, A. R. a. R. O. O. (2016, September 29). 13.3 Small group dynamics. Pressbooks. https://open.lib.umn.edu/communication/chapter/13-3-small-group-dynamics/
Purcell, R., Gwyther, K., & Rice, S. M. (2019). Mental health in elite athletes: Increased awareness requires an early intervention framework to respond to athlete needs. Sports Medicine-Open, 5(1), 46. https://doi.org/10.1186/s40798-019-0211-5
Reardon, C. L., Hainline, B., Aron, C. M., Baron, D., Baum, A. L., Bindra, A., Budgett, R., Campriani, N., Castaldelli-Maia, J. M., Currie, A., Derevensky, J. L., Glick, I. D., Gorczynski, P., Gouttebarge, V., Grandner, M. A., Han, D. H., McDuff, D., Mountjoy, M., Polat, A., … Engebretsen, L. (2019). Mental health in elite athletes: International Olympic Committee consensus statement (2019). British Journal of Sports Medicine, 53(11), 667–699. https://doi.org/10.1136/bjsports-2019-100715
Resilience, S. (2016, December 4). Relaxation – sport resilience. https://sportresilience.com/relaxation/
Rooney, D., Jackson, R. C., & Heron, N. (2021). Differences in the attitudes to sport psychology consulting between individual and team sport athletes. BMC Sports Science, Medicine and Rehabilitation, 13(1), 1-8. https://doi.org/10.1186/s13102-021-00277-w
Ströhle, A. (2019). Sports psychiatry: Mental health and mental disorders in athletes and exercise treatment of mental disorders. European Archives of Psychiatry and Clinical Neuroscience, 269(5), 485-498. https://doi.org/10.1007/s00406-019-01027-1
Sullivan, M., Moore, M., Blom, L. C., & Slater, G. (2020). Relationship between social support and depressive symptoms in collegiate student athletes. Journal for the Study of Sports and Athletes in Education, 14(3), 192-209. https://doi.org/10.1080/19357390.2020.1795123
Thorpe, R. T., Atkinson, G., Drust, B., & Gregson, W. (2017). Monitoring fatigue status in elite team-sport athletes: Implications for practice. International Journal of Sports Physiology and Performance, 12(s2), S2-27–S2-34. https://doi.org/10.1123/ijspp.2016-0421
Vanrenterghem, J., Nedergaard, N. J., Robinson, M. A., & Drust, B. (2017). Training load monitoring in team sports: A novel framework separating physiological and biomechanical load-adaptation pathways. Sports Medicine, 47(11), 2135-2142. https://doi.org/10.1007/s40279-017-0742-0
Wolanin, A., Hong, E., Marks, D., Panchoo, K., & Gross, M. (2016). Prevalence of clinically elevated depressive symptoms in college athletes and differences by gender and sport. British Journal of Sports Medicine, 50(3), 167–171. https://doi.org/10.1136/bjsports-2015-095756
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Colin Pennington, Paola Joseph

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.