Mental Health of Elite Sport Coaches and Entourage
Abstract
There is growing understanding of the extent of mental health problems, and related mental health needs, among elite athletes. However, far less attention has been paid to mental health among elite coaches and high-performance support staff, the latter including strength and conditioning coaches, physiotherapists, sport psychologists, and other allied health workers in the daily training environment (high-performance support staff are referred to collectively as "entourage" throughout this article). The scarcity of research examining mental health among elite coaches and entourage warrants urgent attention, particularly given these individuals share similar performance demands and role-related stressors as elite athletes. This article reviews the available literature on this topic, including (1) an empirical study conducted by the authors with a sample of coaches and entourage from Australia's national high-performance sport system and (2) a case example to illustrate sport-specific and general risk factors that are likely to impact mental health in elite sporting environments. Avenues for supporting mental health among coaches and entourage are discussed.
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Research has primarily examined mental health outcomes of elite athletes, with comparatively less research focusing on coaches.
“To date, research has primarily examined the mental health outcomes of elite athletes [15–18], with comparatively less research focusing on understanding these psychological experiences among coaches [19].”
From The Mental Health of Elite-Level Coaches: A Systematic Scoping Review (2024) · cites this paper as [19]
Cites
Self-Determination Theory Applied to Health Contexts: A Meta-Analysis
Ng, J. Y. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012) · Perspectives on Psychological Science · doi:10.1177/1745691612447309 · Cited by 1,959 · see citing works
Mental health in elite athletes: International Olympic Committee consensus statement (2019)
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., et al. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100715 · Cited by 1,277 · see citing works
Self-citationPHYSICAL ACTIVITY AND MENTAL HEALTH: THE ASSOCIATION BETWEEN EXERCISE AND MOOD
Peluso, M. A. M., & Andrade, L. H. (2005) · Clinics · doi:10.1590/s1807-59322005000100012 · Cited by 804 · see citing works
Gouttebarge, V., Castaldelli-Maia, J. M., Gorczynski, P., Hainline, B., Hitchcock, M. E., Kerkhoffs, G. M., Rice, S. M., & Reardon, C. L. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100671 · Cited by 604 · see citing works
The mental health of Australian elite athletes
Gulliver, A., Griffiths, K. M., Mackinnon, A. J., Batterham, P. J., & Stanimirovic, R. (2014) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2014.04.006 · Cited by 451 · see citing works
Purcell, R., Gwyther, K., & Rice, S. M. (2019) · Sports Medicine - Open · doi:10.1186/s40798-019-0220-1 · Cited by 394 · see citing works
Self-citationGouttebarge, V., Bindra, A., Blauwet, C. A., Campriani, N., Currie, A., Engebretsen, L., Hainline, B. W., Kroshus, E., Mcduff, D. R., Mountjoy, M. L., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102411 · Cited by 359 · see citing works
Self-citationDeterminants of anxiety in elite athletes: a systematic review and meta-analysis
Rice, S., Gwyther, K., Santesteban‐Echarri, O., Baron, D. A., Gorczynski, P. F., Gouttebarge, V., Reardon, C. L., Hitchcock, M., Hainline, B. W., & Purcell, R. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100620 · Cited by 333 · see citing works
Self-citationRisk and protective factors for mental health in elite athletes: a scoping review
Kuettel, A., & Larsen, C. H. (2020) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2019.1689574 · Cited by 311 · see citing works
Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research
Steiner, J. L. (1995) · Psychiatric Services · doi:10.1176/ps.46.7.736 · Cited by 288 · see citing works
Psychological stress in sports coaches: A review of concepts, research, and practice
Fletcher, D., & Scott, M. (2010) · Journal of Sports Sciences · doi:10.1080/02640410903406208 · Cited by 285 · see citing works
Chang, C., Putukian, M., Aerni, G. A., Diamond, A. B., Hong, G. G., Ingram, Y. M., Reardon, C. L., & Wolanin, A. T. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101583 · Cited by 277 · see citing works
The Prevalence of Failure-Based Depression Among Elite Athletes
Hammond, T. G., Gialloreto, C., Kubas, H. A., & Davis, H. (2013) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e318287b870 · Cited by 268 · see citing works
The prevalence of mental health problems in elite athletes
Åkesdotter, C., Kenttä, G., Eloranta, S., & Franck, J. (2019) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2019.10.022 · Cited by 213 · see citing works
Stress in Elite Sports Coaching: Identifying Stressors
Olusoga, P., Butt, J., Hays, K., & Maynard, I. (2009) · Journal of Applied Sport Psychology · doi:10.1080/10413200903222921 · Cited by 206 · see citing works
Stressors in elite sport: A coach perspective
Thelwell, R. C., Weston, N. J. V., Greenlees, I. A., & Hutchings, N. V. (2008) · Journal of Sports Sciences · doi:10.1080/02640410801885933 · Cited by 199 · see citing works
Stressors, coping, and well-being among sports coaches: A systematic review
Norris, L. A., Didymus, F. F., & Kaiseler, M. (2017) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2017.08.005 · Cited by 190 · see citing works
An Evidence-Informed Framework to Promote Mental Wellbeing in Elite Sport
Purcell, R., Pilkington, V., Carberry, S., Reid, D., Gwyther, K., Hall, K., Deacon, A., Manon, R., Walton, C. C., & Rice, S. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.780359 · Cited by 156 · see citing works
Self-citationPsychological safety in sport: a systematic review and concept analysis
Vella, S. A., Mayland, E. C., Schweickle, M. J., Sutcliffe, J., McEwan, D., & Swann, C. (2022) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2022.2028306 · Cited by 137 · see citing works
Maggino, F. (2023) · Springer eBooks · doi:10.1007/978-3-031-17299-1_301172 · Cited by 108 · see citing works
Affectivity, Emotional Labor, Emotional Exhaustion, and Emotional Intelligence in Coaching
Lee, Y. H., & Chelladurai, P. (2016) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2015.1092481 · Cited by 107 · see citing works
Coach Burnout: A Scoping Review
Olusoga, P., Bentzen, M., & Kentta, G. (2019) · International Sport Coaching Journal · doi:10.1123/iscj.2017-0094 · Cited by 106 · see citing works
Gender differences in mental health symptoms and risk factors in Australian elite athletes
Walton, C. C., Rice, S., Gao, C. X., Butterworth, M., Clements, M., & Purcell, R. (2021) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2020-000984 · Cited by 103 · see citing works
Self-citationAn interpretative phenomenological analysis of burnout and recovery in elite soccer coaches
Lundkvist, E., Gustafsson, H., Hjälm, S., & Hassmén, P. (2012) · Qualitative Research in Sport, Exercise and Health · doi:10.1080/2159676x.2012.693526 · Cited by 101 · see citing works
Olympic and international level sports coaches’ experiences of stressors, appraisals, and coping
Didymus, F. F. (2017) · Qualitative Research in Sport, Exercise and Health · doi:10.1080/2159676x.2016.1261364 · Cited by 101 · see citing works
Purcell, R., Rice, S., Butterworth, M., & Clements, M. (2020) · Sports Medicine · doi:10.1007/s40279-020-01266-z · Cited by 100 · see citing works
Self-citationBentzen, M., Lemyre, P.-N., & Kenttä, G. (2016) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2015.06.004 · Cited by 93 · see citing works
Mindfulness Training for Coaches: A Mixed-Method Exploratory Study
Longshore, K., & Sachs, M. (2015) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2014-0038 · Cited by 86 · see citing works
Psychological Distress in Elite Adolescent Soccer Players Following Deselection
Blakelock, D. J., Chen, M. A., & Prescott, T. (2016) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2015-0010 · Cited by 77 · see citing works
Pilkington, V., Rice, S. M., Walton, C. C., Gwyther, K., Olive, L., Butterworth, M., Clements, M., Cross, G., & Purcell, R. (2022) · Sports Medicine - Open · doi:10.1186/s40798-022-00479-y · Cited by 77 · see citing works
Self-citationJensen, S. N., Ivarsson, A., Fallby, J., Dankers, S., & Elbe, A. (2018) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2018.02.008 · Cited by 76 · see citing works
Kegelaers, J., Wylleman, P., van Bree, I. (. N. A., Wessels, F., & Oudejans, R. R. D. (2021) · International Sport Coaching Journal · doi:10.1123/iscj.2020-0066 · Cited by 71 · see citing works
Potts, A. J., Didymus, F. F., & Kaiseler, M. (2023) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2021.1907853 · Cited by 67 · see citing works
Desperate to Quit: A Narrative Analysis of Burnout and Recovery in High-Performance Sports Coaching
Olusoga, P., & Kenttä, G. (2017) · The Sport Psychologist · doi:10.1123/tsp.2016-0010 · Cited by 66 · see citing works
Åkesdotter, C., Kenttä, G., Eloranta, S., Håkansson, A., & Franck, J. (2022) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2021-001264 · Cited by 63 · see citing works
Evidence of gender imbalance across samples in sport and exercise psychology
Walton, C. C., Gwyther, K., Gao, C. X., et al. (2022) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2022.2150981 · Cited by 63 · see citing works
Burnout among elite soccer coaches
Hjälm, S., Kenttä, G., Hassmenan, P., & Gustafsson, H. (2007) · Journal of sport behavior · Cited by 62 · see citing works
Sleep in elite multi-sport athletes: Implications for athlete health and wellbeing
Biggins, M., Purtill, H., Fowler, P., Bender, A. M., Sullivan, K. O., Samuels, C. H., & Cahalan, R. (2019) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2019.07.006 · Cited by 62 · see citing works
Bentzen, M., Lemyre, P.-N., & Kenttä, G. (2016) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2015.1053160 · Cited by 61 · see citing works
Rice, S., Walton, C. C., Pilkington, V., Gwyther, K., OLIVE, L. S., Lloyd, M., Kountouris, A., Butterworth, M., Clements, M., & Purcell, R. (2022) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2021-001251 · Cited by 61 · see citing works
Self-citationBentzen, M., Lemyre, P.-N., & Kenttä, G. (2014) · Sports Coaching Review · doi:10.1080/21640629.2015.1035050 · Cited by 57 · see citing works
Experiences of occupational stress and social support in Australian Football League senior coaches
Knights, S., & Ruddock-Hudson, M. (2016) · International Journal of Sports Science & Coaching · doi:10.1177/1747954116636711 · Cited by 53 · see citing works
Bentzen, M., Kenttä, G., & Lemyre, P.-N. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17145196 · Cited by 44 · see citing works
Recovery–stress imbalance in Australian Football League coaches: A pilot longitudinal study
Kellmann, M., Altfeld, S., & Mallett, C. J. (2015) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2015.1020662 · Cited by 41 · see citing works
Kim, S. S. Y., Hamiliton, B., Beable, S., Cavadino, A., & Fulcher, M. L. (2020) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2019-000719 · Cited by 40 · see citing works
Stress and Mental Well-Being Experiences of Professional Football Coaches
Baldock, L., Cropley, B., Neil, R., & Mellalieu, S. D. (2021) · The Sport Psychologist · doi:10.1123/tsp.2020-0087 · Cited by 39 · see citing works
Hill, D. M., Brown, G., Lambert, T.-L., Mackintosh, K. A., Knight, C. J., & Gorczynski, P. F. (2021) · Sport Exercise and Performance Psychology · doi:10.1037/spy0000263 · Cited by 38 · see citing works
Gwyther, K., Rice, S., Purcell, R., Pilkington, V., Santesteban‐Echarri, O., Bailey, A. P., & Walton, C. C. (2021) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2021.102094 · Cited by 37 · see citing works
Self-citationThe Level of Mental Health Literacy Among Athletic Staff in Intercollegiate Sport
Sullivan, P., Murphy, J., & Blacker, M. (2018) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2018-0052 · Cited by 36 · see citing works
Hägglund, K., Kenttä, G., Thelwell, R., & Wagstaff, C. R. D. (2022) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2021.1925782 · Cited by 36 · see citing works
Burnout among Judo Coaches in Turkey
Gencay, S., & Gencay, O. A. (2011) · Journal of Occupational Health · doi:10.1539/joh.10-0064-fs · Cited by 35 · see citing works
Burnout symptoms and recovery processes in eight elite soccer coaches over 10 years
Hassmén, P., Kenttä, G., Hjälm, S., Lundkvist, E., & Gustafsson, H. (2019) · International Journal of Sports Science & Coaching · doi:10.1177/1747954119851246 · Cited by 34 · see citing works
The under representation of women coaches in high-performance sport
Serpell, B. G., Harrison, D., Dower, R., & Cook, C. J. (2023) · International Journal of Sports Science & Coaching · doi:10.1177/17479541231160229 · Cited by 34 · see citing works
Kaski, S. S., & Kinnunen, U. (2021) · International Journal of Sports Science & Coaching · doi:10.1177/1747954120967794 · Cited by 33 · see citing works
Jordana, A., Ramis, Y., Chamorro, J. M. L., Pons, J., Borrueco, M., Brandt, K. D., & Torregrossa, M. (2022) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-022-00491-x · Cited by 28 · see citing works
Supporting The Mental Health Of Elite‐Level Coaches Through Early Intervention
Frost, J., Walton, C. C., Purcell, R., & Rice, S. (2023) · Arthroscopy Sports Medicine and Rehabilitation · doi:10.1016/j.asmr.2023.04.017 · Cited by 26 · see citing works
Self-citationOrganizational stress in professional soccer coaches.
Rhind, D. J. A., Scott, M., & Fletcher, D. (2013) · International journal of sport psychology · Cited by 25 · see citing works
Kenttä, G., Mellalieu, S., & Roberts, C.-M. (2016) · The Sport Psychologist · doi:10.1123/tsp.2015-0134 · Cited by 25 · see citing works
A Longitudinal Examination of Stress and Mental Ill-/Well-Being in Elite Football Coaches
Baldock, L., Cropley, B., Mellalieu, S. D., & Neil, R. (2022) · The Sport Psychologist · doi:10.1123/tsp.2021-0184 · Cited by 25 · see citing works
Coping Amongst Elite-Level Sports Coaches: A Systematic Review
Olsen, M. G., Haugan, J. A., Hrozanova, M., & Moen, F. (2021) · International Sport Coaching Journal · doi:10.1123/iscj.2019-0051 · Cited by 24 · see citing works
An Examination of a Burnout Model in Basketball Coaches
Apostolidis, N. (2012) · Journal of Physical Education and Sport · Cited by 22 · see citing works
Ryska, T. A. (2009) · Journal of sport behavior · Cited by 18 · see citing works
The impact of job-burnout on Australian Football League coaches: Mental health and well-being
Ruddock, S., Ruddock-Hudson, M., & Rahimi-Golkhandan, S. (2017) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2017.09.341 · Cited by 14 · see citing works
Beware of the blues: Wellbeing of coaches and support staff throughout the Olympic Games
DeWolfe, C. E. J., & Dithurbide, L. (2022) · International Journal of Sports Science & Coaching · doi:10.1177/17479541221116880 · Cited by 14 · see citing works
Ruddock, S., Rahimi-Golkhanden, S., Ruddock-Hudson, M., & Wollersheim, D. (2019) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2019.08.241 · Cited by 13 · see citing works
Lee, Y. H. (2021) · The American Journal of Psychology · doi:10.5406/amerjpsyc.134.3.0269 · Cited by 12 · see citing works
Ruddock, S., Ruddock-Hudson, M., & Rahimi-Golkhandan, S. (2018) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2018.09.096 · Cited by 11 · see citing works
Srem-Sai, M., Hagan, J. E., Ogum, P. N., & Schack, T. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2022.938619 · Cited by 9 · see citing works
Georgios, K., & Nikolaos, A. (2012) · Journal of Physical Education and Sport · Cited by 8 · see citing works
The Prevalence of Emotional Exhaustion in Professional and Semiprofessional Coaches
Lundkvist, E., Gustafsson, H., Madigan, D., Hjälm, S., & Kalén, A. (2023) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2021-0039 · Cited by 7 · see citing works
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The Mental Health of Elite-Level Coaches: A Systematic Scoping Review
Frost, J., Walton, C. C., Purcell, R., Fisher, K., Gwyther, K., Kocherginsky, M., & Rice, S. M. (2024) · Sports Medicine - Open · doi:10.1186/s40798-023-00655-8 · Cited by 59 · see citing works
“To date, research has primarily examined the mental health outcomes of elite athletes [15–18], with comparatively less research focusing on understanding these psychological experiences among coaches [19].”
BackgroundSelf-citation
- Authors
- Purcell, R., Frost, J., & Pilkington, V.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Purcell, Rosemary
- Venue
- Clinics in Sports Medicine
- Publisher
- Elsevier BV
- Published
- 2024-01
- Volume
- 43
- Issue
- 1
- Pages
- 199-211
- ISSN
- 0278-5919 (ISSN-L)
- OpenAlex
- W4384700772
- Cited by
- 14
- References
- 70
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinics in Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- mental health, performance requirements, risk factors, mental health support
- MeSH terms
- Humans, Mental Health, Sports, Athletes
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