Collegiate athletes' mental health services utilization: A systematic review of conceptualizations, operationalizations, facilitators, and barriers
Open accessAbstract
BACKGROUND: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the present review was to analyze and synthesize the current literature concerning collegiate athletes' utilization of mental health services, including the facilitators of and barriers to use of these services. METHODS: The analysis was guided and organized using a socio-ecological framework, which considered the unique context in which collegiate athletes study and perform. A total of 21 articles, published between 2005 and 2016, which concern U.S. collegiate athletes' mental health services utilization (MHSU) were selected and included for the final analysis. Conceptualizations and operationalizations of MHSU were compared and contrasted. Facilitators of and barriers to athletes MHSU were examined and summarized while appropriately considering the proximity of each factor (facilitator or barrier) to the athletes. RESULTS: Results showed variations in conceptualizations and operationalizations of MHSU in the articles analyzed, which made interpretation and cross comparison difficult. Collegiate athletes are willing to utilize mental health services, but gender, perceived stigma, peer norms-for athletes and coaches-plus service availability impact their MHSU. CONCLUSION: Key stakeholders, administrators, and public health officials should partner to eliminate MHSU barriers, support facilitators, and generally empower collegiate athletes to actively manage their mental health.
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Perceived stigma associated with seeking mental health care and service availability are common challenges for college athletes attempting to use mental health resources.
“Common challenges for college athletes attempting to use mental health resources include perceived stigma associated with seeking mental health care [4] and service availability [5]”
From Mobile-Delivered Mindfulness Intervention on Anxiety Level Among College Athletes: Randomized Controlled Trial (2024) · cites this paper as [5]
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Patterns of health behaviors affecting mental health in collegiate athletes
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Prevalence of COVID-19 Anxiety in Division I Student-Athletes
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The Relationships Among Self-Compassion, Stigma, and Attitudes Toward Counseling in Student-Athletes
Hilliard, R. C., Redmond, L. A., & Watson, J. C. (2018) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2018-0027 · Cited by 23 · see citing works
Race/ethnicity and Stigma in Relation to Unmet Mental Health Needs among Student-athletes
Tran, A. G. T. T. (2021) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2021.1881859 · Cited by 22 · see citing works
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Coach Support of High School Student-Athletes Struggling With Anxiety or Depression
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Collegiate Student-Athlete Psychological Distress and Counseling Utilization During COVID-19
Slavin, L. E., Palmateer, T. M., Petrie, T. A., & Moore, E. W. G. (2022) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2021-0091 · Cited by 22 · see citing works
Barriers to and Facilitators of Collegiate Athletes Seeking Mental Health Services
Yoon, J., & Petrie, T. A. (2023) · Journal of Athletic Training · doi:10.4085/1062-6050-0559.22 · Cited by 19 · see citing works
Athletes are not at greater risk for death by suicide: A review
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Young, R. D., Neil, E. R., Eberman, L. E., Armstrong, T. A., & Winkelmann, Z. K. (2022) · Journal of Athletic Training · doi:10.4085/1062-6050-0180.22 · Cited by 18 · see citing works
What does it mean to be “mentally tough” as a NCAA division I collegiate coach?
Weinberg, R. S., Freysinger, V. J., Vealey, R. S., & Block, C. (2020) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2020.1791277 · Cited by 17 · see citing works
Managing mental health: athlete help-seeking
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Gao, Y., Shi, L., Fu, N., Yang, N., Weeks-Gariepy, T., & Mao, Y. (2024) · Journal of Medical Internet Research · doi:10.2196/40406 · Cited by 14 · see citing works
“Common challenges for college athletes attempting to use mental health resources include perceived stigma associated with seeking mental health care [4] and service availability [5], barriers that are unlikely to disappear soon.”
The Impacts of COVID-19 on Mental Health and Training in US Professional Endurance Athletes
Roche, M. D., Sainani, K. L., Noordsy, D. L., & Fredericson, M. (2021) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000983 · Cited by 14 · see citing works
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Hilliard, R. C., Redmond, L. A., & Watson, J. C. (2018) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2018.1504639 · Cited by 14 · see citing works
The Role of Psychologists in Sport Medicine Practice
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King, L., Cullen, S., McArdle, J., McGoldrick, A., Pugh, J., Warrington, G. D., & Losty, C. (2022) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2021-0032 · Cited by 14 · see citing works
On the Frontline of Athlete Mental Health: The Mental Health Literacy of NCAA Coaches
Beebe, K. E., & Petrie, T. A. (2024) · The Sport Psychologist · doi:10.1123/tsp.2023-0007 · Cited by 12 · see citing works
Low Energy Availability Risk Is Associated with Anxiety in Female Collegiate Athletes
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Stigma, Attitudes, and Intentions to Seek Mental Health Services in College Student-Athletes
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Mental Health Prevalence in NCAA Division III Collegiate Athletes
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Factors associated with coach–athlete conversations about mental health in intercollegiate sport
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What facilitates collegiate athletes seeking mental health care? Athletic trainers’ perceptions
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Mental health challenges and substance use in student-athletes: prevalence and impact
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Elite Academy Soccer Players’ Perceptions Towards Cognitive Behavioral Therapy
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Trait Courage, Attachment to God, and Mental Well-Being Among U.S. Collegiate Athletes
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Advancing elite athlete mental health treatment with psychedelic-assisted psychotherapy
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Developing and Implementing an App-Based Blended Psychological Skills Training: A Case Study
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Pediatric Sports: The Mental Health and Psychological Impact of Sport and Injury
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Is Help-Seeking for Mental Health Concerns “Normal” for College Athletes? A Social Norm Perspective
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Mental Health Literacy of Australian Youth Sport Coaches
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Masculinity and help-seeking in male collegiate athletes: The role of self-compassion
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- Authors
- Moreland, J. J., Coxe, K. A., & Yang, J.
- Affiliations
- Nationwide Children's Hospital (US)
- Ohio Department of Mental Health & Addiction Services (US)
- Corresponding author
- Yang, Jingzhen
- Venue
- Journal of Sport and Health Science
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 7
- Issue
- 1
- Pages
- 58-69
- ISSN
- 2213-2961 (ISSN-L)
- 2095-2546
- PMC
- PMC6180550
- OpenAlex
- W2609537729
- Cited by
- 206
- References
- 78
- Citations by year
- 2026: 19 · 2025: 27 · 2024: 27 · 2023: 28 · 2022: 24 · 2021: 35 · 2020: 23 · 2019: 12 · 2018: 11
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of sport and health science/Journal of Sport and Health Science (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- collegiate athletes, mental health service utilization, help-seeking, barriers to mental health care, help-seeking facilitators, perceived stigma, gender differences, peer norms, coaches, service availability, socio-ecological framework, athlete mental health
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