Cited by 206Mental Health Treatment and AccessPsychological Treatments and AssessmentsSport Psychology and Performance

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Collegiate athletes' mental health services utilization: A systematic review of conceptualizations, operationalizations, facilitators, and barriers

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Moreland, Jennifer J., Coxe, Kathryn A., Yang, Jingzhen·2018·Journal of Sport and Health Science

DOI 10.1016/j.jshs.2017.04.009PMC PMC6180550

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Abstract

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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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
ORCID: Moreland, Jennifer J.
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
DOI: 10.1016/j.jshs.2017.04.009
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: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
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: Health Sciences › Medicine › Psychiatry and Mental health › 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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Collegiate athletes' mental health services utilization: A systematic review of conceptualizations, operationalizations, facilitators, and barriers

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