The DOI matches its Crossref record, with a small difference in title or year; 75 of the 76 references it cites were found in a registry or an index.
An empirical examination comparing the mindfulness-acceptance-commitment approach and psychological skills training for the mental health and sport performance of female student athletes.
Abstract
The present study was a randomised controlled trial investigating the effectiveness of the Mindfulness-Acceptance-Commitment (MAC) approach compared to traditional Psychological Skills Training (PST) for the mental health and sport performance of female collegiate athletes. Two hypotheses were proposed: (a) participants in the MAC group would demonstrate reduced behavioural issues, emotional distress, and psychological symptoms, and increased athletic performance when compared to those in the PST group; (b) MAC participants would exhibit reduced emotion dysregulation and increased psychological flexibility and dispositional mindfulness, compared to PST participants. Participants included 18 National Collegiate Athletic Association Division III female student athletes who were randomly assigned into either the MAC or PST group based upon pre-intervention levels of distress; and were assessed pre-intervention, post-intervention, and at 1-month follow-up. A mixed-model ANOVA analysis revealed that the MAC effectively reduced Substance Use, Hostility, and Emotion Dysregulation over time when compared to the PST group. Several within-group differences also emerged, as MAC participants demonstrated reduced Generalised Anxiety, Eating Concerns, and Psychological Distress, as well as increased psychological flexibility from post-intervention to one-month follow-up. As per coach ratings, MAC participants also evidenced improved sport performance from pre-intervention to post-intervention. Results suggest that the MAC is an effective intervention for the mental health and sport performance needs of female collegiate athletes.
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“It is also efficacious when used in non-clinical settings, to help enhance athletic performance (Lutkenhouse et al., unpublished; Gross et al., 2016; Josefsson et al., 2019), to improve workplace performance (Bond and Bunce, 2003; Bond and Flaxman, 2006; Bond et al., 2016), to lessen procrastination in college students”
From Piloting a New Model for Treating Music Performance Anxiety: Training a Singing Teacher to Use Acceptance and Commitment Coaching With a Student (2020) · cites this paper as Gross et al., 2016
In the citing paper
“In addition, there is growing consensus among ACT researchers that psychological flexibility is a trainable set of skills that promote various health outcomes for the general public (Gross et al., 2016; Gloster et al., 2017b).”
From Piloting a New Model for Treating Music Performance Anxiety: Training a Singing Teacher to Use Acceptance and Commitment Coaching With a Student (2020) · cites this paper as Gross et al., 2016
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“In recent years, mindfulness-based interventions and biofeedback training have gained increasing attention as alternative approaches [16, 17].”
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“Additionally, being a student-athlete is known to be inherently stressful and is similar to working two full-time jobs, at least at the Division I level (Gross et al., 2018).”
BackgroundWang, X., & Zhang, Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1647698 · Cited by 4
Harrison, C., Ruddock, S., Mayes, S., Cook, J. L., O’Halloran, P., Ferrar, K., Li, X., & Ruddock-Hudson, M. (2024) · Journal of Dance Medicine & Science · doi:10.1177/1089313x241272136 · Cited by 4
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“Also, for the organisation to screen for MHP, using, for example, the IOC Sport Mental Health Assessment Tool 1 36 to detect athletes who need help can be of great importance.”
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“32,39,44,48 Two studies reported greater self-reported satisfaction with sport performance following a mindful sport performance enhancement intervention.”
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“In the study by Gross et al.,37 the PST group demonstrated statistically significant between-group differences in mindfulness compared to the MAC group at both pre- and post-intervention; however, neither group saw statistically significant increases in mindfulness scores at post-intervention or follow-up.”
BackgroundMethodInfluentialGonzález, J. A. D., Reigal, R. E., Morales‐Sánchez, V., & Hernández-Mendo, A. (2024) · Perceptual and Motor Skills · doi:10.1177/00315125241256410 · Cited by 3
“Gross et al. (2018), in their study on a Mindfulness program, obtained similar results to ours and achieved a reduction in participants ’ anxiety and an increase in their cognitive fl exibility.”
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“The third area examines strategies for enhancing mental, emphasizing interventions like mindfulness training (Gardner & Moore, 2004; Gross et al., 2018) or mental health literacy programs (Gorczynski et al., 2021).”
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BackgroundDavre, C., Votta, C. M., DiSanti, J. S., Deldin, A. R., & Deldin, P. J. (2024) · Journal of American College Health · doi:10.1080/07448481.2024.2312421 · Cited by 3
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“(29) and Gardner and his colleagues reported that MAC approached interventions were effective in reducing emotional symptoms as well as the core beliefs and inner processes of them (30).”
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Gómez-Espejo, V., Ortega, E., & Zafra, A. O. (2023) · APUNTES DE PSICOLOGÍA · doi:10.55414/ap.v41i1.1528 · Cited by 3
“…estudiada (Abdullah, Musa, Maliki et al., 2016; Álvarez, Esteban, Falcó et al., 2014; Gómez-Espejo, García-Mas, Ortega y Olmedilla, 2022; Gross, Moore, Gardner et al., 2018; MacNamara, Button y Collins, 2010; Robles-Rodríguez, Abad-Robles, Robles-Rodríguez y Giménez, 2020 ),…”
Bahramiabdolmalaki, S., Homayouni, A., & Aliyali, M. (2021) · طلوع بهداشت یزد · doi:10.18502/tbj.v20i1.6185 · Cited by 3
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Laulan, P., Rimmele, U., & Cuadrado, J. (2026) · Mindfulness · doi:10.1007/s12671-026-02767-0 · Cited by 2
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Baiguzhin, P. A., Шибкова, Д. З., Ryba, T. V., Gerasev, A. D., & Айзман, Р. И. (2022) · Science for Education Today · doi:10.15293/2658-6762.2203.03 · Cited by 2
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“The sense of well-being has both emotional and cognitive components (Gross et al., 2018).”
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“The notion that training commitment significantly influences employee work performance (H1) positively is in keeping with the findings of previous empirical studies conducted by researchers such as; (Gross et al., 2018; Ahmad et al., 2019; Jolley et al., 2020; Hussain et al., 2020).”
ResultXiao, J., Liu, X., Sun, J., & Zhang, T. (2023) · Applied & Educational Psychology · doi:10.23977/appep.2023.040303 · Cited by 2
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“In a recent study using the MAC approach, Gross et al. (2018) found that NCAA Division III (DIII) women’s basketball players (n = 18) reduced behaviors related to substance abuse, emotional dysregulation, hostility, generalized anxiety, and Journal of Kinesiology and Wellness - Student Edition,…”
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“…cognitive and behavioral mental skills contributed towards improving their overall performances (Brown & Fletcher, 2017, Bühlmayer et al., 2017, Gross et al., 2018, Gould & Maynard, 2009, Hardy et al., 2017, Harita et al., 2022, Hut et al., 2021, Noetel et al., 2019, Sparks & Ring, 2022,…”
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“Similarly, a randomized controlled trial by Gross et al. (2018) investigated the effectiveness of the MAC approach compared to traditional PST on the mental health and sports performance of female collegiate athletes.”
InfluentialXie, Q., & Hamilton, H. (2021) · Work · doi:10.3233/wor-205354 · Cited by 1
RetractedDispositional mindfulness in individuals with different levels of physical activity
Zinchenko, M. I., Gultyaeva, V. V., Uryumtsev, D. Y., Владимировна, Б. Е., Vergunov, E. G., Рыбкин, В. О., Mozolevskaja, N. V., & Krivoschekov, S. G. (2023) · Comprehensive Child Studies · doi:10.33910/2687-0223-2023-5-3-163-172 · Cited by 1
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“…suggest an approach called Mindfulness-Acceptance-Commitment (MAC), an approach that is gaining empirical support for its efficacy in enhancing performance, as well as reducing behavioral issues, emotional distress, and psychological symptoms (Gross et al. 2016; Gardner and Moore 2012; Moore 2009).”
BackgroundThe Impact of Mindfulness Training on Competitive Athletic Performance
Nelson, D. W. (2018) · ScholarsArchive (Brigham Young University)
Mindfulness- and Acceptance-Based Interventions for Performance and Mental Health Outcomes in Sport
White, R. G., Bethell, A., Charnock, L., Leckey, S., & Penpraze, V. (2021) · Springer eBooks · doi:10.1007/978-3-030-64942-5_2
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“According to Agus, in sociolinguistic studies, greeting words are a form of linguistic marker that greatly influences the form of language use, especially in terms of the use of greeting words used by female and male speakers (Gross, 2018).”
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Ong, L. Z., Callender, K. A., Wawa-Egbuche, S. A., Glawe, M. M., & Herbst, A. A. (2024) · Advances in Mental Health · doi:10.1080/18387357.2024.2426672
“Gross et al. (2016) asserted that Mindfulness-Acceptance-Commitment (MAC) approach was effective in promoting the mental health and sport performance needs of female collegiate athletes.”
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Al-Qaoud, M. M. S., Mohammad, L. H., Al-Nadhari, M. H., & حسن, غ. ع. ا. ح. (2025) · مجلة دراسات وبحوث التربية الرياضية · doi:10.55998/jsrse.v35i1.976
“…et al., 2024) Promoting positive health behavior: Sports media plays a role in changing athletes behaviors for the better through continuous awareness campaigns that encourage adherence to proper sports training and avoiding wrong practices that may lead to injuries (Gross et al., 2018) 35Vol , .1”
Minkler, T. O., Hut, M., Glass, C. R., Thomas, H. M., Weppner, C. H., & Flannery, C. B. (2025) · The Sport Psychologist · doi:10.1123/tsp.2023-0149 · Cited by 1
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Mental well-being and anxiety in sports among high-performance university athletes
Pa, W. A. M. W., Nasir, M. F. M., Nazarudin, M. N., & Bakar, A. Y. A. (2025) · Physical Education of Students · doi:10.15561/20755279.2025.0303
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Neurophysiology of Mindfulness in Sports—From Performance to Rehabilitation
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Sporcularda Beyin Sisi Ölçeği: Geçerlik ve Güvenirlik Çalışması
Özkan, A. M., & Toros, T. (2026) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.1836441
Effet d'un entrainement en pleine conscience et validation d'une échelle de mesure
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“Recent systematic reviews have further confirmed the robust association between psychological resources and combat sports participation across diverse populations (Gross et al., 2018; Ciaccioni et al., 2025).”
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“The control group consisted of a waitlist/no-treatment control or an active control (PST/psychological skills training/REBT/CBT/relaxation training; Röthlin et al., 2020; Gross et al., 2018; Turner, 2022; Jordana et al., 2023).”
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“Typically, mindfulness is utilised to support an athlete's ability to remain focused on the environmental cues and demands of task performance, despite any internal discomfort they may experience [131].”
Mindfulness in sports: a bibliometric analysis from 1995 to 2025
Chen, C. P., Hung, C.-S., Nien, J., Hsieh, W.-L., Chen, M., Brazaitis, M., Tran, T. T., & Chang, Y. (2026) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2026.2687391 · Cited by 1
Metadata
- Authors
- Gross, M., Moore, Z. E., Gardner, F. L., Wolanin, A. T., Pess, R., & Marks, D. R.
- Affiliations
- Kean University (US)
- Manhattan University (US)
- Touro College (US)
- Corresponding author
- Gross, Mike
- Venue
- International Journal of Sport and Exercise Psychology
- Publisher
- Informa UK Limited
- Published
- 2016-11-03
- Volume
- 16
- Issue
- 4
- Pages
- 431-451
- ISSN
- 1557-251X (ISSN-L)
- 1612-197X
- OpenAlex
- W2547176344
- Cited by
- 213
- References
- 76
- Citations by year
- 2026: 23 · 2025: 31 · 2024: 15 · 2023: 27 · 2022: 29 · 2021: 31 · 2020: 20 · 2019: 22 · 2018: 9 · 2017: 5 · 2016: 1
- FWCI
- 16.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Sport and Exercise Psychology (publishedVersion)
- Touro Scholar (Touro College) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- mental training, female collegiate athletes, collegiate athletes, mental health, athletic performance, emotional dysregulation, psychological flexibility, trait mindfulness, psychological distress, generalized anxiety disorder, eating concerns, substance use, hostility, coach ratings
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