Cognitive behavioral intervention in sport psychology: a case illustration of the exposure method with an elite athlete
Open accessAbstract
One common method in Cognitive behavior therapy (CBT) to treat anxiety problems is exposure, but there are few articles examining its applicability to sport. The aim of this article is to give a background of the use of exposure in sport and present a case of how exposure can be used with athletes. The athlete was a 17-year-old female cross-country skier with high levels of performance anxiety. In the case description, common procedures in CBT such as behavioral analysis, psychoeducation, and exposure are presented, as well as how anxiety can be managed. After the intervention the athlete perceived lower levels of anxiety as well as improved behavioral repertoire (e.g., less avoidant behaviors and more functional sport-specific behaviors). This case may be used to help practitioners consider the use of exposure in competitive sports.
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References 35 · Cited by 32
Research works printed but not linked: 16
- Abramowitz, J. S., Deacon, B. J., & Whiteside, S. P. (2011). Exposure therapy for anxiety: Principles and practice. Guilford Press.
- Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & May, J. T. E. (2011). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press.
- Butler, G., Fennell, M., & Hackmann, A, (2008). Cognitive-Behavioral Therapy for anxiety disorder: Mastering clinical challenges. New York: Guilford Press.
- Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York, NY; Guilford Press.
- Craske, M. G., & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D.H. Barlow (Ed.), Clinical Handbook of Psychological Disorders (4 th ed.). NY: Guilford Press.
- In W. O´Donohue & J.E. Fisher (Eds.), Cognitive behavior therapy. Applying empirically supported techniques in your practice (pp. 296-308). Hoboken, NJ: Wiley.
- Gustafsson, H, & Lundqvist, C. (2016). Working with perfectionism in elite sport: A Cognitive Behavioral Therapy perspective. In A. P. Hill (Ed.), The psychology of perfectionism in sport, dance, and exercise. London: Routledge
- Hazlett-Stevens, H., & Craske, M. G. (2009). Live (In vivo) exposure. In W. T. O'Donahue, & J. E. Fisher (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 407-413). Hoboken, NJ: Wiley.
- Robinson, P. (2009). Putting it on the street: Homework in cognitive behavioral therapy. In W. T. O'Donahue, & J. E. Fisher (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 407-413). Hoboken, NJ: Wiley.
- Rumbold, J.L., Fletcher, D., & Daniels, K. (2012). A systematic review of stress management interventions with sport performers. Sport, Exercise, and Performance Psychology, 1(3), 173-193. doi: 10.1037/a0026628 · DOI
- Smith, R. E., Smoll, F. L., Cumming, S. P., & Grossbard, J. R. (2006). Measurement of multidimensional sport performance anxiety in children and adults: The Sport Anxiety Scale-2. Journal of Sport and Exercise Psychology, 28(4), 479.
- Taylor, S. (2006). Clinician's guide to PTSD: A cognitive-behavioral approach. New York: Guilford Press.
- Tkachuk, G., Leslie-Toogood, A., & Martin, G. L. (2003). Behavioral assessment in sport psychology. Sport Psychologist, 17(1), 104-117.
- Weck, F., Neng, J.M.B. Schwind, J., & Höfling, V. (2015). Exposure therapy changes dysfunctional evaluations of somatic symptoms in patients with hypochondriasis (health anxiety). A randomized controlled trial. Journal of Anxiety Disorders, 34, xx-xx.
- Westbrook, D., Kennerley, H., & Kirk, J. (2010). An introduction to cognitive behaviour therapy: Skills and applications (2 nd ed.). London: Sage.
- Willis, F., & Sanders, D. (2013). Cognitive behaviour therapy: Foundations for practice (3 rd ed.). London: Sage
- Authors
- Gustafsson, H., Lundqvist, C., & Tod, D.
- Affiliations
- Swedish Olympic Committee (SE)
- Liverpool John Moores University (GB)
- Corresponding author
- Gustafsson, Henrik
- Venue
- Journal of Sport Psychology in Action
- Publisher
- Informa UK Limited
- Published
- 2016-10-19
- Volume
- 8
- Issue
- 3
- Pages
- 152-162
- ISSN
- 2152-0704 (ISSN-L)
- 2152-0712
- OpenAlex
- W2532863691
- Cited by
- 32
- References
- 35
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of Sport Psychology in Action (publishedVersion)
- Liverpool John Moores University (submittedVersion)
- Digitala vetenskapliga arkivet (Diva) (Karlstad University) (submittedVersion, other-oa)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, exposure therapy, performance anxiety, elite athletes, cross-country skiing, psychoeducation, behavior analysis, anxiety reduction, avoidance behavior, youth athletes
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