Adolescent Sport Participation and Symptoms of Anxiety and Depression: A Systematic Review and Meta-Analysis
Open accessAbstract
Sport may protect against symptoms of mental disorders that are increasingly prevalent among adolescents. This systematic review explores the relationship between adolescent organized sport participation and self-reported symptoms of anxiety and depression. From 9,955 records screened, 29 unique articles were selected that included 61 effect sizes and 122,056 participants. Effects were clustered into four categories based on the operationalization of sport involvement: absence or presence of involvement, frequency of involvement, volume of involvement, and duration of participation. Results from the random-effects meta-analyses indicated that symptoms of anxiety and depression were significantly lower among sport-involved adolescents than in those not involved in sport, although this effect size was small in magnitude. Meta-regression was used to identify how age and sex explained heterogeneity in effects. Although these results do not signify a causal effect, they do support theorizing that sport participation during adolescence may be a protective environment against anxiety and depressive symptoms.
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Children and adolescents who participated more frequently, with higher intensity, or for longer duration (e.g. started at an early age or participated for a long period) had better mental health compared to their peers.
“We found evidence that children and adolescents who participated more frequently, who participated with higher intensity or who participated with longer duration (e.g. started at an early age or participated for a long period), had better mental health compared to their peers (Eime et al., 2013, Evans et al., 2017, Panza et al., 2020).”
From Impact of organized activities on mental health in children and adolescents: An umbrella review (2022) · cites this paper as Panza et al., 2020
The magnitude of the effect sizes for the association between level of sport involvement and mental health was negligible.
“However, the magnitude of the effect sizes were negligible (Eime et al., 2013, Evans et al., 2017, Panza et al., 2020).”
From Impact of organized activities on mental health in children and adolescents: An umbrella review (2022) · cites this paper as Panza et al., 2020
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“As examples, four studies (i.e., Ashdown-Frank, Sabiston, Solomon-Krakus, & O’Loughlin, 2017; Brunet et al., 2013; Jewett et al., 2014; Sabiston et al., 2016) drew data from theNicotine Dependence in Teens Study and two studies (i.e., Agans & Geldhof, 2012; Zarrett et al., 2009) drew data from the…”
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Self-citationProspective associations between sport participation and psychological adjustment in adolescents
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“For instance, a scale distinguishing time spent in sport as “no sport participation,” “weekly participation,” or “more-than-weekly participation” (e.g., Brière et al., 2018) would presumably hold a relationship that differs in slope and composition from a scale measuring hours involved per week…”
BackgroundInvolvement in Sports, Hippocampal Volume, and Depressive Symptoms in Children
Gorham, L. S., Jernigan, T. L., Hudziak, J. J., & Barch, D. M. (2019) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2019.01.011 · Cited by 76 · see citing works
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“; Fatiregun & Kumapayi, 2014), (b) may be challenging to respond to (e.g., “indicate the number of sports teams on which you participated in the past year”; Duncan et al., 2015), or (c) entail researcher-imposed categories that may not fully represent the contexts involved (e.g., classifying sports…”
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Self-citationSport participation in high school and anxiety symptoms in young adulthood
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“In addition, some investigations (e.g., Ashdown-Franks et al., 2017; Sabiston et al., 2016) contrasted team and individual sport participation as a proxy for social interaction, finding early evidence that depressive symptoms were less frequent for adolescents involved in team sport.”
BackgroundResultDoré, I., O’Loughlin, J. L., Schnitzer, M. E., Datta, G. D., & Fournier, L. (2018) · Mental health and physical activity · doi:10.1016/j.mhpa.2018.04.001 · Cited by 66 · cited 2× · see citing works
“Meanwhile, anxiety scales included the Zung Self-Rating Anxiety Scale (used by McMahon et al., 2017), Hospital Anxiety and Depressive Scale (used by Doré et al., 2018), and State-Trait Anxiety Inventory (used by Dolenc, 2015).”
BackgroundMethodSelf-citationAgans, J. P., & Geldhof, G. J. (2012) · Applied Developmental Science · doi:10.1080/10888691.2012.697792 · Cited by 62 · cited 1× · see citing works
“…examples, four studies (i.e., Ashdown-Frank, Sabiston, Solomon-Krakus, & O’Loughlin, 2017; Brunet et al., 2013; Jewett et al., 2014; Sabiston et al., 2016) drew data from theNicotine Dependence in Teens Study and two studies (i.e., Agans & Geldhof, 2012; Zarrett et al., 2009) drew data from the 4-”
BackgroundSelf-citationWeekly sport practice and adolescent well-being
Merglen, A., Flatz, A., Bélanger, R. E., Michaud, P., & Surı́s, J.-C. (2013) · Archives of Disease in Childhood · doi:10.1136/archdischild-2013-303729 · Cited by 43 · cited 1× · see citing works
“It may be of special interest to use a positive mental health indicator as the dependent variable such as subjective well-being (e.g., Merglen et al., 2014).”
Graupensperger, S. A., Jensen, C. J., & Evans, M. B. (2018) · Sport Exercise and Performance Psychology · doi:10.1037/spy0000121 · Cited by 33 · cited 1× · see citing works
“For example, a meta-analysis by Graupensperger, Jensen, and Evans (2018) examined variability in effect sizes by the age of athlete samples to identify potential patterns in effects related to age— revealing moderation effects that had not been tested in the original studies.”
MethodSelf-citationDolenc, P. (2015) · Slovenian Journal of Public Health · doi:10.1515/sjph-2015-0031 · Cited by 30 · cited 1× · see citing works
“Meanwhile, anxiety scales included the Zung Self-Rating Anxiety Scale (used by McMahon et al., 2017), Hospital Anxiety and Depressive Scale (used by Doré et al., 2018), and State-Trait Anxiety Inventory (used by Dolenc, 2015).”
MethodWang, M., Chow, A., & Amemiya, J. L. (2017) · Journal of Youth and Adolescence · doi:10.1007/s10964-017-0649-9 · Cited by 28 · cited 1× · see citing works
“…time spent in sport as “no sport participation,” “weekly participation,” or “more-than-weekly participation” (e.g., Brière et al., 2018) would presumably hold a relationship that differs in slope and composition from a scale measuring hours involved per week (e.g., Wang et al., 2017).”
BackgroundSports Participation and Positive Correlates in African American, Latino, and White Girls
Duncan, S. C., Strycker, L. A., & Chaumeton, N. R. (2015) · Applied Developmental Science · doi:10.1080/10888691.2015.1020156 · Cited by 23 · cited 1× · see citing works
“…& Kumapayi, 2014), (b) may be challenging to respond to (e.g., “indicate the number of sports teams on which you participated in the past year”; Duncan et al., 2015), or (c) entail researcher-imposed categories that may not fully represent the contexts involved (e.g., classifying sports as…”
BackgroundRobertson, M. A., Hague, C., Evans, M. B., & Martin, L. J. (2019) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2019.101559 · Cited by 20 · see citing works
Self-citation
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Hoffmann, M. D., Barnes, J. D., Tremblay, M. S., & Guerrero, M. D. (2022) · PLOS ONE · doi:10.1371/journal.pone.0268583 · Cited by 129 · see citing works
“One factor that may protect against the development of mental health difficulties is participation in organized youth sport [3,4].”
BackgroundResultInfluentialVella, S. A., Schweickle, M. J., Sutcliffe, J., & Swann, C. (2021) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2021.101946 · Cited by 110 · see citing works
Self-citationProspective Associations between Sport Participation and Indices of Mental Health across Adolescence
Graupensperger, S. A., Sutcliffe, J., & Vella, S. A. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-021-01416-0 · Cited by 89 · see citing works
“Altogether, there is mounting evidence that sport participation is associated with mental health among youth (see review Panza et al., 2020), and this should be of primary focus for researchers in recreational sport domains (Vella & Swann, 2020).”
BackgroundMethodInfluentialSelf-citationFu, Q., Li, L., Li, Q., & Wang, J. (2025) · BMC Public Health · doi:10.1186/s12889-025-22690-8 · Cited by 115 · see citing works
“These findings are consistent with previous systematic reviews, such as those by Biddle and Panza, which reported that physical activity interventions can reduce anxiety and depression while improving overall positive mental health in children and adolescents [77, 78].”
Anderson, T., Valiauga, R., Tallo, C., Hong, C. B., Manoranjithan, S., Domingo, C. N., Paudel, M., Untaroiu, A., Barr, S., & Goldhaber, K. (2024) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.70009 · Cited by 104 · see citing works
Impact of organized activities on mental health in children and adolescents: An umbrella review
Boelens, M., Smit, M. S., Raat, H., Bramer, W. M., & Jansen, W. (2022) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101687 · Cited by 65 · see citing works
“Results from this review showed that there was evidence for an impact on mental health outcomes but with a negligible magnitude of effect and high heterogeneity (Panza et al., 2020).”
BackgroundMethodInfluentialHealth-related outcomes of youth sport participation: a systematic review and meta-analysis
Bengtsson, D., Svensson, J., Wiman, V., Stenling, A., Lundkvist, E., & Ivarsson, A. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01792-x · Cited by 75 · see citing works
“Although causal claims are rarely made explicitly, prior observational studies and meta-analyses (e.g., [5–10]) have investigated the potential effects of sport participation (i.e., the exposure) on health-related outcomes, and with comparison groups (e.g., [5, 9, 10]), thereby implicitly invoking…”
InfluentialMental Health in Youth Athletes
Walton, C. C., Rice, S., Hutter, V., Currie, A., Reardon, C. L., & Purcell, R. (2021) · Advances in Psychiatry and Behavioral Health · doi:10.1016/j.ypsc.2021.05.011 · Cited by 57 · see citing works
“20 In line with this, Weber and colleagues 21 were classified as ‘possible’ and ‘probable’ cases for anxiety, respectively, with these figures at 9.5% and 3.7% for depression.”
BackgroundInfluentialYou, Y., Wang, D., Wang, Y., Li, Z., & Ma, X. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.661108 · Cited by 52 · see citing works
Bjørnarå, H. B., Westergren, T., Sejersted, E., Torstveit, M. K., Hansen, B. H., Berntsen, S., & Bere, E. T. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101425 · Cited by 48 · see citing works
The Value of Sport: Wellbeing Benefits of Sport Participation during Adolescence
Wilson, O. W. A., Whatman, C., Walters, S., Keung, S., Enari, D., Rogers, A., Millar, S.-K., Ferkins, L., Hinckson, E., Hapeta, J., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148579 · Cited by 55 · see citing works
Mental health interventions in non-elite sport: a systematic review and meta-analysis
Sutcliffe, J., Graupensperger, S. A., Schweickle, M. J., Rice, S., Swann, C., & Vella, S. A. (2021) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2021.2001839 · Cited by 40 · see citing works
“…adult populations (Mojtabai et al., 2016), and the association between participation in organised sport and lower depressive symptoms (Graupensperger et al., 2021; Panza et al., 2019), there is substantial opportunity for researchers to address this through well-designed community sport programs.”
BackgroundSelf-citationDuan, X., Wang, X. H., Li, X., Li, S., Zhong, Y., & Bu, T. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.960870 · Cited by 39 · see citing works
Kjellenberg, K., Ekblom, O., Ahlen, J., Helgadóttir, B., & Nyberg, G. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061929 · Cited by 38 · see citing works
Mental Health in the Youth Athlete
Daley, M., & Reardon, C. L. (2023) · Clinics in Sports Medicine · doi:10.1016/j.csm.2023.06.003 · Cited by 32 · see citing works
Gamified devices for stroke rehabilitation: A systematic review
Sánchez-Gil, J. J., Sáez, A., López-Luque, R., Ochoa-Sepúlveda, J. J., & Cañete, E. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108476 · Cited by 32 · see citing works
Wilson, O. W. A., Ikeda, E., Hinckson, E. A., Mandic, S., Richards, J. A., Duncan, S., Kira, G., Maddison, R., Meredith-Jones, K. A., Chisholm, L., et al. (2022) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2022.10.009 · Cited by 35 · see citing works
Wade, L., Eime, R., Pankowiak, A., Vella, S. A., Robinson, K. J., Kennedy, S. G., Parkes, R., & Eather, N. (2026) · Systematic Reviews · doi:10.1186/s13643-026-03104-1 · Cited by 30 · see citing works
Self-citationUrban Environment, Green Urban Areas, and Life Quality of Citizens—The Case of Warsaw
Stangierska, D., Kowalczuk, I., Juszczak, K., Widera, K., & Ferenc, W. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710943 · Cited by 28 · see citing works
“Sport may also protect against symptoms of mental disorders that are increasingly prevalent among adolescents [63].”
BackgroundExamining the Association between Sports Participation and Mental Health of Adolescents
Khan, A., Ahmed, K. R., Hidajat, T. J., Kolbe-Alexander, T. L., & Edwards, E. J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192417078 · Cited by 28 · see citing works
“opportunities for social interactions [9,33].”
Reflections on the Field of Mental Health in Sport: Critical Issues and Ways of Moving Forward
Vella, S. A., Swann, C., & Tamminen, K. A. (2020) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2020.1854898 · Cited by 27 · see citing works
Self-citationThe Association of Sports Participation With Depressive Symptoms and Anxiety Disorder in Adolescents
Chi, G., & Wang, L. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.860994 · Cited by 26 · see citing works
“For example, a recent systematic review identified the negative association of a higher frequency of sports participation with depressive symptoms and anxiety disorders among adolescents (14).”
BackgroundResultLise, F. D., Bacaro, V., & Crocetti, E. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032017 · Cited by 32 · see citing works
“, peer victimization) factors for their health [15,16].”
BackgroundRueff, M., & Reese, G. (2023) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2023.102097 · Cited by 24 · see citing works
Supporting Mental Health in Youth Sport: Introducing a Toolkit for Coaches, Clubs, and Organisations
Walton, C. C., Carberry, S., Wilson, M., Purcell, R., OLIVE, L. S., Vella, S. A., & Rice, S. (2021) · International Sport Coaching Journal · doi:10.1123/iscj.2021-0042 · Cited by 22 · see citing works
Self-citationA mixed-method analysis of the contribution of informal sport to public health in Australia
Jeanes, R., O’Connor, J. P., Penney, D., Spaaij, R., Magee, J., O’Hara, E., & Lymbery, L. (2024) · Health Promotion International · doi:10.1093/heapro/daae048 · Cited by 21 · see citing works
“The findings point to the potentially important contribution informal sport such as Parkrun can make to public health and in addressing inequalities that arise from a lack of access to affordable physical activity opportunities.”
BackgroundWan, H., Huang, W., Zhang, W., & Hu, C. (2025) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2025.070457 · Cited by 20 · see citing works
“Panza et al. [29] also pointed out that regular physical activity in schools can significantly improve adolescents’ anxiety and depression.”
Physical exercise, depression, and anxiety in 2190 affective disorder subjects
D'Angelantonio, M., Collins, J. L., Manchia, M., Baldessarini, R. J., & Tondo, L. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.079 · Cited by 20 · see citing works
Naranjo, F. J. R., & Cabrera, E. A. (2023) · Retos · doi:10.47197/retos.v49.98903 · Cited by 20 · see citing works
Upenieks, L., Ryan, B. M., & Knoester, C. (2024) · Sociology of Sport Journal · doi:10.1123/ssj.2023-0165 · Cited by 21 · see citing works
A Systems Theory of Mental Health in Recreational Sport
Vella, S. A., Schweickle, M. J., Sutcliffe, J., Liddelow, C., & Swann, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114244 · Cited by 19 · see citing works
Self-citationExercise as Treatment for “Stress-Related” Mental Disorders
Bendau, A., Petzold, M. B., Kaminski, J., Plag, J., & Ströhle, A. (2023) · Current Neuropharmacology · doi:10.2174/1570159x22666230927103308 · Cited by 20 · see citing works
Xiang, C., Zhao, J., Kamalden, T. F. T., Dong, W., Luo, H., & Ismail, N. (2023) · Humanities and Social Sciences Communications · doi:10.1057/s41599-023-02466-4 · Cited by 21 · see citing works
Murphy, J., Patte, K. A., Sullivan, P., & Leatherdale, S. T. (2021) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2020-0048 · Cited by 19 · see citing works
“Both frequency (Eime et al., 2013; Panza et al., 2020) and involvement in other types of activities (Oberle et al.”
BackgroundAppelqvist‐Schmidlechner, K., Haavanlammi, M., & Kekkonen, M. (2021) · Sport in Society · doi:10.1080/17430437.2021.1996348 · Cited by 19 · see citing works
“Further, a systematic review by Panza et al. (2020) suggested that sport participation during adolescence may be a protective environment against anxiety and depressive symptoms.”
BackgroundWang, H., Zheng, X., Liu, Y., Xu, Z., & Yang, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811776 · Cited by 17 · see citing works
“Regarding the association between sports involvement and regulatory emotional self-efficacy, there is some evidence that sports involvement can help improve emotions more positively [45], adolescent health [46], and participant sports can use for depression treatment [47].”
BackgroundYang, W., Xiang, Z., Hu, H., Zheng, H., & Zhao, X. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1540968 · Cited by 15 · see citing works
McGinley, J. J., Stapleton, E. J., Gale, E. B., Worrall, H. M., Podvin, C. C., Ellis, H. B., Wilson, P. L., & Ulman, S. M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1303887 · Cited by 14 · see citing works
Thornton, E., Petersen, K. J., Marquez, J., & Humphrey, N. (2024) · Journal of Youth and Adolescence · doi:10.1007/s10964-024-01950-7 · Cited by 17 · see citing works
“Importantly, such activity can promote mental health in addition to the more obvious physical health ben-e fi ts (Panza et al., 2020).”
BackgroundThe Role of Psychologists in Sport Medicine Practice
Jasser, J., Patel, D. R., & Beenen, K. T. (2022) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2022.05.010 · Cited by 13 · see citing works
Zhu, Y., Li, X., & Du, Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1626831 · Cited by 13 · see citing works
Ljungmann, C. K., Christensen, J. H., Johnsen, H. R., Klinker, C. D., & Pawlowski, C. S. (2023) · Sport in Society · doi:10.1080/17430437.2023.2286013 · Cited by 13 · see citing works
“Organized sports participation can make contributions to adolescents reaching the recommended amount of daily PA (Silva et al. 2013) as well as promoting psychosocial health (Panza et al. 2020; Doré et al. 2019).”
BackgroundMcGinley, J. J., Stapleton, E. J., Worrall, H. M., Ellis, H. B., Wilson, P. L., & Ulman, S. M. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.906300 · Cited by 12 · see citing works
“Sports may confer strong benefits to the participant in the avenues of physical health, teamwork development, and mental improvement (Panza et al., 2020).”
BackgroundBewegung, körperliche Aktivität und Sport bei depressiven Erkrankungen
Bendau, A., Petzold, M. B., & Ströhle, A. (2022) · NeuroTransmitter · doi:10.1007/s15016-021-9343-y · Cited by 12 · see citing works
“Körperliche Aktivität in der Prävention Zahlreiche korrelative Beobachtungsstudien, Reviews und Meta analysen haben den Zusammenhang körperlicher Akti vität mit der kategorialen Prävalenz sowie dem dimensionalen Schweregrad depressiver Erkrankungen untersucht [2, 4, 6, 7, 8].”
BackgroundHogue, C. M. (2026) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2024.2437481 · Cited by 14 · see citing works
“A recent meta-analysis that included over 100,000 participants revealed that adolescent athletes have lower symptoms of anxiety and depression than non-athletes (Panza et al., 2020).”
Latina, D., Jaf, D., Alberti, R., & Tilton‐Weaver, L. C. (2022) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2022.102133 · Cited by 11 · see citing works
Khan, A., Werner‐Seidler, A., Hidajat, T. J., Feng, J., Huang, Y., & Rosenbaum, S. (2023) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2023.07.011 · Cited by 11 · see citing works
Beyond the scoreboard: school-based sport experiences and high school student-athlete well-being
Bates, S. M., Mack, S., & Nothnagle, E. A. (2024) · Sport Education and Society · doi:10.1080/13573322.2024.2338402 · Cited by 16 · see citing works
“Researchers have theorized that student-athlete experiences in sport influence their stress levels, overall well-being, and risks for burnout (Eime et al., 2013; Larson et al., 2020; Panza et al., 2020).”
Liu, X., Yan, N., Wang, L., He, K., Zhang, W., Zhang, X., Lan, T., Wang, J., & Zhou, Y. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06184-2 · Cited by 11 · see citing works
“Previous studies have shown that physical exercise can effectively reduce MPA [49], boost self-esteem [50] and lower levels of depression [51].”
BackgroundLin, S.-T., Hung, Y.-H., & Yang, M.-H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010251 · Cited by 11 · see citing works
“[26] employed a systematic review and meta-analysis related to 29 adolescents’ organized sport participation and self-reported symptoms of depression.”
MethodMental Health in Youth Elite Athletes
Walton, C. C., Rice, S., & Purcell, R. (2022) · Springer eBooks · doi:10.1007/978-3-031-08364-8_22 · Cited by 11 · see citing works
ÖZKAN, R., Yılmaz, C., Uzun, R. N., Bayrakdaroğlu, S., Akar, Ö. O., Öz, F., Çiçekli, A., Çiçekli, A., Dal, S., Ursu, V. E., et al. (2026) · BMC Psychology · doi:10.1186/s40359-026-03962-3 · Cited by 10 · see citing works
“Regarding sport anxiety, reductions in both cognitive and somatic components are consistent with studies demonstrating that participation in organized sports is linked to lower anxiety and depressive symptoms among youth [40].”
Hagum, C. N., Tønnessen, E., & Shalfawi, S. A. I. (2022) · PLoS ONE · doi:10.1371/journal.pone.0263575 · Cited by 10 · see citing works
“However, additional research is needed to test different variables that explain potential gender differences and mental health relationships in sports [76].”
BackgroundPasquerella, L., Aychman, M. M., Tasnim, N., Piccirillo, A., Holmes, V., & Basso, J. C. (2025) · Scientific Reports · doi:10.1038/s41598-025-88427-0 · Cited by 10 · see citing works
de Oliveira, L. M. F. T., da Silva, A. O., Farah, B. Q., Leão, I. C. S., de Souza, F. T. C., Santiago, F. L., Machado, L., & Diniz, P. R. B. (2023) · Salud Mental · doi:10.17711/sm.0185-3325.2023.022 · Cited by 12 · see citing works
“Thus, it is still unclear how group and individual sports relate to mental health and suicidal ideation (Panza et al., 2020).”
Andersson, M. J., Kenttä, G., Moesch, K., Borg, E., Claesdotter‐Knutsson, E., & Håkansson, A. (2023) · Journal of Sports Sciences · doi:10.1080/02640414.2023.2241783 · Cited by 11 · see citing works
“…social connection, and social support are important protective factors mediating the relationship between high school sports participation and the onset of internalizing symptoms such as depression and anxiety in adolescents (Armstrong et al., 2015; Harvey et al., 2018; Panza et al., 2020).”
BackgroundWang, K., & Qian, J. (2024) · Behavioral Science · doi:10.3390/bs14060512 · Cited by 12 · see citing works
“…the World Health Organi-Behav zation (WHO) [10], sports participation, as a non-invasive and easily accessible method, effectively alleviates anxiety by aiding individuals in managing and coping with their anxious emotions [11,12], including test anxiety [13,14], enhancing their well-being [15,16].”
BackgroundKaja, S. M., Gower, A. L., Parchem, B., Adler, S. J., McGuire, J. K., Rider, G. N., & Eisenberg, M. E. (2025) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2025.2465702 · Cited by 9 · see citing works
“It could also be that the factors that cause sport to be related to lower depressive symptoms (i.e., social connection) do less to alleviate anxiety (Babiss & Gangwisch, 2009; Panza et al., 2020).”
Ooms, L., van Stam, W., Sevdalis, V., Overbye, M., Algurén, B., Heck, S., & Hoye, A. V. (2025) · BMC Public Health · doi:10.1186/s12889-025-25916-x · Cited by 11 · see citing works
“This need applies to sports participation in general, across different stages of development, and particularly among children and adolescents [20, 21, 24, 36, 37].”
School belonging and depressive symptoms: the mediating roles of social inclusion and loneliness
Barzoki, M. H. (2024) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2024.2304067 · Cited by 10 · see citing works
“…in adolescence largely predict major depression in adulthood [3], which is associated with many consequences, including, but not limited to, anxiety [4,5], maladaptive outcomes [6], psychosocial outcomes such as failure to complete secondary school, unemployment [7], and suicidal behaviors [4,8].”
BackgroundAssociations between organised leisure-time activities and mental health problems in children
Boelens, M., Smit, M. S., Windhorst, D. A., Jonkman, H., Hosman, C. M. H., Raat, H., & Jansen, W. (2022) · European Journal of Pediatrics · doi:10.1007/s00431-022-04591-9 · Cited by 10 · see citing works
“However, most did not adjust for physical activity [16, 42, 43].”
BackgroundJovanović, G. K., & Čulina, T. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1398464 · Cited by 8 · see citing works
Carter, J. S., McNair, G., Bushnell, A., Saldana, L., & Grant, K. E. (2023) · Mental health and physical activity · doi:10.1016/j.mhpa.2023.100562 · Cited by 7 · see citing works
Wiggins, L. D., Daniels, J. L., Overwyk, K. J., Croen, L., DiGuiseppi, C. G., Bradley, C., Powell, P. S., Dichter, G. S., Moody, E. J., & Pazol, K. (2024) · Disability and health journal · doi:10.1016/j.dhjo.2024.101633 · Cited by 7 · see citing works
Zhao, Z., Che, X., Wang, H., Zheng, Y., Ma, N., Gao, L., & Shui, Y. (2025) · Behavioral Sciences · doi:10.3390/bs15020155 · Cited by 7 · see citing works
“Furthermore, it has been shown that anxiety and depression symptoms are significantly lower among adolescents participating in sports than among those who do not participate in sports (Panza et al., 2020).”
Liu, B., You, J., Fan, Y., Xia, Y., Wang, H., Zhang, X., & Zhang, Y. (2025) · Frontiers in Pediatrics · doi:10.3389/fped.2025.1552597 · Cited by 7 · see citing works
Chow, A. R. W., Zaneva, M., Rashid, L., Wheatley, C., Coussios, C. C., Hepach, R., & Bowes, L. (2026) · Sports Medicine · doi:10.1007/s40279-025-02379-z · Cited by 7 · see citing works
Murphy, J. M., Coulter, M., Sweeney, M. R., & McGrane, B. (2022) · Advances in Physical Education · doi:10.4236/ape.2022.122008 · Cited by 7 · see citing works
Veliz, P. T., & Mutumba, M. (2023) · Journal of Physical Activity and Health · doi:10.1123/jpah.2022-0635 · Cited by 7 · see citing works
Zeller, A. M., Lear, A., Post, E. G., McNulty, S., & Bentley, B. C. (2024) · Sports Health A Multidisciplinary Approach · doi:10.1177/19417381241228539 · Cited by 7 · see citing works
Stornæs, A. V., Sundgot-Borgen, J. K., Pettersen, G., Rosenvinge, J. H., & Nordin‐Bates, S. M. (2023) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2023.102474 · Cited by 7 · see citing works
Janković, M., Boxtel, G. J. M. V., & Bogaerts, S. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1234910 · Cited by 7 · see citing works
Farello, A., Trajkovski, M., & Massey, W. V. (2025) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2024.2413999 · Cited by 6 · see citing works
“While no one is completely immune to experiencing mental health struggles, there is a growing body of literature supporting the positive relationship between sport participation and mental health benefits from childhood to later adulthood (Massey et al., 2024; Panza et al., 2020).”
Dongoran, M. F., Setyawati, H., Kristiyanto, A., Raharjo, H. P., & Setiawan, C. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1515200 · Cited by 6 · see citing works
Gómez-Paniagua, S., Galán-Arroyo, C., Castillo-Paredes, A., & Rojo-Ramos, J. (2025) · Healthcare · doi:10.3390/healthcare13070809 · Cited by 6 · see citing works
“Panza and colleagues [2] identified a significant increase in the prevalence of adolescent anxiety disorders and depression in recent years.”
Associations of Sport Participation with Depression and Anxiety among Chinese Minority Adolescents
Xiao, Z., Doig, S. R., Wu, H., & Wang, L. (2022) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2022.019395 · Cited by 6 · see citing works
Misztal, M. C., Tio, E. S., Mohan, A., & Felsky, D. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115550 · Cited by 6 · see citing works
“…further suggests that the benefits of sports participation in youth are dependent on the frequency and type of sport played (Dor ´ e et al., 2016; Panza et al., 2020; Sabiston et al., 2016; Vella et al., 2017); for example, Sabiston et al. found that young high school-aged adults who…”
BackgroundRodrigue, C., Bőthe, B., & Dion, J. (2024) · Child Maltreatment · doi:10.1177/10775595241267964 · Cited by 6 · see citing works
“In a recent meta-analysis, Panza et al. (2020) concluded that a negative relationship exists between sports participation and depressive and anxiety symptoms.”
Zimmerman, S. P., Nowland, L. A., Zhu, X., Haegele, J. A., & Ross, S. M. (2023) · Disability and health journal · doi:10.1016/j.dhjo.2023.101541 · Cited by 6 · see citing works
Halladay, J., Ogrodnik, M., Alla, J. F., Sunderland, M., Gardner, L. A., & Georgiades, K. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.111039 · Cited by 6 · see citing works
Pediatric Sports: The Mental Health and Psychological Impact of Sport and Injury
Xu, E., Greif, D. N., Castle, P., & Lander, S. T. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14124321 · Cited by 6 · see citing works
Cappetto, K. D., Ehrlich, B., Anderson, E. A., Huynh, A. T., Tran, J., & Hudon, K. D. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05806-3 · Cited by 5 · see citing works
“Research has shown organized sport participation can be protective against symptoms of anxiety and depression [28].”
BackgroundImpact of structured physical activity on youth’s mental health: A review of umbrella reviews
Ciacchella, C., Collacchi, B., Fiorillo, A., Sampogna, G., & Cirulli, F. (2025) · International Journal of Social Psychiatry · doi:10.1177/00207640251342425 · Cited by 5 · see citing works
“…externalizing (conduct dysregulation, risky behavior, school truancy, and delinquency) problems in this target group (Ashdown-Franks et al., 2020; Boelens et al., 2022; Dale et al., 2019; Firth et al., 2020; Lynch et al., 2013; Nelson & Gordon-Larsen, 2006; Panza et al., 2020; Wegner et al., 2020).”
Pappagianopoulos, J. E., Rouch, E. F., & Mazurek, M. O. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-023-06158-5 · Cited by 5 · see citing works
“…Consistent with hypotheses and prior findings among TD youth and one study with a small sample of autistic adolescents (Bohnert et al., 2019; Eime et al., 2013; Panza et al., 2020), adolescents who participated in sports were significantly less likely to have a current depression diag - nosis.”
Spiegler, J., EL‐Awad, U., Baumann, N., Lemola, S., & Dieter Wolke, C. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-023-02365-8 · Cited by 5 · see citing works
“Investigations of the association between club sport participation (CSP) and mental health problems have been limited to cross-sectional and retrospective studies [11, 15, 27].”
BackgroundHu, Y., Son, K., Yang, Z., & Mao, Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1117186 · Cited by 6 · see citing works
Murphy, J. M., McGrane, B., & Sweeney, M. R. (2021) · Physical Activity and Health · doi:10.5334/paah.127 · Cited by 5 · see citing works
O’Leary, C., Rooney, B., Donohue, B. C., & Matthews, J. J. (2022) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2022.2126908 · Cited by 5 · see citing works
“Recent research has suggested a positive relationship between sport participation and mental health in young people (Panza et al., 2020).”
BackgroundMeyers, R., Brna, M., Hogg-Cornejo, V., Donahue, C. C., Sweeney, E. A., Armento, A., & Howell, D. R. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1527622 · Cited by 4 · see citing works
Drapeau, C., Lenze, L., Montiel, C., Gallant, F., Bélanger, M. F., & Doré, I. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01847-z · Cited by 4 · see citing works
“Specifically, physical activity among adolescents is associated with reduced anxiety [50] and depressive symptoms [6, 10, 46, 50], reduced occurrence of depression disorder [3, 6, 10], and reduced stress, negative affect and psychological distress [54].”
Self-citationAlawie, F., Olivier, E., & Dupéré, V. (2024) · Journal of Early Adolescence · doi:10.1177/02724316231224812 · Cited by 5 · see citing works
“These results are consistent with the conclusions of previous systematic reviews that have demonstrated the bene fi ts of PA in reducing symptoms of depression in the general adolescent population (Biddle et al., 2019; Panza et al., 2020).”
Fossli, K., & Lorentzen, C. (2025) · Behavioral Sciences · doi:10.3390/bs15091239 · Cited by 5 · see citing works
“…settings may facilitate the development of social skills, such as collaboration and leadership, and offer access to peers and adults who can serve as successful role models and provide support and encouragement (Evans et al., 2017; Oberle et al., 2019; Panza et al., 2020; Zuckerman et al., 2021).”
Lundqvist, C., Asratian, A., & Dahlström, Ö. (2023) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2023-001648 · Cited by 4 · see citing works
Zhang, Y., & Halgunseth, L. C. (2024) · Mental Health Science · doi:10.1002/mhs2.98 · Cited by 4 · see citing works
Are There Common Correlates of Adolescents’ Sport Participation and Screen Time?
Parker, K. E., Brown, H. L., & Salmon, J. (2022) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2021.1998305 · Cited by 4 · see citing works
“…social interactions and social competence) and physical health (e.g., improved cardio-metabolic health and peak bone mass) (Logan et al., 2020; Panza et al., 2020; Tenforde & Fredericson, 2011), as well as a contribution to the development of physical literacy elements that are essential for…”
BackgroundSitko, S., Francín-Gallego, M., Pano-Rodríguez, Á., Oviedo‐Caro, M. Á., Mayolas-Pi, C., & Legaz‐Arrese, A. (2024) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2024.07.009 · Cited by 3 · see citing works
Feng, B., Luo, F., Chen, Y., Zhao, Y., Wang, P., & Bao, R. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1338190 · Cited by 5 · see citing works
Francín-Gallego, M., Oviedo‐Caro, M. Á., Sitko, S., Legaz‐Arrese, A., Pano-Rodríguez, Á., Munguía‐Izquierdo, D., Masià, J. R., & Mayolas-Pi, C. (2024) · Journal of Public Health · doi:10.1007/s10389-024-02358-0 · Cited by 3 · see citing works
“Previous studies have shown that sports participation during adolescence may represent a protective environment against anxiety (Panza et al. 2020).”
White‐Gosselin, C., Poulin, F., & Denault, A. (2024) · Journal of Youth and Adolescence · doi:10.1007/s10964-024-02126-z · Cited by 3 · see citing works
“If this is the case, it could be explained by the fact that sport activities in general are widely recognized as having bene fi ts for adolescents (Panza et al., 2020).”
Simpson, A., Jackson, B., Willis, C., Lin, A. P., Thornton, A., Furzer, B. J., Dimmock, J. A., Jeftic, I., Rosenberg, M., & Budden, T. (2025) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2025.102802 · Cited by 3 · see citing works
- Authors
- Panza, M. J., Graupensperger, S., Agans, J. P., Doré, I., Vella, S. A., & Evans, M. B.
- Affiliations
- Pennsylvania State University (US)
- University of Washington (US)
- Université de Montréal (CA)
- University of Wollongong (AU)
- Venue
- Journal of Sport and Exercise Psychology
- Publisher
- Human Kinetics
- Published
- 2020-06-01
- Volume
- 42
- Issue
- 3
- Pages
- 201-218
- ISSN
- 0895-2779 (ISSN-L)
- 1543-2904
- PMC
- PMC7679280
- OpenAlex
- W3026226008
- Cited by
- 202
- References
- 72
- Citations by year
- 2026: 36 · 2025: 49 · 2024: 40 · 2023: 32 · 2022: 29 · 2021: 15 · 2020: 1
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Sport and Exercise Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (F31AA027685)
- National Institute on Drug Abuse (T32DA017629)
- Topics
- Social Sciences › Safety Research › Youth Development and Social Support
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- youth sport participation, organized sport, anxiety symptoms, depressive symptoms, mental health, protective factors, sex differences, age differences
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