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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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“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
In the citing paper
“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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Cited by
Sorted by citations
Items 201–202 of 202
Hwang, S.-H., Roh, S.-Y., & Kim, G.-K. (2026) · Behavioral Sciences · doi:10.3390/bs16101867
“Previous studies reported that higher levels of physical activity are associated with a reduced risk of depression among adolescents (Panza et al., 2020), and exercise interventions demonstrated significant effects on reducing depressive symptoms in this population (Wang et al., 2022).”
Sex-Related Sports Disparities Among Minnesota High School Students 2013–2022
Kaja, S. M., Gower, A. L., Garn, A. C., Wilkes, S., & LaVoi, N. M. (2026) · Women in Sport and Physical Activity Journal · doi:10.1123/wspaj.2026-0020
Metadata
- 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 › Psychology › Developmental and Educational Psychology › Youth Development and Social Support
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Life-span and Life-course Studies › Recreational Sport and Physical Activity
- Keywords
- youth sport participation, organized sport, anxiety symptoms, depressive symptoms, mental health, protective factors, sex differences, age differences
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