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Cited by 396Sport Psychology and PerformancePsychological Treatments and AssessmentsCOVID-19 and Mental Health

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Mental Health In Elite Athletes: Increased Awareness Requires An Early Intervention Framework to Respond to Athlete Needs

Open access
Purcell, Rosemary, Gwyther, Kate, Rice, Simon M.·2019·Sports Medicine - Open
DOI 10.1186/s40798-019-0220-1PMC PMC6883009
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Abstract

The current ‘state of play’ in supporting elite athlete mental health and wellbeing has centred mostly on building mental health literacy or awareness of the signs of mental ill-health amongst athletes. Such awareness is necessary, but not sufficient to address the varied mental health needs of elite athletes. We call for a new model of intervention and outline the backbone of a comprehensive mental health framework to promote athlete mental health and wellbeing, and respond to the needs of athletes who are at-risk of developing, or already experiencing mental health symptoms or disorders. Early detection of, and intervention for, mental health symptoms is essential in the elite sporting context. Such approaches help build cultures that acknowledge that an athlete’s mental health needs are as important as their physical health needs, and that both are likely to contribute to optimising the athlete’s overall wellbeing in conjunction with performance excellence. The proposed framework aims at (i) helping athletes develop a range of self-management skills that they can utilise to manage psychological distress, (ii) equipping key stakeholders in the elite sporting environment (such as coaches, sports medicine and high-performance support staff) to better recognise and respond to concerns regarding an athlete’s mental health and (iii) highlighting the need for specialist multi-disciplinary teams or skilled mental health professionals to manage athletes with severe or complex mental disorders. Combined, these components ensure that elite athletes receive the intervention and support that they need at the right time, in the right place, with the right person.

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Crossref · 10.1186/s40798-019-0220-1

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Fig 1. An ecological systems model for elite athlete mental health
Fig 1. An ecological systems model for elite athlete mental healthCC BY · PubMed Central
Fig 2. The mental health promotion spectrum
Fig 2. The mental health promotion spectrumCC BY · PubMed Central
Fig 3. Elite athlete mental health and wellbeing framework
Fig 3. Elite athlete mental health and wellbeing frameworkCC BY · PubMed Central

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Cites

Research works printed but not linked: 3

  1. Frank R, Nixdorf I, Beckmann J. Depression among elite athletes: prevalence and psychological factors. Deut Z Sportmed. 2013;64:320–6.
  2. Brown GT, Hainline B, Kroshus E, Wilfert M. Mind, body and sport: understanding and supporting student-athlete mental wellness. IN: NCAA: Indianapolis; 2014.
  3. Thompson R, Sherman R. Managing student-athletes’ mental health issues. National Collegiate Athletic Association: Indianapolis; 2007.

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Metadata

Authors
Purcell, R., Gwyther, K., & Rice, S. M.
Affiliations
The University of Melbourne (AU)
Corresponding author
Rice, Simon M.
ORCID
Venue
Sports Medicine - Open
Publisher
Springer Science and Business Media LLC
Published
2019-11-28
Volume
5
Issue
1
Pages
46-46
ISSN
  • 2198-9761 (ISSN-L)
  • 2199-1170
DOI
10.1186/s40798-019-0220-1
PMC
PMC6883009
OpenAlex
W2991538927
Cited by
394
References
57
Citations by year
2026: 73 · 2025: 66 · 2024: 76 · 2023: 59 · 2022: 64 · 2021: 43 · 2020: 11
FWCI
53.57
Type
journal article
Language
en
Open access
Licence
Locations
  • Sports Medicine - Open (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
Funders
National Health and Medical Research Council (APP115888)
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
athlete well-being, early intervention, mental health literacy, mental health awareness, psychological distress, self-management skills, coach education, mental health screening, elite sport

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