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An Evidence-Informed Framework to Promote Mental Wellbeing in Elite Sport
Open accessAbstract
Elite athletes, coaches and high-performance staff are exposed to a range of stressors that have been shown to increase their susceptibility to experiencing mental ill-health. Despite this, athletes may be less inclined than the general population to seek support for their mental health due to stigma, perceptions of limited psychological safety within sport to disclose mental health difficulties (e.g., selection concerns) and/or fears of help-seeking signifying weakness in the context of high performance sport. Guidance on the best ways to promote mental health within sporting environments is increasing, though current frameworks and position statements require greater focus on a whole of system approach, in which the needs of athlete, coaches and high-performance staff are considered within the context of the broader ecological system in which they operate and perform. This paper synthesizes existing research, reviewed for translatability by mental health professionals working in elite sport, to provide an evidence-informed framework with real world utility to promote mentally healthy environments for all stakeholders in elite sporting organizations, from athletes through to administrators. Recommendations are provided to positively impact the mental wellbeing of athletes and support staff, which may in turn influence athletic performance. This framework is intended to provide sporting organizations with evidence-informed or best practice principles on which they can develop or progress their policies to support mental health promotion and prevent the onset of mental health difficulties. It is intended that the framework can be adapted or tailored by elite sporting organizations based upon their unique cultural, contextual and resourcing circumstances.
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“given this framework has been endorsed in an elite sports context [34, 63, 64] and empirically validated across a range of studies in the general population [32, 65, 66].”
From The Mental Health of Elite-Level Coaches: A Systematic Scoping Review (2024) · cites this paper as [34]
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“It is emphasised that a coach can therefore experience high levels of wellbeing and flourish within their profession (e.g. career progression and strong social connections) despite the diagnosis of a mental disorder (e.g. generalised anxiety disorder) [34].”
From The Mental Health of Elite-Level Coaches: A Systematic Scoping Review (2024) · cites this paper as [34]
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- Taylor, 2012, Fatigue monitoring in high performance sport: a survey of current trends., J. Aust. Strength Cond., 20, 12
Cited by
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Cosh, S., McNeil, D. G., Jeffreys, A., Clark, L. A., & Tully, P. J. (2023) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2023.102586 · Cited by 119
Pilkington, V., Rice, S. M., Walton, C. C., Gwyther, K., Olive, L., Butterworth, M., Clements, M., Cross, G., & Purcell, R. (2022) · Sports Medicine - Open · doi:10.1186/s40798-022-00479-y · Cited by 77
Self-citationPsychological Safety for Mental Health in Elite Sport: A Theoretically Informed Model
Walton, C. C., Purcell, R., Pilkington, V., Hall, K., Kenttä, G., Vella, S. A., & Rice, S. (2023) · Sports Medicine · doi:10.1007/s40279-023-01912-2 · Cited by 99
Self-citationMyall, K., Montero‐Marín, J., Gorczynski, P. F., Kajee, N., Sheriff, R. S., Bernard, R. M., Harriss, E., & Kuyken, W. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-105596 · Cited by 98
Mental Health Among Elite Youth Athletes: A Narrative Overview to Advance Research and Practice
Walton, C. C., Purcell, R., Henderson, J. L., Kim, J., Kerr, G., Frost, J., Gwyther, K., Pilkington, V., Rice, S., & Tamminen, K. A. (2024) · Sports Health: A Multidisciplinary Approach · doi:10.1177/19417381231219230 · Cited by 74
Self-citation
Metadata
- Authors
- Purcell, R., Pilkington, V., Carberry, S., Reid, D., Gwyther, K., Hall, K., Deacon, A., Manon, R., Walton, C. C., & Rice, S.
- Affiliations
- The University of Melbourne (AU)
- Deakin University (AU)
- Australian Football League (AU)
- Corresponding author
- Purcell, Rosemary
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2022-02-16
- Volume
- 13
- Pages
- 780359-780359
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8890033
- OpenAlex
- W4213127562
- Cited by
- 156
- References
- 111
- Citations by year
- 2026: 44 · 2025: 48 · 2024: 30 · 2023: 23 · 2022: 11
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- psychological well-being, elite sport, mental health promotion, mental illness, stigma, help-seeking, psychological safety, coaches, athlete mental health, mental health policy, ecological systems approach, athletic performance
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