Sport and mental health

Henriksen, K., Huang, Z., Bartley, J., Kenttä, G., Purcell, R., Wagstaff, C. R. D., … Schinke, R. (2024). The role of high-performance sport environments in mental health: an international society of sport psychology consensus statement. International Journal of Sport and Exercise Psychology, 1–23.

This consensus statement is the product of the Third International Society of Sport Psychology Think Tank on Mental Health. The purposes of the Think Tank were (1) to engage renowned international expert researchers and practitioners in a discussion about the role of high-performance sport environments in nourishing or malnourishing the mental health of athletes, coaches and staff; and (2) to develop recommendations for sport organisations, mental health researchers, and practitioners to more fully recognise the role of the sport environment in their work.

Although most of the research on mental health in sport has focused on the individual, mental health is the result of intricate and dynamic relationships between people and their environments, and a range of stakeholder individuals and organisations play a key role in supporting wellbeing in high-performance sport. We conceptually divide the environment into three levels (the sport team, sport organisation and sport system) and two dimensions (the social and the physical environment).

Based on the portraits of these environments, we conclude by providing recommendations that will help sport teams, organisations, and systems to create nourishing high-performance sport environments and effective mental health service provision environments, whilst helping researchers expand their focus from the individual athlete or coach to the sport environment.

The world champions of the training

There are athletes who seem like world champions during training: every move is executed with perfect precision, they break personal records, and dominate every drill as if it were second nature. They leave coaches in awe, inspire teammates, and spark dreams of victory. But then comes the competition, the moment of truth, and something changes.

In competition, the fluidity they display in training seems to vanish. They may freeze, underperform, or simply fail to meet expectations. The contrast is striking, almost inexplicable.

Often, their issue isn’t physical: they are well-trained, technically flawless. The battle is in their mind. Pressure, performance anxiety, or the fear of falling short creep into their thoughts, slowing them down and making them second-guess themselves. The competitive environment—with its audience, judgments, and high expectations—becomes an emotional maze they struggle to navigate.

Sometimes, it’s an excess of perfectionism: they’re so focused on doing everything perfectly that they end up sabotaging themselves. The natural flow they exhibit in training turns into rigidity when their mind is consumed by the outcome.

Yet, these athletes embody the true complexity and allure of sports. They are living proof that performance isn’t just about muscles or technical skills—it’s about balancing mind, body, and emotions. They deserve admiration, not for what they achieve in competition, but for their determination, for the constant pursuit of overcoming that invisible barrier separating them from their full potential.

After all, every great athlete has faced a moment like this at some point. It’s not always about victories, but about the journey to finding peace within themselves, even under the spotlight.

The old age is an experimental age

I wish everyone the joy of walking and reading a passionating book

It is said that reading allows us to immerse ourselves in stories other than our own, but it offers even more. Reading a book is like walking: these are activities anyone can engage in, as long as they take some time to be alone with themselves. Both can be interrupted whenever desired.

Walking benefits both the body and the mind, and the same is true for reading. These are activities that don’t demand intense concentration but require a sustained focus over time. When we stop, we cease walking; the same applies to reading—if we get distracted by other tasks or thoughts, we stop reading.

Walking and reading allow us to respect the natural rhythm of our body and mind. Each person engages in these activities at their own pace, which is invariably slower than the frantic speed of modern life. For us, tightly bound to the present, they represent a leap into the essence of being human—because taking 1,000 steps or reading 10 pages demands time. There’s no way to shorten this time with any of the electronic devices we usually rely on. No click can reduce this time.

This is time for ourselves, whether spent alone or with others, as demonstrated by walks with friends or group reading sessions. It’s a time where minutes, quarter-hours, and half-hours have meaning and cannot be compressed.

These activities take us to a world far removed from the everyday rush of obligations, emails, WhatsApp messages, and other distractions that keep us tethered to the present. They invite us to lift our heads and notice that there is much more to life.

Thinking: always

10 questions the coaches should ask themselves to evaluate their ability to train athletes

10 questions the coaches should ask themselves to evaluate their ability to train athletes:

  1. Do I have a thorough understanding of the theoretical and practical fundamentals of the sport I am coaching?
    • (Techniques, tactics, rules, and core principles).
  2. Am I able to create a structured and personalized training plan for each athlete or team?
  3. Do I understand the basics of physiology and biomechanics applied to sports training?
    • (Especially to prevent injuries and optimize performance).
  4. Do I have effective communication skills to motivate, instruct, and correct athletes clearly and constructively?
  5. Do I know how to manage the psychological aspects of athletes, such as stress, self-confidence, and mental focus?
  6. Can I monitor and evaluate athletes’ progress in terms of physical and technical performance?
  7. Am I knowledgeable about the principles of sports nutrition to guide my athletes (or refer them to specialists)?
  8. Am I able to collaborate with other professionals (sports doctors, physiotherapists, nutritionists) to support my athletes?
  9. Have I developed a clear coaching philosophy consistent with my personal and sporting values?
  10. Do I maintain ongoing education by regularly updating myself on best practices, scientific research, and innovations in the field?

By honestly answering these questions, a coach can identify their strengths and areas where improvement is needed.

Many people avoid engaging in physical activity because for them it’s unpleasant and for other reasons

Many people avoid engaging in physical activity, even though they are aware of its health benefits, for various reasons tied to psychological, social, cultural, and personal factors. One significant reason is that they perceive physical exercise as boring or unpleasant. Here’s why:

1. Lack of interest and intrinsic motivation

  • Some people don’t find satisfaction or enjoyment in traditional physical activities (such as running, gym workouts, or repetitive exercises), considering them monotonous.
  • Intrinsic motivation, which is connected to the pleasure of the activity itself, is often missing. As a result, physical exercise feels more like a duty than an enjoyable activity.

2. Negative past experiences

  • Many have had negative experiences related to physical activity, such as in school (compulsory physical education classes), which can create aversion or anxiety in adulthood.
  • Feeling incompetent or comparing themselves to more skilled individuals may lead to discomfort.

3. Perception of effort

  • Physical activity, particularly for those who are untrained, can feel physically demanding. Without immediate gratification, people may see it as an effort with little “reward” in the short term.
  • The lack of visible immediate results (e.g., weight loss, physical improvements) reinforces this perception.

4. Association with external obligations

  • Physical activity is often promoted as something “necessary” to stay healthy, making it seem like an imposition. When an activity is seen as a task to complete, it tends to lose its fun appeal.

5. Preference for more convenient, passive alternatives

  • During their free time, many people opt for passive activities (watching TV, using their phone, reading), as these provide immediate relaxation without expending energy.
  • A sedentary routine, once established, becomes hard to break.

6. Social and environmental barriers

  • A lack of time, sedentary work, or distance from sports facilities can reduce the opportunity to engage in physical activity.
  • Some people don’t have companions to share the experience with, making it less enjoyable and motivating.

7. Underestimating progressive enjoyment

  • Many don’t realize that the pleasure derived from exercising can increase over time: while the initial effort may be unpleasant, consistent activity leads to greater physical (dopamine, endorphins) and psychological gratification.

To counter this negative perception, it is often recommended to:

  • Find enjoyable activities suited to one’s lifestyle (e.g., dancing, yoga, team sports).
  • Start with simple, short exercises, focusing on gradual improvement rather than performance.
  • Combine physical activity with a pleasant social context (e.g., friends or group classes).
  • Reinterpret physical activity as a moment of wellness and relaxation, rather than a compulsory “cure.”

Understand the negative performances after the Champions League matches

It’s not hard to understand that playing many matches creates a condition of difficulty that soccer teams engaged in both domestic leagues and international competitions must face. Often, this situation is the main explanation for underwhelming performances in national league matches.

I searched online for scientific articles on this topic but couldn’t find any, nor did I find media articles that went beyond an explanation rooted in physical and mental fatigue. In summary, we’re talking about professional athletes who run approximately 10/11 km per match, who are undoubtedly under competitive pressure, and who have access to the most modern and adequate physiological recovery methods. Yet, they still can’t play two consecutive matches in a week at a level deemed acceptable.

I wonder what the recovery program is like between matches. Everyone writes about how difficult it is to play too many matches, but no one explains what teams do to address this situation.

What I know is that when coaches are interviewed, they provide nonsensical explanations rooted in clichés, and in any case, the topic doesn’t seem to genuinely interest the media. Right now, Atalanta is being celebrated because they manage to win in the league as well, while most of the other Champions League contenders didn’t succeed this week. The explanation for all this is left to wizards, who don’t exist, while no one investigates the real reasons behind these differences.

What is the dose-response association between physical activity and incident depression in adults?

Pearce M, Garcia L, Abbas A, et al. (2022). Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry, 79(6), 550–559.

Our results show an inverse curvilinear association with the greatest differences in risk observed between low doses of physical activity, suggesting most benefits are realized when moving from no activity to at least some.

Activity - Accumulating an activity volume equivalent to 2.5 hours of brisk walking per week was associated with 25% lower risk of depression, and at half that dose, risk was 18% lower compared with no activity. Only minor additional benefits were observed at higher activity levels.

Small volumes of activity - We also found that even small volumes of activity were beneficial but go further by quantifying differences in risk for these doses. Our findings therefore have important new implications for health practitioners making lifestyle recommendations, especially to inactive individuals who may perceive the current recommended target as unrealistic.

Brain answers - The associations we observed are likely explained by more than 1 mechanism. Proposed pathways include acute neuroendocrine and inflammatory responses to activity such as activation of the endocannabinoid system (“runner’s high”) and longer-term adaptations, including changes in the brain’s neural architecture.

Social dimensions - Psychosocial and behavioral explanations have also been suggested, including improved physical self-perceptions and body image, more social interactions, and the personal development of coping strategies. The social aspect of activity participation may operate even at relatively low doses, consistent with the dose-response curve we observed.

Green space - The use of green space is associated with lower risk of depression, with mediation analysis suggesting only part of the association is explained by physical activity. Conversely, noise pollution49 and neighborhood deprivation50 might diminish the mental health benefits of activity.

 

Effects of physical activity for improving mental health diseases

Singh B, Olds T, Curtis R, et al. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviewsBritish Journal of Sports Medicine, 57, 1203-1209.

This is the first ever study to compile the extensive base of evidence regarding the effects of PA on depression, anxiety and psychological distress. We identified 97 systematic reviews, reporting the findings of 1039 unique RCTs, involving 128 119 participants. Findings suggest that PA interventions are effective in improving symptoms of depression and anxiety.

PA is effective for managing symptoms of depression and anxiety across numerous populations, including the general population, people with mental illnesses and various other clinical populations. While the benefit of exercise for depression and anxiety is generally recognised, it is often overlooked in the management of these conditions. Furthermore, many people with depression and anxiety have comorbidities, and PA is beneficial for their mental health and disease management. This underscores the need for PA to be a mainstay approach for managing depression and anxiety.

All modes of PA are effective, with moderate-to-high intensities more effective than low intensity. Larger benefits are achieved from shorter interventions, which has health service delivery cost implications–suggesting that benefits can be obtained following short-term interventions, and intensive long-term interventions are not necessarily required to achieve therapeutic benefit. The effect size reductions in symptoms of depression and anxiety  are comparable to or slightly greater than the effects observed for psychotherapy and pharmacotherapy. Future research to understand the relative effectiveness of PA compared with (and in combination with) other treatments is needed to confirm these findings.

In conclusion, PA is effective for improving depression and anxiety across a very wide range of populations. All PA modes are effective, and higher intensity is associated with greater benefit. The findings from this umbrella review underscore the need for PA, including structured exercise interventions, as a mainstay approach for managing depression and anxiety.