Highlights*Prevalence is unknown due to a lack of predefined criteria (i.e., diagnostic cut-offs).*Negative social experiences promote the risk of burnout. *Perfectionistic concerns are an important risk factor for athlete burnout. *Prevention research is lacking but findings from job burnout can provide guidelines. AbstractOver the last two decades, growing concerns regarding the negative implications of athlete burnout have spurred empirical research on the topic. In their citation network analysis of the burnout literature, Gustafsson, Hancock and Coté, cited well over 100 publications on the syndrome [1]. Despite considerable investigation into athlete burnout, there remain a number of unresolved questions and issues. Four main aims guide the current review. First, we highlight various models of athlete burnout. Second, we discuss the measurement of athlete burnout. Third, we describe the symptoms, antecedents, and consequences of athlete burnout with a focus on social perceptions and perfectionism. Finally, we provide suggestions for the prevention and treatment of athlete burnout via an illustration of links between theory and practice. It is our hope that this review can stimulate future research in order to help athletes avoid burnout and other severe forms of training maladaptation.

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Social support and negative social interactions have implications for athlete psychological health, with potential to influence the links of stress-related experiences with burnout and well-being over time. Using a longitudinal design, perceived social support and negative social interactions were examined as potential moderators of the temporal stress-burnout and burnout-well-being relationships. American collegiate athletes (N = 465) completed reliable and valid online assessments of study variables at four time points during the competitive season. After controlling for dispositional and conceptually important variables, social support and negative social interactions did not moderate the stress-burnout or burnout-well-being relationships, respectively, but did simultaneously contribute to burnout and well-being across the competitive season. The results showcase the importance of sport-related social perceptions to athlete psychological outcomes over time and inform development of socially driven interventions to improve the psychological health of competitive athletes.

Background:There is a dearth of research on the current health of former collegiate athletes.Purpose:To examine the current health and related correlates in a cohort of former collegiate athletes who played in a diverse range of men’s and women’s sports with various levels of contact.Study Design:Cross-sectional study; Level of evidence, 3.Methods:Former collegiate athletes (N = 3657) were asked to complete an online questionnaire addressing sports history, medical history, and demographics. The questionnaire also included the Veterans RAND 12-Item Health Survey (VR-12), which yielded 2 composite scores for physical (PCS) and mental (MCS) health. The VR-12 PCS and MCS scores were compared with published US normative data using t tests and analyses of variance.Results:Mean PCS and MCS scores of the 797 respondents with complete data (21.9% of target sample; average, 14.5 years since last played collegiate sport) were 53.0 ± 6.1 and 51.7 ± 9.4, respectively. When stratified by age and sex, PCS and MCS scores were similar to normative scores in the United States. Lower PCS scores were associated with sustaining ≥3 concussions, playing in collision sports during college, and sustaining a career-ending injury (all, P < .001). No association was found between concussion and MCS scores (P = .06). Among former collegiate athletes, prevalent medical conditions included anxiety (16.2%), hypercholesterolemia/high cholesterol (10.6%), and depression (10.4%). Additionally, 5.8% screened positive for alcohol dependence, and 5.8% screened positive for disordered eating (eg, binge eating, purging). These findings were more prevalent than those reported by the World Health Organization as representative of the US population. Conversely, there was a lower prevalence of depression, bipolar disorders, and attention deficit disorder, with or without hyperactivity (ADD/ADHD), than in the World Health Organization US population data sample.Conclusion:Former collegiate athletes appear similar to the general US population on many aspects of mental and physical health. However, observed health deficits associated with previous sports injuries warrant ongoing monitoring of the health and well-being of former collegiate athletes.

Continuing education for ATs about the Triad and RED-S may encourage a more comprehensive approach to referral and screening after a diagnosis of menstrual dysfunction or bone-stress injury. Using institutional opportunities, such as preparticipation screening, for identifying components of the Triad or RED-S and specifying protocols for referring athletes who screen positive for 1 of these components should also be explored.