Differences in Stigma and Attitudes Toward Counseling Between College Student-Athletes and Nonathletes

Hilliard, Robert C.; Redmond, Lorenzo A.; Watson, Jack C.

doi:10.1080/87568225.2018.1504639

Cited by 11 publications

(9 citation statements)

References 12 publications

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“…The present review identified barriers for elite athletes seeking mental health treatment. Stigma attached to mental health symptoms and disorders appears to be the strongest barrier in quantitative and qualitative studies in sports, supported by 18 studies in the present systematic review 23 25–41. Elite athletes often believe mental health symptoms and disorders are a sign of weakness, or report stigma associated with mental health symptoms and disorders.…”

Section: Resultsmentioning

confidence: 52%

Mental health symptoms and disorders in elite athletes: a systematic review on cultural influencers and barriers to athletes seeking treatment

Castaldelli-Maia¹,

Gallinaro²,

Falcão³

et al. 2019

Br J Sports Med

159

121

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ObjectiveTo summarise the literature on the barriers to athletes seeking mental health treatment and cultural influencers of mental health in elite athletes.DesignSystematic reviewData sourcesPubMed, Cochrane, Scopus, SportDiscus (Ebsco), and PsycINFO (ProQuest) up to November 2018.Eligibility criteria for selecting studiesQualitative and quantitative original studies of elite athletes (those who competed at the professional, Olympic, or collegiate/university levels), published in any language.ResultsStigma, low mental health literacy, negative past experiences with mental health treatment-seeking, busy schedules, and hypermasculinity are barriers to elite athletes seeking mental health treatment. Cultural influencers of mental health in elite athletes include: (1) the lack of acceptance of women as athletes; (2) lower acceptability of mental health symptoms and disorders among non-white athletes; (3) non-disclosure of religious beliefs; and (4) higher dependence on economic benefits. Coaches have an important role in supporting elite athletes in obtaining treatment for mental illness. Brief anti-stigma interventions in elite athletes decrease stigma and improve literary about mental health.ConclusionThere is a need for various actors to provide more effective strategies to overcome the stigma that surrounds mental illness, increase mental health literacy in the athlete/coach community, and address athlete-specific barriers to seeking treatment for mental illness. In this systematic review, we identified strategies that, if implemented, can overcome the cultural factors that may otherwise limit athletes seeking treatment. Coaches are critical for promoting a culture within elite athletes’ environments that encourages athletes to seek treatment.

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Section: Resultsmentioning

confidence: 52%

Mental health symptoms and disorders in elite athletes: a systematic review on cultural influencers and barriers to athletes seeking treatment

Castaldelli-Maia¹,

Gallinaro²,

Falcão³

et al. 2019

Br J Sports Med

159

121

View full text Add to dashboard Cite

show abstract

“…However, the authors used the PDD, which measures stigma toward individuals with mental illness and not treatment seeking. measured stigma and attitudes toward help-seeking in both groups and did not find any differences, and a recent study did not find differences between groups after controlling for previous therapy history and gender (Hilliard, Redmond, & Watson, 2018b). Therefore, it remains unclear if stigma and attitudes amongst college athletes differ from nonathlete college students.…”

Section: Student-athlete Help-seekingmentioning

confidence: 84%

Stigma, attitudes, and intentions to seek mental health services in college student-athletes

Hilliard

Watson

Zizzi

2020

Journal of American College Health

Self Cite

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Stigma, attitudes, and intentions to seek mental health services in college student-athletes Robert Hilliard Previous researchers have found several factors that act as barriers to college student-athletes seeking mental health services (López & Levy, 2013; Moore, 2017). One common factor throughout these studies is stigma, which is known to be associated with less favorable attitudes toward seeking help (Moreland et al., 2018). However, researchers have not explored how stigma and attitudes might influence intentions to seek counseling and actual help-seeking behaviors in student-athletes. Additionally, there is a dearth of research identifying the topics for which student-athletes are most willing to seek help. Therefore, the purposes of this study were to investigate predictors of mental health help-seeking as well as identify topics for which college student-athletes are most likely to seek help. The sample consisted of participants (N = 325) from three Division II and III universities. Findings indicated public stigma was significantly related to self-stigma, but social network stigma was not. Self-stigma was related to attitudes and attitudes were related to intentions. Using logistic regression analysis, self-stigma and attitudes were found to be significant predictors of help-seeking behavior. Specifically, both were associated with an increased likelihood of having sought mental health services in the past. Regarding help-seeking topics, drug problems, depression, and excessive alcohol use were the highest rated issues for which student-athletes were likely to seek help, whereas concerns about sexuality, difficulty with friends, and body image were rated the lowest. The results of this study can be used to help sport psychologists and other mental health staff develop programming that might lead to increased service use amongst collegiate student-athletes. Specifically, it appears that using a multifaceted approach to improving attitudes could have the most meaningful effect on encouraging service use. The College Population .

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“…Elite athletes may encounter many barriers to seeking mental healthcare, including stigma 188 607–615. Public stigma and self-stigma predict a significant detrimental impact on seeking treatment for mental health 616.…”

Section: Major Stressors and Key Environmental Factors That Influencementioning

confidence: 99%

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

et al. 2019

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Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

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Differences in Stigma and Attitudes Toward Counseling Between College Student-Athletes and Nonathletes

Cited by 11 publications

References 12 publications

Mental health symptoms and disorders in elite athletes: a systematic review on cultural influencers and barriers to athletes seeking treatment

Mental health symptoms and disorders in elite athletes: a systematic review on cultural influencers and barriers to athletes seeking treatment

Stigma, attitudes, and intentions to seek mental health services in college student-athletes

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

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