An Online Guided ACT Intervention for Enhancing the Psychological Well-being of Female Soccer Players in Pre-season
DOI:
https://doi.org/10.7146/sjsep.v4i1.130136Keywords:
Acceptance and commitment therapy, Female players, Stress, Depressive symptoms, Psychological well-beingAbstract
This study investigated whether an internet-based intervention aimed at enhancing the psychological well-being of female soccer players before the competitive season could be effective approach to meet the needs of the players. Players (n= 43; 17–26 years old)on the four separated teams in Finland’shighest league were assigned to either a guided six-week online Acceptance and Commitment Therapy intervention (ACTi) or to a control condition (CON). A between-groups pre–post (ACTi vs. CON) design was implemented before the competitive season. Players in the ACTi were offered three group sessions, performed internet-based tasks, and were individually supported by a guide. The results demonstrated that the ACTi players maintained their sports-related well-being (between-group, d = 0.72), while the sports-related well-being of the CON players, especially emotional and social well-being, had declined. In addition, ACTi players’perceived stress (d = 0.60) and depression (d = 0.88) declined, while their psychological flexibility in sports (d = 0.41) increased compared to the CON players. These results suggest that before the competitive season, players’ sports-related well-being decreases. The ACT intervention seemed to prevent this decrease and provide players with the skills to cope with emotional and social stressors related to the competitive season.
References
Andersson, G., & Cuijpers, P. (2009). Internet-based and other computerized psychological treatments for adult depression: a Meta-Analysis. Cognitive Behaviour Therapy, 38(4), 196–205. https://doi.org/10.1080/16506070903318960
Arch, J. J., Eifert, G. H., Davies, C., Plumb Vilardaga, J. C., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioural therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750–765. https://doi.org/10.1037/a0028310
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504
Birrer, D., Röthlin, P., & Morgan, G. (2021). Helping athletes flourish using mindfulness and acceptance approaches – An introduction and mini review. Sport and Exercise Medicien Switzerland. https://doi.org/10.34045/SEMS/2021/18
Bühlmayer, L., Birrer, D., Röthlin, P., Faude, O., & Donath, L. (2017). Effects of mindfulness practice on performance-relevant parameters and performance outcomes in sport: A meta-analytical review. Sports Medicine, 47(11), 2309-231. https://doi.org/10.1007/s40279-017-0752-9
Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: systematic review. Journal of Medical Internet Research, 11(2), e13. https://doi.org/10.2196/jmir.1194
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, New Jersey: Lawrence Earlbaum Associates.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.
Day, V., McGrath, P. J., & Wojtowicz, M. (2013). Internet-based guided self-help for university students with anxiety, depression and stress: a randomized controlled clinical trial. Behaviour Research & Therapy, 51(7), 344–351. https://doi.org/10.1016/j.brat.2013.03.003
Ferguson, L. J., Kowalski, K. C., Mack, D. E., & Sabiston, C. M. (2014). Exploring self- compassion and eudemonic well-being in young women athletes. Journal of Sport & Exercise Psychology, 36(2), 203–216. https://doi.org/10.1123/jsep.2013-0096
Ferguson, L. J., Kowalski, K. C., Mack, D. E., & Sabiston, C. M. (2015). Self-compassion and eudemonic well-being during emotionally difficult times in sport. Journal of Happiness Studies, 16(5), 1263–1280. https://doi.org/10.1007/s10902-014-9558-8
Federation Internationale de Football Association (FIFA). (2019). Women’s football member associations survey report.
Foster, B. J., & Chow, G. M. (2019). Development of the sport mental health continuum—short form (sport MHC-SF). Journal of Clinical Sport Psychology, 13(4), 593–608. https://doi.org/10.1123/jcsp.2017-0057
Grist, R., & Cavanagh, K. (2013). Computerised cognitive behavioural therapy for common mental health disorders, what works, for whom under what circumstances? A systematic review and meta-analysis. Journal of Contemporary Psychotherapy, 43, 243–251. https://doi.org/10.1007/s10879-013-9243-y
Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25. https://doi.org/10.1016/j.brat.2005.06.006
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. New York: The Guilford Press.
Henriksen, K., Schinke, R., Moesch, K., McCann, S., Parham, W. D., Larsen, C. H., et al. (2020). Consensus statement on improving the mental health of high performance athletes. International Journal of Sport and Exercise Psychology, 1–8. https://doi.org/10.1080/1612197X.2019.1570473
Henriksen, K., Haberl, P., Baltzell, A., Hansen, J., Birrer, D., & Larsen, H. (2019). Mindfulness and acceptance approaches: Do they have a place in elite sport? In K. Henriksen, J., Hansen, & C. Hvid Larsen (Eds.), Mindfulness and Acceptance in Sport: How to Help Athletes Perform and Thrive under Pressure (pp. 1-16). London: Routledge.
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS21): construct validity and normative data in a large nonclinical sample. British Journal of Clinical Psychology, 44, 227–239. https://doi.org/10.1348/014466505X29657
Johles, L., Gustafsson, H., Jansson-Fröjmark, M., Classon, C., Hasselqvist, J., & Lundgren, T. (2020). Psychological flexibility among competitive athletes: A psychometric investigation of a new scale. Front Sports Act Living. https://doi.org/10.3389/fspor.2020.00110
Junge, A., & Feddermann-Demont, N. (2016). Prevalence of depression and anxiety in top-level male and female football players. BMJ Open Sport & Exerisec Medicine, 2(1), e000087. https://doi.org/10.1136/bmjsem-2015-000087
Johansson, R., & Andersson, G. (2012). Internet based psychological treatments for depression. Expert Rev Neurother, 12(7), 862-869. https://doi.org/10.1586/ern.12.63
Kaufman, K.A., Glass, C.R., & Arnkoff, D.B. (2009). Evaluation of mindful sport performance enhancement (MSPE): A new approach to promote flow in athletes. Journal of Clinical Sport Psychology, 25(4), 334.
Kryger K, Wang A, Mehta R, Impellizzeri, FM, Massey A, McCall A. (2021). Research on women’s football: a scoping review. Science and Medicine in Football, 4,1–10. https://doi.org/10.1080/247339838.2020.1868560
Küttel, A., & Larsen, C. H. (2020). Risk and protective factors for mental health in elite athletes: A scoping review. International Review of Sport and Exercise Psychology, 13(2), 1–35. https://doi.org/10.1080/1750984X.2019.1689574
Küttel, A., Durand-Bush, N., & Larsen, C.H. (2021). Mental health profiles of Danish youth soccer players: The influence of gender and career development. Journal of Clinical Psychology, 1–18. https://doi.org/10.1123/jcsp.2021-0035
Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M., Tolvanen, A., et al. (2014). ACT Internet based vs face-to-face? A randomized controlled trial of two ways to deliver Acceptance and Commitment Therapy for depressive symptoms: an 18 month follow-up. Behaviour Research and Therapy, 61, 43–54. https://doi.org/10.1016/j.brat.2014.07.006
Lappalainen, P., Langrial, S., Kukkonen, H., Tolvanen, A., & Lappalainen, R. (2015). Web-based Acceptance and Commitment Therapy for depressive symptoms with minimal support: a Randomized Controlled Trial. Behaviour Modification, 39(6), 805–834.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney, Australia: Psychology Foundation of Australia.
Lundqvist, C., & Sandin, F. (2014). Well-being in elite sport: Dimensions of hedonic and eudemonic well-being among elite orienteers. The Sport Psychologist, 28(3), 245–254. https://doi.org/10.1123/tsp.2013-0024
Lundgren, T., Reinebo. G., Fröjmark, M.J., Jäder, E., Näslund, M., Svartvadet, P., Samuellson, U. & Parling, T. (2021). Acceptance and commitment training for ice hockey players: A randomized controlled trial. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2021.685260
Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from Internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49, 455–471. https://doi.org/10.1348/014466509X472138
Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent groups designs. Psychological Methods, 7(1), 105–125. https://doi.org/10.1037/1082-989x.7.1.105
Muthén, L. K., & Muthén, B. O. (1998-2017). Mplus user’s guide (8th ed.). Muthén & Muthén.
Nikander, J.A.O., Aunola, K., Tolvanen, A., & Ryba, T.V. (2021). Associations between student-athletes´ self-esteem and career adaptability across high school years. Scandinavian Journal of Medicine and Science in Sports, 32(1), 789–797. https://doi.org/10.1111/sms.14114
Noetel, M., Ciarrochi, J., Van Zanden, B., & Lonsdale, C. (2017). Mindfulness and acceptance approaches to sporting performance enhancement: A systematic review. International Review of Sport and Exercise Psychology, 1–37. https://doi.org/10.1080/1750984X.2017.1387803
Pankow, K., McHugh, T-L., F., Mosewich, A.D., & Holt, N.L. (2021). Mental health protective factors among flourishing Canadian women university student-athletes. Psychology of Sport and Exercise, 52. https://doi.org/10.1016/j.psychosport.2020.101847
Prinz, B., Dvořák, J., & Junge, A. (2016). Symptoms and risk factors of depression during and after the football career of elite female players. BMJ Open Sport & Exercise Medicine, 2:e000124. https://doi.org/10.1136/bmjsem-2016-000124
Richards, D., & Richardson, T. (2012). Computer based psychological treatments for depression: a systematic review and meta-analysis. Clinical Psychology Review, 32(4), 329–342. https://doi.org/10.1016/j.cpr.2012.02.004
Rosenberg, M. Society and the adolescent self-image. Revised edition. Middletown, CT: Wesleyan University Press; 1989.
Räsänen, P., Lappalainen, P., Muotka, J., Tolvanen, A., & Lappalainen R. (2016). An Online guided ACT intervention for enhancing the psychological well-being of University Students: A randomized controlled clinical trial. Behaviour Research and Therapy 78, 30–42. https://doi.org/10.1016/j.brat.2016.01.001
Solberg, E.E., Ingjer, F., Holen, A, Sundgot-Borgen, J., & Holme, I. (2000). Stress reactivity to and recovery from a standardized exercise bout: a study of 31 runners practicing relaxation techniques. British Journal of Sports Medicine, 34, 268–272. https://doi.org/10.1136/bjsm.34.4.268
Sorkkila, M., Ryba, T. V., Selänne, H., & Aunola, K. (2020). Development of school and sport burnout in adolescent student-athletes: A longitudinal mixed-method study. Journal of Research on Adolescence, 30(S1), 115–133. https://doi.org/10.1111/jora.12453
Tamminen, K.A., & Holt, N. L. (2010). Female adolescent athletes’ coping: A season-long investigation. Journal of Sports Sciences, 28(1), 101–114. https://doi.org/10.1080/02640410903406182
Tamminen, K.A., Palmateer, T.M., Denton, M., Sabiston, C., Crocker, P.R.E., Eys, M., & Smith, B. (2016). Exploring emotions as social phenomena among Canadian varsity athletes. Psychology of Sport and Exercise, 27, 28–38.
Trainor, L. R., Crocker, P. R., Bundon, A., & Ferguson, L. (2020). The rebalancing act: Injured varsity women athletes’ experiences of global and sport psychological well- being. Psychology of Sport and Exercise, 49. https://doi.org/10.1016/j.psychsport.2020.101713
Union of European Football Association (UEFA). Women’s football across the national associations. 2016.
Uphill, M., Sly, D., & Swain, J. (2016). From mental health to mental wealth in athletes: Looking back and moving forward. Frontiers in Psychology, 7, 935. https://doi.org/10.3389/fpsyg.2016.00935
Wells, C. S., & Wollack, J. A. (2003). An instructor’s guide to understanding test reliability. Testing and evaluation services publication, University of Wisconsin.
Zetterqvist, K., Maanmies, J., Stroem, L., & Andersson, G. (2003). Randomized controlled trial of Internet-based stress management. Cognitive Behaviour Therapy, 3, 151–160. https://doi.org/10.1080/1650607032316
Zhang, C-Q, Si, G., Duan Y., Lyu, Y., Keatly, D., & Chan, D.K.C. (2016). The effects of mindfulness training on beginner´s skill acquisition in dart throwing: a randomized controlled trial. Psychology Sports Exercise, 22, 279–285. https://doi.org/10.1016/j.psychsport.2015.09.005