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1.
  • Gustafsson, Berit M., 1966-, et al. (author)
  • Hyperactivity precedes conduct problems in preschool children : a longitudinal study.
  • 2018
  • In: BJPsych Open. - : Cambridges Institutes Press. - 2056-4724. ; 4:4, s. 186-191
  • Journal article (peer-reviewed)abstract
    • Background: Externalising problems are among the most common symptoms of mental health problems in preschool children.Aims: To investigate the development of externalising problems in preschool children over time, and the way in which conduct problems are linked to hyperactivity problems.Method: In this longitudinal study, 195 preschool children were included. Latent growth modelling of conduct problems was carried out, with gender and hyperactivity at year 1 as time-invariant predictors.Results: Hyperactivity was a significant predictor for the intercept and slope of conduct problems. Children with more hyperactivity at year 1 had more conduct problems and a slower reduction in conduct problems. Gender was a significant predictor for the slope of conduct problems.Conclusions: Children with more initial hyperactivity have less of a reduction in conduct problems over time. It is important to consider the role of hyperactivity in studies of the development of conduct problems.Declaration of interest: None.
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2.
  • Gustafsson, Karin L., 1987, et al. (author)
  • The role of membrane ER alpha signaling in bone and other major estrogen responsive tissues
  • 2016
  • In: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 6
  • Journal article (peer-reviewed)abstract
    • Estrogen receptor a (ER alpha) signaling leads to cellular responses in several tissues and in addition to nuclear ER alpha-mediated effects, membrane ER alpha (mER alpha) signaling may be of importance. To elucidate the significance, in vivo, of mER alpha signaling in multiple estrogen-responsive tissues, we have used female mice lacking the ability to localize ER alpha to the membrane due to a point mutation in the palmitoylation site (C451A), so called Nuclear-Only-ER (NOER) mice. Interestingly, the role of mER alpha signaling for the estrogen response was highly tissue-dependent, with trabecular bone in the axial skeleton being strongly dependent (>80% reduction in estrogen response in NOER mice), cortical and trabecular bone in long bones, as well as uterus and thymus being partly dependent (40-70% reduction in estrogen response in NOER mice) and effects on liver weight and total body fat mass being essentially independent of mER alpha (<35% reduction in estrogen response in NOER mice). In conclusion, mER alpha signaling is important for the estrogenic response in female mice in a tissue-dependent manner. Increased knowledge regarding membrane initiated ER alpha actions may provide means to develop new selective estrogen receptor modulators with improved profiles.
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4.
  • Appleby, Ralph, et al. (author)
  • Examining Perceptions of Teammates' Burnout and Training Hours in Athlete Burnout
  • 2018
  • In: Journal of Clinical Sport Psychology. - : Human Kinetics. - 1932-9261 .- 1932-927X. ; 12:3, s. 316-332
  • Journal article (peer-reviewed)abstract
    • Perceptions of teammates and training load have been shown to influence athletes' physical and psychological health; however, limited research has investigated these factors in relation to burnout. Athletes (N = 140) from a variety of competitive team sports, ranging in level from regional to professional, completed questionnaires measuring individual burnout, perceptions of teammates' burnout, and training hours perweek on two occasions separated by threemonths. After controlling for burnout at time one, training hours were associated with athletes' burnout and perceptions of teammates' burnout at time two. Multilevel modeling indicated actual team burnout (i.e., the average burnout score of the individual athletes in a team) and perceived team burnout were associated with individual's own burnout. The findings highlight that burnout is dynamic and relates to physiological stressors associated with training and psychological perceptions of teammates' burnout. Future research directions exploring potential social influences on athlete burnout are presented.
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5.
  • Back, Jenny, 1984-, et al. (author)
  • Psychological risk factors for exercise dependence
  • 2021
  • In: International Journal of Sport and Exercise Psychology. - New York : Routledge. - 1612-197X .- 1557-251X. ; 19:4, s. 461-472
  • Journal article (peer-reviewed)abstract
    • The main aim of this study was to investigate if exercisers' personality characteristics were associated with exercise dependence. Specifically, the purpose was to examine if anxiety, obsessive passion, and physical appearance orientation were associated to an increased risk for exercise dependence. Participants were 330 exercisers from exercise groups, sport clubs and university sport science classes in the southwest of Sweden. Data were analysed using CHAID (Chi-squared Automatic Interaction Detection) analysis. The CHAID analysis indicated that anxiety was the main predictor of exercise dependence. More specifically, 12.7% more exercisers who experienced high levels of anxiety symptoms (i.e. scores above 6), were, in comparison to the exercises experiencing low levels of anxiety, classified as ?at risk for exercise dependence?. For exercisers that reported low levels of anxiety symptoms (i.e. scores below 7), obsessive passion for exercise was a positive statistically significant predictor (absolute risk difference?=?8.6%). Overall, the results highlight anxiety as a main risk factor behind exercise dependence. Also, the risk of exercise dependence may increase either from obsessive passion or as a coping strategy for anxiety. Furthermore, results may illustrate two types of exercise dependence; ?primary? exercise dependence driven mainly by an obsessive passion for exercise and ?secondary? exercise dependence where exercise function as a strategy to cope with anxiety.
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6.
  • Back, Jenny, 1984-, et al. (author)
  • Psychosocial Predictors of Drop-Out from Organised Sport : A Prospective Study in Adolescent Soccer
  • 2022
  • In: International Journal of Environmental Research and Public Health. - Basel : MDPI. - 1661-7827 .- 1660-4601. ; 19:24
  • Journal article (peer-reviewed)abstract
    • In recent years an increased drop-out rate in adolescents' soccer participation has been observed. Given the potentially adverse consequences of drop-out from soccer, more information about risk factors for drop-out is warranted. In the current study, Classification and Regression Tree (CRT) analysis was used to investigate demographic and motivational factors associated with an increased risk of drop-out from adolescent soccer. The results of this study indicate that older age, experiencing less autonomy support from the coach, less intrinsic motivation, being female, and lower socioeconomic status are factors associated with an increased risk of drop-out. An interpretation of the results of this study is that coaches play a central part in creating a sports context that facilitates motivation and continued soccer participation. Based on the findings of the current study we propose that soccer clubs implement theoretically informed coach education programs to help coaches adopt autonomy-supportive coaching strategies.
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7.
  • Bartura, Khelifa, et al. (author)
  • A systematic review of ironic effects of motor task performance under pressure : The past 25 years
  • 2023
  • In: International Review of Sport and Exercise Psychology. - : Taylor & Francis. - 1750-984X .- 1750-9858.
  • Journal article (peer-reviewed)abstract
    • Wegner's theory of ironic processes of mental control emphasizes how the implementation of cognitive load-induced avoidant instructions can cause inefficient motor cognition in sports, thereby inducing so-called ironic effects where an individual-ironically-does precisely what s(he) intended not to do. This systematic review synthesizes relevant existing research and evaluates the effectiveness of experimental manipulations and cognitive load measurements for investigating ironic effects on motor task performance under pressure conditions. This review identified twenty-four empirical studies published before January 2022, including studies with experimental (21%) and quasi-experimental (79%) within- and between-subject designs. The most common reported pressure (i.e., cognitive load) manipulations fell into two categories: anxiety (77%) and dual-task (33%) techniques. The review also identified positive action-oriented instructional interventions to reduce ironic errors. Although most reported findings supported Wegner's assumptions about ironic performance effects, the review also identified inconclusive evidence (8%), which indicates a need for more research with a greater focus on: robust experimental design; the inclusion of competitive stressors; expert athletes; elite athletes; and intervention-based studies. These additions will clarify the mechanisms of ironic effects and assist in the development of interventional programs to diminish the likelihood of ironic effects in sports performance.
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8.
  • Bartura, Khelifa, et al. (author)
  • Ironic processes of concentration and suppression under pressure : A study on rifle shooting in Norwegian elite biathletes
  • 2024
  • In: Scandinavian Journal of Medicine and Science in Sports. - : John Wiley & Sons. - 0905-7188 .- 1600-0838. ; 34:5
  • Journal article (peer-reviewed)abstract
    • In rifle shooting, suppressing unwanted thoughts can backfire in one's performance, causing athletes to behave contrary to their desired intention and further deteriorate their performance.PurposeThis study examined how priming attentional and negative cues affected participants' shooting performances toward ironic error targets under cognitive load conditions in Stroop task across two experiments.MethodsSemi-elite biathletes (Experiment 1, n = 10; Experiment 2, n = 9) participated in the study. The study used a within-subject quasi-experimental design, particularly a one-way repeated measures multivariate analysis of variance and a 2 x 2 fully repeated measures analysis of variance, to determine the participants' hit rates and shooting response times (RTs). In both experiments, the participants completed the reverse-Stroop-based target shooting performance under low- and high-cognitive load conditions while receiving frequent priming attentional and negative cues.ResultsThe findings from Experiment 1 suggest that regulating repetitive priming attentional thoughts is efficacious in mitigating the likelihood of ironic performance errors and interference effects. The results of Experiment 2 show that repetitive priming negative cues resulted in negligible ironic error hit rates and slower RTs in target hits under high-cognitive load conditions. The Bayesian analyses provided evidence supporting the null hypotheses.ConclusionTrying to control repetitive priming attentional and negative thoughts reduces ironic performance errors to a similar degree under cognitive load conditions among biathletes, regardless of interference effects. Further research is needed to determine the effectiveness of suppressing task-relevant negative instructions in reducing the likelihood of ironic performance errors under pressure.
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9.
  • Berndt, Sonja I., et al. (author)
  • Genome-wide meta-analysis identifies 11 new loci for anthropometric traits and provides insights into genetic architecture
  • 2013
  • In: Nature Genetics. - : Springer Science and Business Media LLC. - 1061-4036 .- 1546-1718. ; 45:5, s. 501-U69
  • Journal article (peer-reviewed)abstract
    • Approaches exploiting trait distribution extremes may be used to identify loci associated with common traits, but it is unknown whether these loci are generalizable to the broader population. In a genome-wide search for loci associated with the upper versus the lower 5th percentiles of body mass index, height and waist-to-hip ratio, as well as clinical classes of obesity, including up to 263,407 individuals of European ancestry, we identified 4 new loci (IGFBP4, H6PD, RSRC1 and PPP2R2A) influencing height detected in the distribution tails and 7 new loci (HNF4G, RPTOR, GNAT2, MRPS33P4, ADCY9, HS6ST3 and ZZZ3) for clinical classes of obesity. Further, we find a large overlap in genetic structure and the distribution of variants between traits based on extremes and the general population and little etiological heterogeneity between obesity subgroups.
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10.
  • Börjesson, Marcus, 1979-, et al. (author)
  • Flotation REST as a Stress Reduction Method : The Effects on Anxiety, Muscle Tension, and Performance
  • 2018
  • In: Journal of Clinical Sport Psychology. - : Human Kinetics. - 1932-9261 .- 1932-927X. ; 12:3, s. 333-346
  • Journal article (peer-reviewed)abstract
    • The purpose of the study was to investigate the influence of flotation REST upon skilled and less skilled golfers’ anxiety in terms of physiological indicators of stress, self-rated anxiety scores, muscle tension, and the effect on golf putting. Prior to performing the putting task participants underwent a treatment of flotation REST or a period of resting in an armchair. Participants completed both treatments in a randomized order with a two-week interval. The results showed that both flotation REST and the armchair treatment reduced systolic blood pressure and heart rate, with no differences between treatments or athlete skill levels. No significant differences between treatments were revealed regarding self-ratings, level of muscle tension or putting precision. The results indicate that flotation REST may be useful for reducing negative symptoms related to stress and anxiety in general; however, no support for direct positive effects on golf performance were found.
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11.
  • Davis, Louise, 1982-, et al. (author)
  • Reducing the risk of athlete burnout: Psychosocial, sociocultural, and individual considerations for coaches
  • 2019
  • In: International Journal of Sports Science & Coaching. - : SAGE Publications. - 1747-9541 .- 2048-397X. ; 14:4, s. 444-452
  • Journal article (peer-reviewed)abstract
    • Past research suggests that athletes' relationships with their coach can act as a risk factor in the development of burnout. Coaching practice may be enhanced through understanding the multidimensional factors that can augment the associations between coach-athlete relationship quality and athlete burnout. The present study explored both individual difference characteristics (gender, age, and sport level) and sociocultural factors (sport type) as moderators of this relationship. Our findings show statistically significant interaction effects for gender and age. Coaches and practitioners working with younger athletes and male performers in particular, are advised to work with strategies aiming to build relationships and reduce the risk of burnout.
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12.
  • Davis, Louise, 1982-, et al. (author)
  • The role of coach-athlete relationship quality in team sport athletes’ psychophysiological exhaustion : implications for physical and cognitive performance
  • 2018
  • In: Journal of Sports Sciences. - : Taylor & Francis. - 0264-0414 .- 1466-447X. ; 17, s. 1985-1992
  • Journal article (peer-reviewed)abstract
    • The present study aimed to examine associations between the quality of the coach-athlete relationship and athlete exhaustion by assessing physiological and cognitive consequences. Male and female athletes (N = 82) representing seven teams across four different sports, participated in a quasi-experimental study measuring physical performance on a 5-meter multiple shuttle test, followed by a Stroop test to assess cognitive performance. Participants provided saliva samples measuring cortisol as a biomarker of acute stress response and completed questionnaires measuring exhaustion, and coach-athlete relationship quality. Structural equation modelling revealed a positive relationship between the quality of the coach-athlete relationship and Stroop performance, and negative relationships between the quality of the coach-athlete relationship and cortisol responses to high-intensity exercise, cognitive testing, and exhaustion. The study supports previous research on socio-cognitive correlates of athlete exhaustion by highlighting associations with the quality of the coach-athlete relationship. © 2018 Informa UK Limited, trading as Taylor & Francis Group
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13.
  • Davis, Louise, 1982-, et al. (author)
  • Thriving Through Relationships in Sport : The Role of the Parent-Athlete and Coach-Athlete Attachment Relationship
  • 2021
  • In: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 12
  • Journal article (peer-reviewed)abstract
    • The aim of this research was to examine whether attachment relationships to significant others, such as to parents and/or sports coaches, enable thriving and competition performance within sport. Two studies employing cross-sectional and prospective designs were carried out across different samples of athletes of varied skill levels and sports. In Study 1, we found athletes' attachment to their sports coach was significantly associated with athlete thriving and mediated by psychological needs satisfaction. Results of Study 2 found that athletes' secure attachment to their mother and/or father positively predicted the experience of thriving at the competition while athletes' insecure attachment did not predict thriving. Furthermore, athletes' attachment to both mother and father did not predict competition performance. Together, these two studies acknowledge the significant role that athletes' secure attachment relationships with parents and coaches play in facilitating thriving in athletes. These findings have significant implications for research and practice.
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14.
  • Davis, Paul A., et al. (author)
  • Written Emotional Disclosure can Promote Athletes’ Mental Health and Performance Readiness during the COVID-19 Pandemic
  • 2020
  • In: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 11
  • Research review (peer-reviewed)abstract
    • The widespread effects of the COVID-19 pandemic have negatively impacted upon many athletes’ mental health and increased reports of depression as well as symptoms of anxiety. Disruptions to training and competition schedules can induce athletes’ emotional distress, while concomitant government-imposed restrictions (e.g., social isolation, quarantines) reduce the availability of athletes’ social and emotional support. Written Emotional Disclosure has been used extensively in a variety of settings with diverse populations as a means to promote emotional processing. The expressive writing protocol has been used to a limited extent in the context of sport, and predominantly in support of athletes’ emotional processing during injury rehabilitation. We propose that Written Emotional Disclosure offers an evidence-based treatment that can promote athletes’ mental health and support their return to competition. Research exploring the efficacy of the expressive writing protocol highlights a number of theoretical models underpinning the positive effects of Written Emotional Disclosure; we outline how each of these potential mechanisms can address the multidimensional complexity of the challenging circumstances arising from the COVID-19 pandemic (e.g., loss of earnings, returning to training and competition). Considerations and strategies for using Written Emotional Disclosure to support athletes during the COVID-19 pandemic are presented.
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17.
  • Ekelund, Rebecka, et al. (author)
  • Interventions for improving mental health in athletes : a scoping review
  • 2023
  • In: International Review of Sport and Exercise Psychology. - Oxon : Routledge. - 1750-984X .- 1750-9858.
  • Research review (peer-reviewed)abstract
    • The aims of this scoping review were to map the current literature on interventions for improving mental health in athletes, identify knowledge gaps, and generate future research questions. The Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guided this review. A systematic literature search was conducted in SPORTDiscus, PsycINFO, and SCOPUS and 44 intervention studies met the inclusion criteria. Results showed that 22 studies (50%) implemented cognitive behavioural principles, and the majority of these studies were influenced by various mindfulness programmes. Most studies (93%) included healthy athlete samples, and athletes aged 15–19 were the most examined age group (43%). Only three studies used clinical criteria in their sampling of participants and mediators were examined in two studies. The scarcity of studies examining mediators and subclinical or clinical samples revealed critical knowledge gaps in the literature. Furthermore, the critical appraisal showed that regardless of study design, most studies demonstrated low internal validity. We propose the use of high-quality single-case studies with athletes who experience subclinical or clinical mental health issues, and further investigation of mechanisms of change linking intervention components to outcomes of interest. 
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18.
  • Ekman, Elizabeth, et al. (author)
  • Do athletes have more of a cognitive profile with ADHD criteria than non-athletes?
  • 2021
  • In: Sports. - : MDPI. - 2075-4663. ; 9:5
  • Journal article (peer-reviewed)abstract
    • The current study investigates the possibility that athletes have more parallel ADHD symptoms than non-athletes. High-level youth sport athletes were compared with non-athletes in leisure time (i.e., sport) and in the school in ADHD symptoms. Athletes and students were evaluated by a trained psychotherapist using Adult ADHD Self-Report Scale (ASRS) on activities at school and during activities in leisure/sports time. They also filled in the Autism Spectrum Questionnaire (AQ) as a self-report assessment. Results showed significant differences in ASRS-scores for athletes in school and in their sport, with high scores in school and low scores in sport. No differences were found in AQ between the groups. The findings indicate that many athletes might display a cognitive profile of parallel of ADHD criteria. Future research needs to further investigate potential benefits of the cognitive profile in athletes and how they handle different contexts including sport and school settings.
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19.
  • Farman, Helen H., 1983, et al. (author)
  • Membrane estrogen receptor alpha is essential for estrogen signaling in the male skeleton
  • 2018
  • In: Journal of Endocrinology. - : Bioscientifica. - 0022-0795 .- 1479-6805. ; 239:3, s. 303-312
  • Journal article (peer-reviewed)abstract
    • The importance of estrogen receptor alpha (ER alpha) for the regulation of bone mass in males is well established. ERa mediates estrogenic effects both via nuclear and membraneinitiated ER alpha (mER alpha) signaling. The role of mERa signaling for the effects of estrogen on bone in male mice is unknown. To investigate the role of mERa signaling, we have used mice (Nuclear-Only-ER; NOER) with a point mutation (C451A), which results in inhibited trafficking of ER alpha to the plasma membrane. Gonadal-intact male NOER mice had a significantly decreased total body areal bone mineral density (aBMD) compared to WT littermates at 3, 6 and 9 months of age as measured by dual-energy X-ray absorptiometry (DEXA). High-resolution microcomputed tomography (mu CT) analysis of tibia in 3-month-old males demonstrated a decrease in cortical and trabecular thickness in NOER mice compared to WT littermates. As expected, estradiol (E2) treatment of orchidectomized (ORX) WT mice increased total body aBMD, trabecular BV/TV and cortical thickness in tibia compared to placebo treatment. E2 treatment increased these skeletal parameters also in ORX NOER mice. However, the estrogenic responses were significantly decreased in ORX NOER mice compared with ORX WT mice. In conclusion, mER alpha is essential for normal estrogen signaling in both trabecular and cortical bone in male mice. Increased knowledge of estrogen signaling mechanisms in the regulation of the male skeleton may aid in the development of new treatment options for male osteoporosis.
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21.
  • Gerber, Markus, et al. (author)
  • Cross-Sectional and Longitudinal Associations Between Athlete Burnout, Insomnia, and Polysomnographic Indices in Young Elite Athletes
  • 2018
  • In: Journal of Sport & Exercise Psychology (JSEP). - CHAMPAIGN, IL, USA : Human Kinetics. - 0895-2779 .- 1543-2904. ; 40:6, s. 312-324
  • Journal article (peer-reviewed)abstract
    • Few studies have examined the association between sleep and burnout symptoms in elite athletes. We recruited 257 young elite athletes (M-age = 16.8 years) from Swiss Olympic partner schools. Of these, 197 were reassessed 6 months later. Based on the first assessment, 24 participants with clinically relevant burnout symptoms volunteered to participate in a polysomnographic examination and were compared with 26 (matched) healthy controls. Between 12% and 14% of young elite athletes reported burnout symptoms of potential clinical relevance, whereas 4-11% reported clinically relevant insomnia symptoms. Athletes with clinically relevant burnout symptoms reported significantly more insomnia symptoms, more dysfunctional sleep-related cognitions, and spent less time in bed during weeknights (p<.05). However, no significant differences were found for objective sleep parameters. A cross-lagged panel analysis showed that burnout positively predicted self-reported insomnia symptoms. Cognitive-behavioral interventions to treat dysfunctional sleep-related cognitions might be a promising measure to reduce subjective sleep complaints among young elite athletes.
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22.
  • Gerber, Markus, et al. (author)
  • Effects of stress and mental toughness on burnout and depressive symptoms : A prospective study with young elite athletes
  • 2018
  • In: Journal of Science and Medicine in Sport. - : Elsevier. - 1440-2440 .- 1878-1861. ; 21:12, s. 1200-1205
  • Journal article (peer-reviewed)abstract
    • Objectives: To examine in a sample of young elite athletes (a) the presence of clinically relevant symptoms of burnout and depression, and (b) a possible interaction of perceived stress and mental toughness in the prediction of burnout and depressive symptoms. Design: 6-month prospective study. Methods: A representative sample of 257 young elite athletes (M = 16.82 years, SD = 1.44, 36% females) was recruited in North–Western Switzerland. 197 athletes were followed-up across a 6-month period. Burnout was assessed with the Shirom-Melamed Burnout Measure (SMBM), and depression with the 9-item depression module of the Patient Health Questionnaire (PHQ). Values of ≥4.40 (SMBM) and >14 (PHQ-9) were considered indicative of clinically relevant burnout or depression. Stress perceptions were assessed with the Perceived Stress Scale (PSS), and mental toughness with the Mental Toughness Questionnaire (MTQ). Hierarchical regression analyses were used to test stress-buffering effects. Results: The percentage of athletes with clinically relevant levels of burnout and depressive symptoms was 12% and 9%, respectively. Both cross-sectional and prospective analyses showed that compared to participants with low mental toughness, those with higher mental toughness scores reported significantly fewer mental health issues, when exposed to high stress. By contrast, when stress levels were low, mental toughness was unrelated to psychological health complaints. Conclusions: About every tenth young elite athlete reported burnout or depressive symptoms of potential clinical relevance. While high perceived stress was associated with increased psychological health complaints, mental toughness was able to off-set some of the negative consequences resulting from high stress exposure.
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23.
  • Gerber, M., et al. (author)
  • Implicit and explicit attitudes towards sport among young elite athletes with high versus low burnout symptoms
  • 2019
  • In: Journal of Sports Sciences. - : Routledge. - 0264-0414 .- 1466-447X. ; 37:14, s. 1673-1680
  • Journal article (peer-reviewed)abstract
    • The development of cynical attitudes towards elite sport is a core symptom of athlete burnout and has been associated with dropout from elite sport. To date, this phenomenon has mainly been studied by investigating explicit attitudes towards sport, whereas athletes’ automatic evaluations (i.e. implicit attitudes) that have been shown to influence behavior as well were not considered. This study aimed to compare explicit and implicit attitudes towards sport of young elite athletes with high (N = 24) versus low (N = 26) burnout symptoms. Using self-reported measures, general and athlete burnout symptoms were assessed. Additionally, a single-target implicit association test was administered to examine participants’ automatic evaluation of sport. Statistical analysis revealed greater emotional/physical exhaustion and sport devaluation in athletes reporting high compared to low burnout symptoms. Implicit attitudes towards sport did not significantly differ between the groups. Furthermore, no significant correlations were observed between different athlete burnout symptoms and implicit attitudes. Athletes with high burnout symptoms show a tendency to explicitly detach themselves from sport, thus fostering sport devaluation as a core symptom of athlete burnout. However, this process does not seem to be reflected in their implicit attitudes towards sport.
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24.
  • Gerber, Markus, et al. (author)
  • Usefulness of the Athlete Burnout Questionnaire (ABQ) as a screening tool for the detection of clinically relevant burnout symptoms among young elite athletes
  • 2018
  • In: Psychology of Sport And Exercise. - : Elsevier. - 1469-0292 .- 1878-5476. ; 39, s. 104-113
  • Journal article (peer-reviewed)abstract
    • Objectives: Having psychometrically sound instruments is essential to the understanding of the determinants and consequences of athlete burnout. Therefore, this study examines the psychometric properties of a German version of the Athlete Burnout Questionnaire (ABQ) and its usefulness as a screening tool for the detection of clinically relevant burnout symptoms. Design: Prospective study. Method: 257 young elite athletes were recruited from Swiss Olympic Sport Classes (37% females; M = 16.8 years, SD = 1.4). 197 students were assessed a second time after six months. All students filled in a standardized questionnaire about domain-specific and domain-unspecific burnout symptoms, depressive symptoms, stress, and life satisfaction. Results: Confirmatory factor analysis supported the three-factor structure of the ABQ. Moreover, all subscales had acceptable internal consistency. Support was also found for the convergent validity of the ABQ; all subscales were positively correlated with perceived stress, burnout and depression, whereas negative correlations existed with life satisfaction. By contrast, some ABQ subscales shared only limited variance, the three ABQ subscales did not predict each other across time, and none of the ABQ subscales was suitable for the screening of clinically relevant burnout symptoms. Conclusions: While the factor structure and internal consistency of the ABQ was supported, our study corroborates previous concerns about the psychometric properties and validity of the ABQ. While the ABQ has advanced research on athlete burnout, we hold that further debates about the most suitable way to assess burnout among elite athletes are urgently needed.
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26.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Athlete burnout : review and recommendations
  • 2017
  • In: Current opinion in psychology. - : Elsevier BV. - 2352-250X. ; 16, s. 109-113
  • Journal article (peer-reviewed)abstract
    • Over 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 et al. (2014), cited well over 100 publications on the syndrome. 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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28.
  • Gustafsson, Henrik, 1974- (author)
  • Burnout in competitive and elite athletes
  • 2007
  • Doctoral thesis (other academic/artistic)abstract
    • Intensified training regimes and increasing competitive pressure make some athletes leave sports with shattered hopes and dreams. A number of these athletes drop out of sports due to burnout, which is characterized by an enduring experience of emotional and physical exhaustion, reduced sense of accomplishment and devaluation of sport participation as a consequence of prolonged chronic stress. Loss of engagement and diminished motivation also characterize burnout. But burnout is more than just a simple stress reaction, as not all athletes who experience stress burn out. Study I investigates the prevalence of burnout among competitive athletes. The number of athletes showing high levels of burnout was found to be between 1 and 9%. The number of athletes suffering from severe burnout was estimated at 1-2%. Contrary to what has been speculated, burnout was not more common in individual sports than in team sports. Study II investigated the burnout process using a case-study approach. It was found that burnout can evolve with different levels of severity, time perspectives and characteristics. There appears to be a relationship between overtraining syndrome and burnout, and the study gave support to the notion that burnout is the most severe outcome on the training fatigue continuum. Early success might lead to high expectations and an inner pressure to train, which in the three cases made the athletes ignore signs of maladaptation. Performance-based self-esteem appears to be a “driving force” in the burnout process. In Study III the burnout experience was investigated using qualitative interviews. Lack of recovery, “too much sports” and high external demands were described as causes of burnout. A stressful situation with multiple demands from sport, school and social relationships leads to a total overload, which has both physiological and psychological consequences. Critical factors were a unidimensional identity, performance-based self-esteem, an inflexible organization and feelings of entrapment. These restraining factors made the athletes remain in sports despite negative outcomes. Thus the three studies indicate that burnout is a serious problem in competitive and elite sports, that restraining factors offer an explanation for why athletes remain in sport despite negative outcomes, and that striving for self-esteem is crucial in the development of burnout.
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29.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Cognitive behavioral intervention in sport psychology : A case illustration of the exposure method with an elite athlete
  • 2016
  • In: Journal of Sport Psychology in Action. - : Routledge. - 2152-0704 .- 2152-0712. ; 8:3, s. 152-162
  • Journal article (peer-reviewed)abstract
    • One common method in Cognitive behavior therapy (CBT) to treat anxiety problems is exposure, but there are few articles examining its applicability to sport. The aim of this article is to give a background of the use of exposure in sport and present a case of how exposure can be used with athletes. The athlete was a 17-year-old female cross-country skier with high levels of performance anxiety. In the case description, common procedures in CBT such as behavioral analysis, psychoeducation, and exposure are presented, as well as how anxiety can be managed. After the intervention the athlete perceived lower levels of anxiety as well as improved behavioral repertoire (e.g., less avoidant behaviors and more functional sport-specific behaviors). This case may be used to help practitioners consider the use of exposure in competitive sports.
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30.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Conceptual Confusion and Potential Advances in Athlete Burnout Research
  • 2016
  • In: Perceptual and Motor Skills. - : SAGE Publications. - 0031-5125 .- 1558-688X. ; 123:3, s. 784-791
  • Journal article (peer-reviewed)abstract
    • More than 30 years of research on athlete burnout has yielded important insights and questions regarding the onset, nature, and consequences of this detrimental syndrome. Not surprisingly, burnout is considered an important matter, both from a research and practical standpoint. We comment on the work of Ryu, Ali, Kim, Choi, and Radlo, who examined the impact of burnout on cognitive performance among athletes.
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31.
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32.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Fear of Failure in Athletes : Fanning the Fire of Sport Desire or Burning Out?
  • 2023
  • In: Routledge International Handbook of Failure. - London : Routledge. - 9780429355950 - 9780367404048 ; , s. 53-66
  • Book chapter (other academic/artistic)abstract
    • In sport, athletes commonly describe fear of failure in relation to the experience of stress and anxiety. Athletes attempts to avoid failure can manifest serious behavioural consequences that impact upon both health and performance. One potential outcome is burnout. This chapter outlines how fear of failure can be linked to burnout in athletes by providing a brief background of research examining fear of failure in sport and related studies of athlete burnout. The current research and associations between fear of failure and burnout are presented in an integrated model to identify and stimulate further lines of research inquiry. The role of significant others (e.g. coaches, parents) is also discussed to outline their potential influence on athletes fear of failure. Advice on how athletes can be assisted in handling their fear of failure as well as applied implications and interventions targeting fear of failure and burnout are presented. Finally, this chapter offers guidance for future research and suggestions for practitioners in order to optimise athletes health and maximise performance. 
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33.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Fear of failure, psychological stress, and burnout among adolescent athletes competing in high level sport
  • 2017
  • In: Scandinavian Journal of Medicine and Science in Sports. - : John Wiley & Sons. - 0905-7188 .- 1600-0838. ; 27:12, s. 2091-2102
  • Journal article (peer-reviewed)abstract
    • The purpose of this study was to investigate fear of failure in highly competitive junior athletes and the association with psychological stress and burnout. In total 258 athletes (152 males and 108 females) ranged in age from 15 to 19years (M=17.4years, SD=1.08) participated. Athletes competed in variety of sports including both team and individual sports. Results showed in a variable-oriented approach using regression analyses that one dimension, fear of experiencing shame and embarrassment had a statistically significant effect on perceived psychological stress and one dimension of burnout, reduced sense of accomplishment. However, adopting a person-oriented approach using latent class analysis, we found that athletes with high levels of fear failure on all dimensions scored high on burnout. We also found another class with high scores on burnout. These athletes had high scores on the individual-oriented dimensions of fear of failure and low scores on the other oriented fear of failure dimensions. The findings indicate that fear of failure is related to burnout and psychological stress in athletes and that this association is mainly associated with the individual-oriented dimensions of fear of failure.
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34.
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35.
  • Gustafsson, Henrik, 1974- (author)
  • Jakten på den perfekta prestationen
  • 2005
  • In: Årsbok k. - Örebro : Svensk idrottspsykologisk förening.
  • Book chapter (other academic/artistic)
  •  
36.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Motivational profiles and burnout in elite athletes: A person-centered approach
  • 2018
  • In: Psychology of Sport And Exercise. - : Elsevier BV. - 1469-0292 .- 1878-5476. ; 35, s. 118-125
  • Journal article (peer-reviewed)abstract
    • The aim of this study was to assess the link between elite athletes' motivational profiles and burnout using a person-centered approach. Participants were 391 Spanish elite athletes (201 males and 190 females), aged 16-30 years who completed questionnaires measuring demographic information, self-determined motivation, and athlete burnout. Latent profile analysis resulted in a five profile solution labeled: amotivation (Class 1), low motivation (Class 2), moderately autonomous motivation (Class 3), amotivated and moderately controlled motivation (Class 4), and highly motivated (Class 5). While no significant differences were found in emotional/physical exhaustion, Class 4 (amotivated and moderately controlled motivation) scored higher than classes 2 (low motivation), 3 (moderately autonomous motivation), and 5 (highly motivated) on a Reduced sense of Accomplishment and Sport Devaluation. Findings are discussed in relation to Self-Determination Theory, suggesting that the quality of one's motivation may be equally, if not more important than the quantity of motivation in determining subsequent health, well-being, and performance outcomes.
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37.
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38.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Performance based self-esteem and athlete-identity in athlete burnout : A person-centered approach
  • 2018
  • In: Psychology of Sport And Exercise. - : Elsevier. - 1469-0292 .- 1878-5476. ; 38, s. 56-60
  • Journal article (peer-reviewed)abstract
    • Performance-based self-esteem and a self-identity dominated by being an athlete have been associated with athlete burnout. Our aim is to extend previous research by adopting a person-centered approach and examining whether profiles of burnout can be identified based on the athletes’ identity and performance-based self-esteem. Swedish junior athletes completed measures of athlete burnout, athlete identity, and performance-based self-esteem. Latent profile analysis identified four groups: Low burnout profile (n = 131), Moderate burnout profile (n = 178), Moderately high burnout profile (n = 125) and High burnout profile (n = 37). Higher scores of athletic identity were significantly less likely to be in the high burnout profile and athletes with higher scores of performance-based self-esteem were significantly more likely to be in the high burnout profile compared to the other three burnout profiles. These findings suggest that athletes with a performance-based self-esteem might be at greater risk of experiencing burnout.
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39.
  •  
40.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • Profiles of perfectionism, parental climate, and burnout among competitive junior athletes
  • 2016
  • In: Scandinavian Journal of Medicine and Science in Sports. - : Wiley-Blackwell. - 0905-7188 .- 1600-0838. ; 26:10, s. 1256-1264
  • Journal article (peer-reviewed)abstract
    • Recent research suggests that groups of athletes can be identified that differ in terms of perfectionism and perceptions of achievement climate. Moreover, these groups also differ in terms of burnout symptoms. The purpose of the current study was to extend this research by examining whether discernable groups can be identified based on scores of perfectionism and perceptions of parent-initiated climate and, then, whether these groups differ in terms of burnout. Two-hundred and thirty-seven Swedish junior athletes (124 male and 113 female aged 16-19) from a variety of sports completed measures of athlete burnout, multidimensional perfectionism, and parent-initiated motivational climate. Latent profile analysis identified four groups: non-perfectionistic athletes in a task-oriented climate, moderately perfectionistic athletes in a task-oriented climate, highly perfectionistic athletes in a task-oriented climate, and highly perfectionistic athletes in a mixed climate. The latter two groups reported higher levels of burnout in comparison to other groups. The findings suggest that junior athletes high in perfectionism may be at comparatively greater risk to burnout and that this may especially be the case when they perceive their parents to emphasize concerns about failure and winning without trying one's best.
  •  
41.
  •  
42.
  • Gustafsson, Henrik, 1974-, et al. (author)
  • The mediational role of perceived stress in the relation between optimism and burnout in competitive athletes
  • 2012
  • In: Anxiety, Stress, and Coping. - Oxon, United Kingdom : Taylor & Francis. - 1061-5806 .- 1477-2205. ; 25:2, s. 183-199
  • Journal article (peer-reviewed)abstract
    • Burnout has been highlighted as an important issue, not only in occupational settings but also among athletes. Optimists appear to be more resistant to burnout, which might be partly explained by lower levels of stress. The purpose of this study was to investigate the relationship between optimism and burnout symptoms in 217 athletes (139 males and 78 females, aged 16 to 19 years), while also examining stress as a mediator in this relationship. The results showed that optimism had a significant negative relationship with both stress and burnout. Mediation analyses indicated that perceived stress fully mediated the links between optimism and two symptoms of burnout, emotional/physical exhaustion and sport devaluation, and partly mediated the link between optimism and a third symptom, reduced sense of accomplishment. The findings indicate that individual factors, such as optimism, may play an important role in the development of burnout by virtue of their association with stress. Future research should, therefore, investigate the longitudinal effects of optimism on stress and burnout.
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43.
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44.
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45.
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46.
  • Gustafsson, Jenny K, 1981, et al. (author)
  • Carbachol-induced colonic mucus formation requires transport via NKCC1, K(+) channels and CFTR.
  • 2015
  • In: Pflugers Archiv : European journal of physiology. - : Springer Science and Business Media LLC. - 1432-2013 .- 0031-6768. ; 467:7, s. 1403-1415
  • Journal article (peer-reviewed)abstract
    • The colonic mucosa protects itself from the luminal content by secreting mucus that keeps the bacteria at a distance from the epithelium. For this barrier to be effective, the mucus has to be constantly replenished which involves exocytosis and expansion of the secreted mucins. Mechanisms involved in regulation of mucus exocytosis and expansion are poorly understood, and the aim of this study was to investigate whether epithelial anion secretion regulates mucus formation in the colon. The muscarinic agonist carbachol was used to induce parallel secretion of anions and mucus, and by using established inhibitors of ion transport, we studied how inhibition of epithelial transport affected mucus formation in mouse colon. Anion secretion and mucin exocytosis were measured by changes in membrane current and epithelial capacitance, respectively. Mucus thickness measurements were used to determine the carbachol effect on mucus growth. The results showed that the carbachol-induced increase in membrane current was dependent on NKCC1 co-transport, basolateral K(+) channels and Cftr activity. In contrast, the carbachol-induced increase in capacitance was partially dependent on NKCC1 and K(+) channel activity, but did not require Cftr activity. Carbachol also induced an increase in mucus thickness that was inhibited by the NKCC1 blocker bumetanide. However, mice that lacked a functional Cftr channel did not respond to carbachol with an increase in mucus thickness, suggesting that carbachol-induced mucin expansion requires Cftr channel activity. In conclusion, these findings suggest that colonic epithelial transport regulates mucus formation by affecting both exocytosis and expansion of the mucin molecules.
  •  
47.
  • Gustafsson, Jenny K, 1981, et al. (author)
  • Dynamic changes in mucus thickness and ion secretion during Citrobacter rodentium infection and clearance.
  • 2013
  • In: PloS one. - : Public Library of Science (PLoS). - 1932-6203. ; 8:12
  • Journal article (peer-reviewed)abstract
    • Citrobacter rodentium is an attaching and effacing pathogen used as a murine model for enteropathogenic Escherichia coli. The mucus layers are a complex matrix of molecules, and mucus swelling, hydration and permeability are affected by many factors, including ion composition. Here, we used the C. rodentium model to investigate mucus dynamics during infection. By measuring the mucus layer thickness in tissue explants during infection, we demonstrated that the thickness changes dynamically during the course of infection and that its thickest stage coincides with the start of a decrease of bacterial density at day 14 after infection. Although quantitative PCR analysis demonstrated that mucin mRNA increases during early infection, the increased mucus layer thickness late in infection was not explained by increased mRNA levels. Proteomic analysis of mucus did not demonstrate the appearance of additional mucins, but revealed an increased number of proteins involved in defense responses. Ussing chamber-based electrical measurements demonstrated that ion secretion was dynamically altered during the infection phases. Furthermore, the bicarbonate ion channel Bestrophin-2 mRNA nominally increased, whereas the Cftr mRNA decreased during the late infection clearance phase. Microscopy of Muc2 immunostained tissues suggested that the inner striated mucus layer present in the healthy colon was scarce during the time point of most severe infection (10 days post infection), but then expanded, albeit with a less structured appearance, during the expulsion phase. Together with previously published literature, the data implies a model for clearance where a change in secretion allows reformation of the mucus layer, displacing the pathogen to the outer mucus layer, where it is then outcompeted by the returning commensal flora. In conclusion, mucus and ion secretion are dynamically altered during the C. rodentium infection cycle.
  •  
48.
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49.
  • Haraldsen, Heidi M. M., et al. (author)
  • An exploration of reciprocity among teacher and students in female pre-professional ballet education : a shared reality theory perspective
  • 2023
  • In: Frontiers in Education. - : Frontiers Media S.A.. - 2504-284X. ; 8
  • Journal article (peer-reviewed)abstract
    • The purpose of the present study was to explore perceptions of shared reality in teacher-student partnerships in ballet, and how these perceptions were related to experiences of quality in the relationship and well-being. A longitudinal qualitative study design was adopted, with three female ballet students and their teacher participating in three semi-structured interviews each over an eight-month period. Data were analyzed using a combination of thematic and narrative analysis. Findings indicated that across the teacher-student relationships there were perceptions of a shared reality only on the professional and distanced level and not on a relational and personal level. This was achieved by a common experience of what matters in the world of ballet education as well as students finding their teacher as trustworthy. Furthermore, it appeared that the authoritarian apprenticeship culture in ballet, where the teachers give clear instructions and feedback, and where the student role is to listen and adapt to the teacher's instructions, was a barrier to fully achieving a shared reality on a personal and deeper level. In turn, this influenced the quality of the relationship and the wellbeing of both teacher and students. The present study offers critical reflections on the cultural backdrop of teaching and learning in ballet and highlights the importance of teachers to facilitate a supportive, unconditional, and trustworthy relationship so that they can work together in a more productive manner.
  •  
50.
  • Hassmén, Peter, et al. (author)
  • Burnout symptoms and recovery processes in eight elite soccer coaches over 10 years
  • 2019
  • In: International journal of sports science & coaching. - : Sage Publications. - 1747-9541 .- 2048-397X. ; 14:4, s. 431-443
  • Journal article (peer-reviewed)abstract
    • Elite sport can be stressful, which increases the risk for burnout symptoms to develop. Especially when not balanced with sufficient recovery. To study the burnout–recovery process, eight elite soccer coaches were followed for 10 years. All eight were active elite coaches at the inception of this study and reported elevated emotional exhaustion scores on Maslach’s Burnout Inventory Educators Survey (MBI-ES). The coaches completed MBI-ES three additional times (year 3, 7, and 10), and they were also interviewed on the same occasions. At the 3-year follow-up, seven of the eight coaches reduced their exhaustion scores. The coach presenting with unchanged scores both at the 3 - and 7-year follow-up was the only one still coaching at the elite level. All coaches revealed during the interviews that they struggled to manage their work–life balance well; some worked too many hours, some experienced difficulty in managing conflicting role-demands, and some wrestled with external pressures. Their approach to recovery was, however, similar. Apart from moving away from coaching at the elite level, they unanimously mentioned that they changed their approach to coaching to make recovery possible. They achieved the latter by, for example, increasing control and delegating responsibility. According to our longitudinal results, burnout frequently regarded as an end-state can decrease over time. Provided that decisive action is taken to change situational factors and personal demands. This frequently meant withdrawing from coaching, which in turn explains why coach retention remains a serious challenge for most organizations with teams/athletes competing at the elite level. © The Author(s) 2019.
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