Abstract
This review aimed to investigate the effects of mindfulness-based programs (MBP) on competitive anxiety among athletes. SPORTDiscus, CNKI, Web of Science, PubMed, and ProQuest databases were searched for relevant studies published by July 2023. R packages were used for this meta-analysis. The Physiotherapy Evidence Database (PEDro) was applied to assess the methodological study quality. A total of 20 articles were included in this meta-analysis. Meta-results showed a medium-to-large effect of the MBP in reducing athletes’ competitive anxiety (g = -0.67, 95% CI [-0.92, -0.42]). The subgroup analyses revealed that the effectiveness of the MBP on competitive anxiety was robust regardless of MBP type, sport, age, and gender. However, the MBP effectiveness might be more prominent for non-Western athletes compared to Western athletes, and for high-level athletes (e.g., regional or national) compared to low-level athletes (e.g., local or university), as well as when interventions lasted more than 7 weeks. Additionally, separate meta-analyses revealed moderate-to-large effects in terms of cognitive anxiety (g = -0.76, 95% CI [-1.32, -0.19]) and somatic anxiety (g = -0.84, 95% CI [-1.26, -0.42]), as well as a small to moderate effect for self-confidence (g = 0.45, 95% CI [0.15, 0.75]).In conclusion, the MBP consistently and effectively reduces competitive anxiety levels among athletes. In the future, high-quality, adequately powered studies are needed to further explore the effects of MBP on the internal dimensions of competitive anxiety and understand the impact of various factors (e.g., MBP type, competitive level and country) on MBP effectiveness.
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References
Association, A. P. (2016). Ethical principles of psychologists and code of conduct. Washington, DC: American Psychological Association.
Baltzell, A. L. (2016). Mindfulness and performance. Cambridge University Press.
Baujat, B., Mahé, C., Pignon, J. P., & Hill, C. (2002). A graphical method for exploring heterogeneity in meta-analyses: Application to a meta-analysis of 65 trials. Statistics in Medicine, 21(18), 2641–2652. https://doi.org/10.1002/sim.1221
Birrer, D., Röthlin, P., & Morgan, G. (2012). Mindfulness to enhance athletic performance: Theoretical considerations and possible impact mechanisms. Mindfulness, 3(3), 235–246. https://doi.org/10.1007/s12671-012-0109-2
Carraça, B., Serpa, S., Rosado, A., & Palmi, J. (2018). The mindfulness-based soccer program (MBSoccerP): Effects on elite athletes. Cuadernos De Psicología Del Deporte, 18(3), 62–85.
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Academic press.
Cumming, J., & Hall, C. (2002). Deliberate imagery practice: The development of imagery skills in competitive athletes. Journal of Sports Sciences, 20(2), 137–145. https://doi.org/10.1080/026404102317200846
Dana, A., Shahir, V. A., & Ghorbani, S. (2022). The impact of mindfulness and mental skills protocols on athletes’ competitive anxiety. Biomedical Human Kinetics, 14(1), 135–142. https://doi.org/10.2478/bhk-2022-0017
Danran, B., Pak-Kwong, C., Chunqing, Z., & Jingdong, L. (2020). The effect of mindfulness training on mental health in Chinese elite badminton players: A randomized controlled trial. Chinese Journal of Sports Medicine, 39(12), 74–75.
De Morton, N. A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study. Australian Journal of Physiotherapy, 55(2), 129–133. https://doi.org/10.1016/S0004-9514(09)70043-1
Dehghani, M., Saf, A. D., Vosoughi, A., Tebbenouri, G., & Zarnagh, H. G. (2018). Effectiveness of the mindfulness-acceptance-commitment-based approach on athletic performance and sports competition anxiety: A randomized clinical trial. Electronic Physician, 10(5), 6749. https://doi.org/10.19082/6749
Farach, F. J., Mennin, D. S., Smith, R. L., & Mandelbaum, M. (2008). The impact of pretrauma analogue GAD and posttraumatic emotional reactivity following exposure to the September 11 terrorist attacks: A longitudinal study. Behavior Therapy, 39(3), 262–276. https://doi.org/10.1016/j.beth.2007.08.005
Ford, J., Ildefonso, K., Jones, M., & Arvinen-Barrow, M. (2017). Sport-related anxiety: Current insights. Open Access Journal of Sports Medicine, 8, 205–212.
Fortes, L. D., Lira, H. A., Lima, R. C., Almeida, S. S., & Ferreira, M. E. (2016). Mental training generates positive effect on competitive anxiety of young swimmers? Brazilian Journal of Kinanthropometry and Human Performance, 18(3), 353–361. https://doi.org/10.5007/1980-0037.2016v18n3p353
Gan, Y., Wang, R., Wang, X., Li, J., & Fan, H. (2023). Who benefits more from mindfulness? A preliminary study exploring moderating effect of personality traits on competition anxiety in athletes. International Journal of Sports Science & Coaching, 17479541231159171. https://doi.org/10.1177/17479541231159171
Gardner, F. L., & Moore, Z. E. (2004). A mindfulness-acceptance-commitment-based approach to athletic performance enhancement: Theoretical considerations. Behavior Therapy, 35(4), 707–723. https://doi.org/10.1016/S0005-7894(04)80016-9
Goodman, F. R., Kashdan, T. B., Mallard, T. T., & Schumann, M. (2014). A brief mindfulness and yoga intervention with an entire NCAA Division I athletic team: An initial investigation. Psychology of Consciousness: Theory, Research, and Practice, 1(4), 339. https://doi.org/10.1037/cns0000022
Gregg, M., & Hall, C. (2006). The relationship of skill level and age to the use of imagery by golfers. Journal of Applied Sport Psychology, 18(4), 363–375. https://doi.org/10.1080/10413200600944140
Gross, M., Moore, Z. E., Gardner, F. L., Wolanin, A. T., Pess, R., & Marks, D. R. (2018). An empirical examination comparing the mindfulness-acceptance-commitment approach and psychological skills training for the mental health and sport performance of female student athletes. International Journal of Sport and Exercise Psychology, 16(4), 431–451. https://doi.org/10.1080/1612197X.2016.1250802
Hardy, L., Jones, G., & Gould, D. (2018). Understanding psychological preparation for sport: Theory and practice of elite performers. John Wiley & Sons.
Harrer, M., Cuijpers, P., Furukawa, T., & Ebert, D. (2021). Doing meta-analysis with R: A hands-on guide. Chapman and Hall/CRC.
Higgins, J. P., & Deeks, J. J. (2008). Selecting studies and collecting data (pp. 151–185). Cochrane handbook for systematic reviews of interventions: Cochrane book series.
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring Inconsistency in Meta-Analyses. Bmj, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427–440. https://doi.org/10.1007/s10608-012-9476-1
Hoja, S., & Jansen, P. (2019). Mindfulness-based intervention for tennis players: A quasi-experimental pilot study. BMJ Open Sport & Exercise Medicine, 5(1), e000584. https://doi.org/10.1136/bmjsem-2019-000584
Hut, M., Minkler, T. O., Glass, C. R., Weppner, C. H., Thomas, H. M., & Flannery, C. B. (2023). A randomized controlled study of mindful sport performance enhancement and psychological skills training with collegiate track and field athletes. Journal of Applied Sport Psychology, 35(2), 284–306. https://doi.org/10.1080/10413200.2021.1989521
Kabat-Zinn, J. (2009). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette UK.
Kanniyan, A. (2015). Competitive state anxiety: Impact of positive self talk training on junior level football players. Sport Mont, 13, 42–49.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. https://doi.org/10.1016/j.cpr.2010.03.001
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, 3(4), 334–356. https://doi.org/10.1123/jcsp.3.4.334
Kusuma, D. W. Y., & Bin, W. (2017). Effect of yoga program on mental health: competitive anxiety in semarang badminton athletes. KEMAS: Jurnal Kesehatan Masyarakat, 13(1), 121–130.
Liang, D., Chen, S., Zhang, W., Xu, K., Li, Y., Li, D., Cheng, H., Xiao, J., Wan, L., & Liu, C. (2021). Investigation of a progressive relaxation training intervention on precompetition anxiety and sports performance among collegiate student athletes. Frontiers in Psychology, 11, 617541. https://doi.org/10.3389/fpsyg.2020.617541
Liu, H., Cai, K., Wang, J., & Zhang, H. (2023). The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis. Frontiers in Public Health, 10, 1045642. https://doi.org/10.3389/fpubh.2022.1045642
Lopez, S. J., Pedrotti, J. T., & Snyder, C. R. (2018). Positive psychology: The scientific and practical explorations of human strengths. Sage publications.
Martens, R., Burton, D., Vealey, R. S., Bump, L. A., & Smith, D. E. (1990). Development and validation of the competitive state anxiety inventory-2. Competitive Anxiety in Sport, 3(1), 117–190.
Mehrsafar, A. H., Strahler, J., Gazerani, P., Khabiri, M., Sánchez, J. C. J., Moosakhani, A., & Zadeh, A. M. (2019). The effects of mindfulness training on competition-induced anxiety and salivary stress markers in elite Wushu athletes: A pilot study. Physiology & Behavior, 210, 112655. https://doi.org/10.1016/j.physbeh.2019.112655
Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gotzsche, P. C., Devereaux, P. J., et al. (2010). CONSORT 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869. https://doi.org/10.1016/j.ijsu.2011.10.001
Myall, K., Montero-Marin, J., Gorczynski, P., Kajee, N., Sheriff, R. S., Bernard, R., . . . Kuyken, W. (2023). Effect of mindfulness-based programmes on elite athlete mental health: A systematic review and meta-analysis. British journal of sports medicine, 57(2), 99–108. https://doi.org/10.1136/bjsports-2022-105596
Naderi, A., Shaabani, F., Zandi, H. G., Calmeiro, L., & Brewer, B. W. (2020). The effects of a mindfulness-based program on the incidence of injuries in young male soccer players. Journal of Sport and Exercise Psychology, 42(2), 161–171. https://doi.org/10.1123/jsep.2019-0003
Nieuwenhuys, A., & Oudejans, R. R. (2012). Anxiety and perceptual-motor performance: Toward an integrated model of concepts, mechanisms, and processes. Psychological Research Psychologische Forschung, 76, 747–759. https://doi.org/10.1007/s00426-011-0384-x
Ning, J.-H., Hao, Q.-W., & Huang, D.-C. (2022). Effects of “mindfulness acceptance insight commitment” training on flow state and mental health of college swimmers: A randomized controlled experimental study. Frontiers in Psychology, 13, 799103. https://doi.org/10.3389/fpsyg.2022.799103
Norouzi, E., Gerber, M., Masrour, F. F., Vaezmosavi, M., Puehse, U., & Brand, S. (2020). Implementation of a mindfulness-based stress reduction (MBSR) program to reduce stress, anxiety, and depression and to improve psychological well-being among retired Iranian football players. Psychology of Sport and Exercise, 47, 101636. https://doi.org/10.1016/j.psychsport.2019.101636
Odgers, K., Dargue, N., Creswell, C., Jones, M. P., & Hudson, J. L. (2020). The limited effect of mindfulness-based interventions on anxiety in children and adolescents: A meta-analysis. Clinical Child and Family Psychology Review, 23, 407–426. https://doi.org/10.1007/s10567-020-00319-z
Ong, N. C., & Chua, J. H. (2021). Effects of psychological interventions on competitive anxiety in sport: A meta-analysis. Psychology of Sport and Exercise, 52, 101836. https://doi.org/10.1016/j.psychsport.2020.101836
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery, 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906
Perry, J. E., Ross, M., Weinstock, J., & Weaver, T. (2017). Efficacy of a brief mindfulness intervention to prevent athletic task performance deterioration: A randomized controlled trial. The Sport Psychologist, 31(4), 410–421. https://doi.org/10.1123/tsp.2016-0130
Pineau, T. R., Glass, C. R., & Kaufman, K. A. (2014). Mindfulness in sport performance. The Wiley Blackwell handbook of mindfulness, 1004–1033. https://doi.org/10.1002/9781118294895.ch52
Reese, L. M. S., Pittsinger, R., & Yang, J. (2012). Effectiveness of psychological intervention following sport injury. Journal of Sport and Health Science, 1(2), 71–79. https://doi.org/10.1016/j.jshs.2012.06.003
Roemer, L., & Orsillo, S. M. (2008). Mindfulness-and acceptance-based behavioral therapies in practice. Guilford Press.
Sánchez-Sánchez, L. C., Franco, C., Amutio, A., García-Silva, J., & González-Hernández, J. (2023). Influence of Mindfulness on Levels of Impulsiveness, Moods and Pre-Competition Anxiety in Athletes of Different Sports. Healthcare, 11(6), 898. https://doi.org/10.3390/healthcare11060898
Scott-Hamilton, J., Schutte, N. S., & Brown, R. F. (2016). Effects of a mindfulness intervention on sports-anxiety, pessimism, and flow in competitive cyclists. Applied Psychology: Health and Well-Being, 8(1), 85–103. https://doi.org/10.1111/aphw.12063
Sedlmeier, P., Eberth, J., Schwarz, M., Zimmermann, D., Haarig, F., Jaeger, S., & Kunze, S. (2012). The psychological effects of meditation: a meta-analysis. Psychological bulletin, 138(6), 1139–1171. https://doi.org/10.1037/a0028168
Solberg, E., Ingjer, F., Holen, A., Sundgot-Borgen, J., Nilsson, S., & Holme, I. (2000). Stress reactivity to and recovery from a standardised exercise bout: A study of 31 runners practising relaxation techniques. British Journal of Sports Medicine, 34(4), 268–272. https://doi.org/10.1136/bjsm.34.4.268
Stojanović, E., Ristić, V., McMaster, D. T., & Milanović, Z. (2017). Effect of plyometric training on vertical jump performance in female athletes: A systematic review and meta-analysis. Sports Medicine, 47, 975–986. https://doi.org/10.1007/s40279-016-0634-6
Thomas, O., Hanton, S., & Maynard, I. (2007). Anxiety responses and psychological skill use during the time leading up to competition: Theory to practice I. Journal of Applied Sport Psychology, 19(4), 379–397. https://doi.org/10.1080/10413200701599132
Thompson, R. W., Kaufman, K. A., De Petrillo, L. A., Glass, C. R., & Arnkoff, D. B. (2011). One year follow-up of mindful sport performance enhancement (MSPE) with archers, golfers, and runners. Journal of Clinical Sport Psychology, 5(2), 99–116. https://doi.org/10.1123/jcsp.5.2.99
Trujillo-Torrealva, D., & Reyes Bossio, M. (2017). Mindfulness-based intervention program to reduce anxiety levels in martial arts athletes. In Lima, P. (Ed.), Proceedings of International Society of Sport Psychology, Universidad Peruana de Ciencias Aplicadas. http://hdl.handle.net/10757/621788
Wang, Y., Lei, S.-M., & Wu, C.-C. (2023). The Effect of Mindfulness Intervention on the Psychological Skills and Shooting Performances in Male Collegiate Basketball Athletes in Macau: A Quasi-Experimental Study. International Journal of Environmental Research and Public Health, 20(3), 2339. https://doi.org/10.3390/ijerph20032339
Whelan, J. P., Mahoney, M. J., & Meyers, A. W. (1991). Performance enhancement in sport: A cognitive behavioral domain. Behavior Therapy, 22(3), 307–327. https://doi.org/10.1016/S0005-7894(05)80369-7
Wilson, K., Hayes, S., & Strosahl, K. (2003). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford press.
Wolch, N. J., Arthur-Cameselle, J. N., Keeler, L. A., & Suprak, D. N. (2021). The effects of a brief mindfulness intervention on basketball free-throw shooting performance under pressure. Journal of Applied Sport Psychology, 33(5), 510–526. https://doi.org/10.1080/10413200.2020.1720044
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Conceptualization: [Xiaolin Wang], [Shamsulariffin bin Samsudin], [Delong Dong]; Methodology: [Xiaolin Wang], [Nasnoor Juzaily bin Mohd Nasiruddina]; Formal analysis and investigation: [Xiaolin Wang], [Shuyu Ji], [Xuejiao Gao], [Muhammad Zarif bin Hassan]; Writing—original draft preparation: [Xiaolin Wang]; Writing—review and editing: [Shamsulariffin bin Samsudin], [Delong Dong]; Supervision: [Delong Dong], [Shamsulariffin bin Samsudin].
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Wang, X., Nasiruddin, N.J.b.M., Ji, S. et al. Effects of mindfulness-based programs on competitive anxiety in sports: A meta-analysis. Curr Psychol 43, 18521–18533 (2024). https://doi.org/10.1007/s12144-024-05648-8
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DOI: https://doi.org/10.1007/s12144-024-05648-8