Psychological Distress and Its Association with Subjective Athletic Performance

Authors

  • Tyler Malone University of Michigan
  • Adam Kern Counseling and Psychological Services, University of Michigan
  • Emily Klueh Department of Athletics, University of Michigan
  • Daniel Eisenberg Department of Health Management and Policy, University of Michigan

Keywords:

Kessler Psychological Distress Scale, College, Student-athlete

Abstract

General measures of non-specific psychological distress have received less attention in empirical studies of athletic performance. This study sought to examine the association between psychological distress and the athletic performance of college student-athletes. Study participants included 43 undergraduate varsity student-athletes. Among these participants, 74.4% were female. We used a longitudinal observational study design and collected data during a 12-week period on weekly psychological distress and athletic performance. We used linear Fixed Effects modeling to regress performance on psychological distress, while controlling for static subject characteristics (e.g., stable personality traits, sex, and sport) and dynamic sleep and physical health. Model results demonstrated that score on the six-item Kessler Psychological Distress Scale significantly predicted athletic performance (B = −0.16, 95% CI [−0.21, −0.10], p < .001), adjusting for other model covariates. Specifically, a one standard deviation increase in K6 score was associated with a 0.28 standard deviation decrease in athletic performance, adjusting for all other covariates in the model. Overall, our findings suggest that after controlling for other static and dynamic predictors of athletic performance, increased psychological distress has a significant, negative association with short-term athletic performance among college student-athletes. Going forward, additional research is needed to continue exploring the relationship between static and dynamic psychological characteristics, physiological health, and athletic performance.

References

Altman, D. G., & Royston, P. (2006). The cost of dichotomizing continuous variables. BMJ, 332(7549), 1080. https://doi.org/10.1136/bmj.332.7549.1080

American Psychological Association. (n.d.). Distress. In APA dictionary of psychology. Retrieved February 5, 2021, from https://dictionary.apa.org/distress

Arnold, R., Edwards, T., & Rees, T. (2018). Organizational stressors, social support, and implications for subjective performance in high-level sport. Psychology of Sport and Exercise, 39, 204-212. https://doi.org/10.1016/j.psychsport.2018.08.010

Barry, V., Stout, M. E., Lynch, M. E., Mattis, S., Tran, D. Q., Antun, A., Ribeiro, M. J. A., Stein, S. F., & Kempton, C. L. (2020). The effect of psychological distress on health outcomes: A systematic review and meta-analysis of prospective studies. Journal of Health Psychology, 25(2), 227–239. https://doi.org/10.1177/1359105319842931

Bartlett, J. W., Carpenter, J. R., Tilling, K., & Vansteelandt, S. (2014). Improving upon the efficiency of complete case analysis when covariates are MNAR. Biostatistics, 15(4), 719-730. https://doi.org/10.1093/biostatistics/kxu023

Bell, J. J., Hardy, L., & Beattie, S. (2013). Enhancing mental toughness and performance under pressure in elite young cricketers: A 2-year longitudinal intervention. Sport, Exercise, and Performance Psychology, 2(4), 281-297. https://doi.org/10.1037/a0033129

Berkowitz, S., Wynn, M., McManus, C., Upton, J., Fortuny, R., Badani, V., Bannon, M., Nair, J., Primerano, S., Rothman, S., Russ, T., Smith, P., Vernouski, F., & Vielkind, T. (n.d.) 2018-2019 finances. Retrieved February 6, 2021, from sports.usatoday.com/ncaa/finances/

Costa Jr, P. T., & McCrae, R. R. (1994). Set like plaster? Evidence for the stability of adult personality. In T. F. Heatherton & J. L. Weinberger (Eds.), Can personality change? (pp. 21-40). American Psychological Association. https://doi.org/10.1037/10143-002

Cox, R. H., Shannon, J. K., McGuire, R. T., & McBride, A. (2010). Predicting subjective athletic performance from psychological skills after controlling for sex and sport. Journal of Sport Behavior, 33(2), 129-145.

Croissant, Y., & Millo, G. (2019). Panel data econometrics with R (1st Ed.). Wiley.

Donohue, B., Gavrilova Y., Galante, M., Gavrilova, E., Loughran, T., Scott, J., Chow, G., Plant, C. P., & Allen, D. N. (2018). Controlled evaluation of an optimization approach to mental health and sport performance. Journal of Clinical Sport Psychology, 12(2), 234–267. https://doi.org/10/1123/jcsp.2017-0054

Forman-Hoffman, V. L., Muhuri, P. K., Novak, S. P., Pemberton, M. R., Ault, K. L., & Mannix, D. (2014). Psychological distress and mortality among adults in the US household population. Center for Behavioral Health Statistics and Quality. https://www.samhsa.gov/data/sites/default/files/CBHSQ-DR-C11-MI-Mortality-2014/CBHSQ-DR-C11-MI-Mortality-2014.pdf

Freedman, D. A. (2006). On the so-called “Huber sandwich estimator” and “robust standard errors”. The American Statistician, 60(4), 299-302. https://doi.org/10/1198/000313006X152207

Fullagar, H. H., Skorski, S., Duffield, R., Hammes, D., Coutts, A. J., & Meyer, T. (2015). Sleep and athletic performance: The effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise. Sports Medicine, 45(2), 161-186. https://doi.org/10.1007/s40279-014-0260-0

Furukawa, T. A., Kessler, R. C., Slade, T., & Andrews, G. (2003). The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33(2), 357-362. https://doi.org/10.1017/S0033291702006700

Gardner, F., & Moore, Z. (2006). Clinical sport psychology. Human Kinetics.

Glass, C. R., Spears, C. A., Perskaudas, R., & Kaufman, K. A. (2019). Mindful sports performance enhancement: Randomized controlled trial of a mental training program with collegiate athletes. Journal of Clinical Sport Psychology, 13(4), 609–628. https://doi.org/10.1123/jcsp.2017-0044

Gross, M., Moore, Z. M., Gardner, F. L., Wolanin, A. T., Pess, R., & Marks, D. R. (2016). 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

Gulliver, A., Griffiths, K. M., Mackinnon, A., Batterham, P. J., & Stanimirovic, R. (2015). The mental health of Australian elite athletes. Journal of Science and Medicine in Sport, 18(3), 255-261. https://doi.org/10.1016/j.jsams.2014.04.006

Hausman, J. A. (1978). Specification tests in econometrics. Econometrica: Journal of the Econometric Society, 46(6), 1251-1271. https://doi.org/10.2307/1913827

Humphreys, B. R., & Mondello, M. (2007). Intercollegiate athletic success and donations at NCAA Division I institutions. Journal of Sport Management, 21(2), 265-280. https://doi.org/10.1123/jsm.21.2.265

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychological Medicine, 32(6), 959-976. https://doi.org/10.1017/S0033291702006074

Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S-L., T., Manderscheid, R. W., Walters, E. E., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184-189. https://doi.org/10.1001/archpsyc.60.2.184

Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., Furukawa, T. A., Gureje, O., Hinkov, H., Hu, C., Lara, C., Lee, S., Mneimneh, Z., Myer, L., Oakley-Browne, M., Posada-Villa, J., Sagar, R., Viana, M. C., & Zaslavsky, A. M. (2010). Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO World Mental Health (WMH) survey initiative. International Journal of Methods in Psychiatric Research, 19(Supplement 1), 4-22. https://doi.org/10.1002/mpr.310

Laborde, S., Dosseville, F., Guillén, F., & Chávez, E. (2014). Validity of the trait emotional intelligence questionnaire in sports and its links with performance satisfaction. Psychology of Sport and Exercise, 15(5), 481-490. https://doi.org/10.1016/j.psychsport.2014.05.001

Lane, A. M., Devonport, T. J., Soos, I., Karsai, I., Leibinger, E., & Hamar, P. (2010). Emotional intelligence and emotions associated with optimal and dysfunctional athletic performance. Journal of Sports Science & Medicine, 9(3), 388-392.

Levy, A. R., Nicholls, A. R., & Polman, R. C. J. (2011). Pre-competitive confidence, coping, and subjective performance in sport. Scandinavian Journal of Medicine & Science in Sports, 21(5), 721-729. https://doi.org/10.1111/j.1600-0838.2009.01075.x

Mah, C. D., Mah, K. E., Kezirian, E. J., & Dement, W. C. (2011). The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep, 34(7), 943-950. https://doi.org/10.5665/SLEEP.1132

Mahoney, J. W., Gucciardi, D. F., Ntoumanis, N., & Mallet, C. J. (2014). Mental toughness in sport: Motivational antecedents and associations with performance and psychological health. Journal of Sport and Exercise Psychology, 36(3), 281-292. https://doi.org/10.1123/jsep.2013-0260

Naggara, O., Raymond, J., Guilbert, F., Roy, D., Weill, A., & Altman, D. G. (2011). Analysis by categorizing or dichotomizing continuous variables is inadvisable: An example from the natural history of unruptured aneurysms. American Journal of Neuroradiology, 32(3), 437-440. https://doi.org/10.3174/ajnr.A2425

Nicholls, A. R., Polman, R. C., & Levy, A. R. (2012). A path analysis of stress appraisals, emotions, coping, and performance satisfaction among athletes. Psychology of Sport and Exercise, 13(3), 263-270. https://doi.org/10.1016/j.psychsport.2011.12.003

Oakley-Browne, M. A., Wells, J. E., Scott, K. M., McGee, M. A., & New Zealand Mental Health Survey Research Team. (2010). The Kessler psychological distress scale in Te Rau Hinengaro: The New Zealand mental health survey. Australian & New Zealand Journal of Psychiatry, 44(4), 314-322. https://doi.org/10.3109/00048670903279820

Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18(2), 189-193. https://doi.org/10.1097/00001504-200503000-00013

Purcell, R., Rice, S., Butterworth, M., & Clements, M. (2020). Rates and correlates of mental health symptoms in currently competing elite athletes from the Australian National high-performance sports system. Sports Medicine, 50(9), 1683-1694. https://doi.org/10.1007/s40279-020-01266-z

R Core Team. (2016). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/

Reeves, C. W., Nicholls, A. R., & McKenna, J. (2011). The effects of a coping intervention on coping self-efficacy, coping effectiveness, and subjective performance among adolescent soccer players. International Journal of Sport and Exercise Psychology, 9(2), 126-142. https://doi.org/10.1080/1612197X.2011/567104

Schinke, R. J., Stambulova, N. B., Si, G., & Moore, Z. (2018). International society of sport psychology position stand: Athletes’ mental health, performance, and development. International Journal of Sport and Exercise Psychology, 16(6), 622-639. https://doi.org/10.1080/1612197X.2017.1295557

Shaffer, J. P. (1995). Multiple hypothesis testing. Annual Review of Psychology, 46(1), 561-584. https://doi.org/10.1146/annurev.ps.46.020195.003021

Sullivan, P., Blacker, M., Murphy, J., & Cairney, J. (2019). Levels of psychological distress of Canadian university studentathletes. Canadian Journal of Higher Education/La Revue anadienne d'enseignement supérieur, 49(1), 47-59. https://doi.org/10.7202/1060823ar

Terry, P. (1995). The efficacy of mood state profiling with elite performers: A review and synthesis. The Sport Psychologist, 9(3), 309-324. https://doi.org/10.1123/tsp.9.3.309

Thun, E., Bjorvatn, B., Flo, E., Harris, A., & Pallesen, S. (2015). Sleep, circadian rhythms, and athletic performance. Sleep Medicine Reviews, 23, 1-9. https://doi.org/10.1016/j.smrv.2014.11.003

Toma, J. D., & Cross, M. E. (1998). Intercollegiate athletics and student college choice: Exploring the impact of championship seasons on undergraduate applications. Research in Higher Education, 39(6), 633-661. https://doi.org/10.1023/A:1018757807834

White, I. R., & Carlin, J. B. (2010). Bias and efficiency of multiple imputation compared with complete-case analysis for missing covariate values. Statistics in Medicine, 29(28), 2920-2931. https://doi.org/10.1002/sim.3944

Wolanin, A. T. & Schwanhausser, L. A. (2010). Psychological functioning as a moderator of the MAC approach to performance enhancement. Journal of Clinical Sport Psychology, 4(4), 312–322. https://doi.org/10.1123/jcsp.4.4.312

Wooldridge, J. M. (2012). Introductory econometrics: A modern approach (5th ed.). Cengage Learning.

Yiengprugsawan V., Kelly M., & Tawatsupa B. (2014). Kessler psychological distress scale. In Michalos A.C. (Ed.), Encyclopedia of quality of life and well-being research (pp. 3469-3470). Springer. https://doi.org/10.1007/978-94-007-0753-5_3663

Published

2022-06-01