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Effects of Psychological Interventions to Enhance Athletic Performance: A Systematic Review and Meta-Analysis
Gustaf Reinebo1, Sven Alfonsson2, Markus Jansson-Fröjmark2
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, 113 64, Stockholm, Sweden. gustaf.reinebo@ki.se.
Psychological interventions like skills training, mindfulness, and imagery show moderate performance benefits for athletes. However, these effects are not stable when only robust studies are considered, highlighting the need for more rigorous research.
Area of Science:
- Sport Psychology
- Performance Enhancement
- Evidence-Based Interventions
Background:
- Psychological interventions are widely used in sports to boost athlete performance.
- The actual impact of these interventions on athletic performance remains uncertain despite extensive research.
- A systematic review and meta-analysis were conducted to clarify these effects.
Purpose of the Study:
- To systematically review and meta-analyze the effects of diverse psychological interventions on competitive athlete performance.
- To synthesize findings from 111 eligible studies using a multi-level meta-analysis framework.
Main Methods:
- A comprehensive literature search was conducted across major scientific databases (MEDLINE, PsycINFO, Web of Science, SPORTDiscus).
- Studies with group designs and quantitative performance outcomes in regional to elite athletes were included.
- Risk of bias and intervention characteristics were assessed, followed by meta-analyses using robust statistical methods.
Main Results:
- Three meta-analyses indicated moderate positive effects for psychological skills training (g=0.83), mindfulness- and acceptance-based approaches (g=0.67), and imagery (g=0.75).
- These significant effects were observed when compared to control groups.
- Sensitivity analyses removing non-randomized trials and subjective outcomes rendered the effects non-significant, questioning their robustness.
Conclusions:
- The initially observed moderate effects of psychological skills training, mindfulness, and imagery are not robust.
- Further high-quality research, particularly randomized controlled trials, is essential to validate the efficacy of these interventions.
- Improved reporting standards and open data sharing are recommended for future sport psychology research.
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