Submitted:
05 August 2025
Posted:
06 August 2025
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Abstract
Keywords:
1. Introduction
1.1. Background
1.2. Aims
2. Methodology
2.1. Research and Recovery
| Elegibility Criteria | Exclusion Criteria |
|---|---|
| 1. Published in English 2. Published within the last 10 years 3. Published in a peer-reviewed journal 4. Empirical research on the transition to post-career life in professional athletes, with a focus on psychological aspects. |
1. Books 2. Literature reviews 3. Articles not focused on the post-career transition phase or not addressing issues related to psychological distress. |
| Title | Authors and Year | Sample | Study Aim | Data Analysed | Conclusion |
| Category | N. records | Description |
|---|---|---|
| Barriers in transition | 6 | Focus on obstacles in the post-career phase (e.g., emotional difficulties, lack of support). Importance of planning |
| Importance of planning | 3 | Emphasize the importance of advance preparation for the transition. |
| Cultural influence on dual career | 2 | Analyze how the sociocultural context influences support for dual careers. |
| Positive role of dual career | 1 | Dual career as a factor facilitating transition. |
| Limits of dual career | 1 | Dual career programs are not always effective. |
| Other | 53 | Very varied conclusions or conclusions that are not easily categorized. |
2.2. Study Selection
2.3. Methodological Quality Assessment
2.4. Data Extraction and Selection
2.5. Data Representation Process
3. Results
3.1. Selection of Sources of Evidence
3.2. Characteristics of Sources of Evidence
3.3. Characteristics of Sources of Evidence
3.4. Synthesis of Results
4. Discussion
5. Conclusion
6. Limits and Future Developments
Funding
Conflicts of Interest
References
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| Title | Authors | Aims | Sample | Data analyzed | Conclusion |
|---|---|---|---|---|---|
| The relationship between dual-career and post-sport career transition among elite athletes in South Africa, Botswana, Namibia and Zimbabwe | Tshepang Tshube et al., (2015) | To explore the role of dual career in post-sport career transition across different cultural contexts. | 17 former athletes (12 men, 5 women) from 4 Southern African countries; individual and team sports. | Qualitative study using a grounded theory approach. | The quality of the transition depends on how the sports career ends. Some athletes neglected education to focus on sport, confirming the risk of sacrificing education for sporting success. |
| Olympic athletes back to retirement: A qualitative longitudinal study | Miquel Torregrosa et al., (2015) | To analyze the retirement process and the role of dual career in this transition. | 15 former Spanish Olympic athletes | Qualitative longitudinal study; semi-structured interviews conducted 10 years apart. Thematic analysis. | 10 athletes experienced positive transitions, often linked to dual career. The 5 who struggled had linear sports careers. A clear vision of the future facilitated adaptation to retirement. |
| A Cross-Cultural Comparison of Dual Career Environments for Elite Athletes in Switzerland, Denmark, and Poland | A. Kuettel et al., (2020) | To compare values and beliefs of stakeholders in different national dual career environments. | 12 key informants (6 women, 6 men) from Switzerland, Denmark, and Poland. | Qualitative study; semi-structured interviews. Analysis based on Schein’s (2010) organizational culture model. | Dual career is influenced by the sociocultural context. Similarities relate to secondary education and shared values on the benefits and barriers of dual career. |
| Spanish pre-Olympic athletes' motivations and barriers to pursuing dual career as a function of sociodemographic, sport and academic variables | A. Mateo-Orcajada et al., (2022) |
To analyze differences in motivations, barriers, value given to academic degree, and perception of dual career in relation to multifactorial variables. | 100 Spanish pre-Olympic athletes (41% men, 59% women), mean age 24.86 ± 5.99. | Descriptive cross-sectional study. t-test, ANOVA, χ2 for comparisons by gender, sport, career stage, employment, scholarships. | Individual sport athletes perceive more barriers than team athletes. Those without scholarships value education less and experience more obstacles. |
| Dual career support among world-class athletes in Sweden: Performance, education, and employment | C. Nyberg et al., (2023) | To examine the effectiveness of dual career support programs in the careers of elite Swedish athletes. |
274 world-class athletes (58% men), mean age 39.92 ± 6.25; 41 sports represented. | Quantitative study using a questionnaire. Descriptive analysis and Cramer's V for associations. | Dual career programs do not always enable athletes to reach their full potential. More research is needed on world-class athletes to assess the real usefulness of these programs. |
|
Searching for an optimal balance: Dual career experiences of Swedish adolescent athletes |
Stambulova et al., (2014) | To explore dual career (DC) experiences of adolescent athletes during their first year in Swedish elite sports schools (RIGs), with a focus on identity development and transitional variables. | First-year student-athletes (approx. 16 y/o), both genders, from 27 sports and 33 RIGs. | Longitudinal mixed-method design using AIMS, SIMS, and interviews. | Higher initial personal resources were associated with better adaptation to RIGs, lower perceived DC demands, and greater social support by the end of the year. |
| Events of athletic career: a comparison between career paths | Ramos et al., (2017) | Comparing the sporting milestones of elite athletes according to their career paths (linear, convergent, parallel). | 476 retired Spanish elite athletes from 32 sports. | Questionnaire (55 items); chi-square and Mann-Whitney U tests. | Significant differences were found between career paths in terms of age at peak performance, duration of the mastery phase, and retirement age. |
| Insights into life after sport for Spanish Olympians: Gender and career path perspectives | Barriopedro et al., (2018) | To investigate whether dual career paths differ by gender and to explore post-sport life outcomes. | 216 Spanish Olympians (inferred from figures). |
Questionnaire; classification tree analysis. | Women more frequently pursued a DC with education. A gender income gap emerged, with more women working part-time after sport. |
|
Retirement from elite sport and self-esteem: a longitudinal study over 12 years |
Schmid et al., (2023) | To examine how athletic retirement is associated with changes in self-esteem over time. | 903 elite junior athletes at T1; 290 former athletes at T2 (12 years later). | Longitudinal retrospective–prospective design; structural equation modeling | Self-esteem was less stable than in general population norms. Emotional reactions and adjustment processes mediated the link between individual antecedents and post-retirement self-esteem. |
| Dual Career of the U-23 Spanish Canoeing Team | Gavala-González et al., (2019) | To investigate how under-23 Spanish canoeists perceive the relationship between their academic and athletic careers. | 21 national team athletes (11 women, 10 men); mean age 20.6 years. | Mixed-method approach (questionnaires and interviews). | Athletes reported little interference between sport and academics. They were aware of the importance of education due to limited professional prospects in canoeing. |
| Impact of Dual Career Factors on the Quality of Post-Sport Career Transition and Social-Class Position of Elite and Olympic Athletes | Robnik et al., (2022) | To examine how education, DC support, and financial factors influence post-career employment and social status. | 49 retired Slovenian elite/Olympic athletes (mean age = 44.3 years). | Self-report questionnaires; correlation and multiple regression analysis. | Education and financial reasons significantly predicted the quality of transition and social class. DC support alone was insufficient for employment success. |
| Transnational migration and dual career of Slovenian and Swiss elite female handball players—a longitudinal analysis | Bon et al., (2022) | To explore the migration and dual career experiences of elite female handball players from Slovenia and Switzerland. | Migrant athletes from national handball teams (number not specified). |
7-year longitudinal qualitative study; semi-structured interviews; thematic analysis. | Migration from small countries was a key career facilitator. Athletes benefited from relocation, especially in developing life and professional skills. Success factors included high ambition, clear DC goals, and feeling supported in the host context. |
|
Employee-athletes: Exploring Spanish Elite Athletes’ Perceptions of Combining Sport and Work |
Moreno et al., (2021) | To examine elite athletes’ subjective perceptions of resources and barriers in combining sport and employment. |
18 elite Spanish athletes (10 men, 8 women; mean age = 39.8); active or retired. | Qualitative study using semi-structured interviews; Interpretative Phenomenological Analysis (IPA). |
Athletes valued flexible work and sport identity but faced barriers like job rigidity and workplace attitudes. Psychological pressure from conflicting demands was common. There is a lack of research and need for better DC integration post-retirement. |
| Perceptions of Dual Career Development Among Elite Swimmers and Basketball Players | Tekavc et al., (2015) | To explore retrospective perceptions of DC development and gender/sport differences. | 24 athletes (12 male, 12 female) from swimming and basketball. | Qualitative study; semi-structured interviews; directed content analysis. | DC programs overlooked sport- and gender-specific needs. Parental support was key; women focused more on academics. One athlete reported burnout; financial difficulties were common. |
|
The Experience of Dual Career Through Slovak Athletes’ Eyes |
Geraniosova et al., (2015) | To explore DC experience in Slovakia, focusing on enablers and barriers. | 5 Slovak elite athletes. | Interpretative Phenomenological Analysis (IPA); semi-structured interviews. | DC is a challenging process requiring athletes to balance sport with education or work. Individual interpretation and meaning-making were central. |
| Factors Impacting Carded Athletes’ Readiness for Dual Careers | Ryan et al., (2015) | : To investigate factors influencing New Zealand carded athletes’ ability to engage in dual careers. | 17 athletes from 8 sports; at least 2 years of carded status. | Qualitative study; semi-structured interviews; modified realist tale reporting | Athletes felt discouraged or unable to pursue activities beyond sport. CAPs must support both athletic and personal growth, and educate stakeholders on broader athlete development. |
|
Fighting for Olympic Dreams and Life Beyond: Olympian Judokas on Striving for Glory and Tackling Post-Athletic Challenges |
Hee Jung Hong & Seung Han Hong (2023) | To explore the experiences of Olympic judokas regarding their pursuit of athletic excellence and their transition out of sport. |
8 retired Olympic-level judokas (5 men, 3 women) from Portugal, South Korea, and the UK; aged 32–41. | Thematic analysis of semi-structured interviews. | Five main themes emerged: (a) Olympic dreams vs. reality, (b) identity loss, (c) importance of social support, (d) mixed effects of pre-retirement planning, and (e) ambivalent role of organizational support. Highlights the psychological toll of retirement and the critical need for accessible psychological support. |
| Analysis of the Athletic Career and Retirement Depending on the Type of Sport: A Comparison Between Individual and Team Sports | López de Subijana et al., (2020) |
To compare career and retirement patterns between athletes from individual and team sports. |
410 retired elite athletes (252 men, 158 women); 45% from individual sports, 55% from team sports. | Quantitative cross-sectional study; non-parametric statistics (SPSS v26). | Team athletes had longer careers, later peak performance and retirement, and better economic/employment status. Individual sport athletes trained more weekly and remained more physically active post-retirement. Team athletes more often participated in veteran competitions and spectated sports events. |
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Insights into Life After Sport for Spanish Olympians: Gender and Career Path Perspectives |
Barriopedro, López de Subijana & Muniesa (2018) | To assess how dual career paths and gender affect career transition and professional integration post-sport. | 228 retired Spanish Olympians (57.9% men, 42.1% women); participated in 1992, 1996, or 2000 Summer Games. | Quantitative cross-sectional study using a 42-item questionnaire; statistical and classification tree analyses. | 66% followed a DC with studies. Those who studied had higher education and better job outcomes. Women experienced more difficulty finding employment and earned less, despite qualifications. Gender disparities persisted in job type (more part-time roles for women) and salary. DC with education facilitated better transitions. |
| Body image experiences in retired Olympians: Losing the embodied self | Anthony Papathomas et al., (2025) | To explore the meanings that elite athletes attribute to their body after retirement. | 31 retired elite athletes, including 23 former Olympians. | Reflexive thematic analysis of over 25 hours of transcribed semi-structured interviews. | Four themes emerged: (1) legacy of body awareness culture, (2) struggle for “normality,” (3) body loss as self-loss, and (4) finding new meanings and identities. Athletes described the enduring influence of elite sport’s body surveillance culture, difficulties in adjusting to new dietary and training routines, and the need to accept physical changes and reconstruct identity as effective coping strategies. |
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Burnout, Identity Loss and Institutional Gaps: A Qualitative Examination of Sport Discontinuation Among NCAA Division III Athletes |
Stavitz et al., (2025) | To qualitatively examine the mental health barriers influencing former NCAA Division III athletes in their decision to discontinue sport. |
21 former NCAA Division III student-athletes. | Thematic analysis of qualitative interviews (exact method not specified in abstract). | Identified key themes—stress, burnout, identity loss, inadequate institutional support, and external pressures (academics, finances). The study highlights the need for enhanced mental health resources, reduced stigma, and stronger institutional support to improve athlete well-being and retention. |
| Athletic retirement: factors contributing to sleep and mental health problems | Montero et al., (2024) | To explore associations between demographic/sport-related factors and post-retirement sleep and mental health issues | 173 former athletes (balanced gender), various levels | Logistic regression | Younger, female athletes and those with higher body weight had greater risk of anxiety and sleep issues. Lower sport importance was linked to more sleep-disordered breathing. |
| Transition experiences of former collegiate women’s soccer athletes. | DeFreese et al., (2021) | To extend athlete transition and identity theory to inform support programs | 101 former female soccer players from a large public university in the southeastern United States. | Questionnaire with open-ended and closed-ended questions on post-sport transition. The open-ended responses were analyzed using a deductive approach; the closed-ended responses were analyzed using descriptive statistics. | Many female athletes faced difficulties related to identity, lack of support, and post-career direction, with nearly half experiencing an identity crisis. Facilitating factors included social support, new careers, and physical activity; desired resources included guidance, mentorship, and psychological support. |
| Embracing Athletic Identity in the Face of Threat | Benson et al., (2015) | To test if threat increases athletic identity exclusivity | Study 1: 81 CIS athletes; Study 2: 85 club/CIS athletes | Experimental tasks with identity measurements | Imagining career end increased exclusivity of athletic identity, not social identity. |
| Leaving elite sport, abandoning athletic identity? Development and predictors of athletic identity post-retirement | Schmid et al., (2024) | To track athletic identity over 12 years and identify influencing factors | 290 Swiss athletes (longitudinal) | Survey at two time points (t1, t2); AIMS-D, HLM | Identity decreased over time but varied by career engagement, post-career sport involvement, and subjective success. |
| Athletes’ experiences of social support in their transition out of elite sport: An interpretive phenomological analysis | Brown et al., (2018) | To explore how elite athletes perceive social support in retirement | 8 British elite athletes (4M/4F) | Interpretative Phenomenological Analysis (IPA) | Support was helpful when it felt emotionally attuned. Early retirement phase was often distressing. |
| Athletes’ retirement from elite sport: A qualitative study of parents and partners’ experiences | Brown et al., (2018) | To examine how close others experience athlete retirement | 7 relatives (3 parents, 4 partners) of retired UK athletes | Interpretative Phenomenological Analysis (IPA). | Partners and parents also underwent identity renegotiation during athlete’s transition. |
| Former College Athlete’s Perceptions of Adapting to Transition | Stokowski et al., (2019) | To explore former college athletes' transition experiences | 178 respondents via Twitter | Qualitative thematic analysis (Schlossberg model) | 57.3% reported negative transitions (loss of identity); 42.7% felt liberated and excited for new paths. |
| Isolation, Athletic Identity, and Social Support: An Exploration Among Injured Collegiate Student-Athletes | Claytor et al., (2019) | To explore isolation in season/career-ending injured athletes | 7 Division I college athletes (6F, 1M) | Interpretive qualitative approach | Isolation began soon after injury; limited support from coaches; unclear links to identity or support. |
| Learning from the Experiences of Collegiate Athletes Living through a Season- or Career-Ending Injury | Moore et al.,(2020) | To understand lived experience of season-ending injury | 10 Division I athletes (varied demographics) | Descriptive phenomenology | High stress, identity loss, and coping struggles emerged; athletes valued maintaining a sense of belonging. |
| Evaluation of an NCAA sponsored online support group for career-ending injured collegiate athletes transitioning out of sports | Rohrs-Cordes & Paule-Koba (2018) | To assess if NCAA-sponsored online support helps injured athletes | 12 former NCAA D-I athletes | Qualitative interviews | All faced adjustment issues; expressed strong interest in online peer support groups. |
| Leaving elite sport, abandoning athletic identity? Development and predictors of athletic identity post-retirement | Schmid et al., (2024) | To study post-retirement identity changes and predictors | 290 Swiss elite athletes (64 sports) | Longitudinal study (t1 and t2, 12 years apart), MLM | Average decline in identity, but high variability; initial strong identity led to greater change over time. |
| Life After Sport: The Relationship Between Athletic Identity and Mental Health Outcomes After Sport Retirement | Giannone et al., (2016) | To examine athletic identity and mental health outcomes post-retirement | 132 Canadian university athletes (72 completed both time points) | Two-wave survey (T1 during season, T2 post-retirement) | Higher identity levels predicted more depression and anxiety post-retirement. |
| University sport retirement and athlete mental health:A narrative analysis | Jewett et al., (2019) | Examine how sport structure affects mental health during retirement | 1 elite female university athlete | Dialogic narrative analysis | Loss of support/platform after retirement worsened mental health |
| Letting Go of Gold: Examining the Role of Autonomy in Elite Athletes’ Disengagement from Their Athletic Careers and Well-Being in Retirement | Holding et al. (2020) | Explore how autonomy in retirement affects well-being | 158 former Olympic-level athletes (mostly women) | Regression, correlation |
Autonomous motivation and detachment predicted better well-being |
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Elite Athlete Retirement in New Zealand: Flourishing After Sport |
Ryan et al., (2019) | Identify predictors of flourishing post-retirement | 81 elite NZ athletes (31% female) | ANOVA, correlations | Voluntary retirement and planning improved adjustment; high AI linked to stronger emotions |
| The Psychosocial Factors Associated with Athletic Retirement in Elite and Competitive Athletes | Rajaram et al., (2021) | Examine how withdrawal type and identity affect transition | 50 athletes (questionnaires); 8 (interviews) | Mixed methods; ANOVA, thematic analysis | Involuntary withdrawal + strong AI = worse mental health and coping |
| Transitioning from sport: Life satisfaction, depressive symptomatology, and body satisfaction among retired female collegiate athletes | Shander & Petrie (2021) | Assess body image, depression, life satisfaction | 217 retired NCAA female athletes | Hierarchical regression | New interests and continued sport involvement improved outcomes |
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Retired College Student Athletes’ Psychological Well-Being: A Prospective Analysis |
Shander et al., (2024) | Analyze readiness and well-being post-retirement | 166 retired NCAA athletes | Regression analysis | New focus and social support predicted better life satisfaction |
| Poor mental health outcomes in crisis transitions: an examination of retired athletes accounting of crisis transition experiences in a cultural context | Cosh et al., (2021) | Examine cultural narratives of crisis transition | 9 elite Australian athletes | Thematic media analysis | Retirement often linked to depression, abandonment, but sometimes relief |
| The Impact of Athletic Identity, Psychological Flexibility, and Value Consistent Living on the Mental Health and Well-Being of Retired Elite Rugby Players | Mooney et al., (2024) | Study identity, flexibility, and valued living | 77 former elite rugby players | Correlational, cross-sectional | 64% low well-being; flexibility and values predicted better outcomes |
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The Athletes After Retirement: How are they Doing? |
Matitu et al., (2019) | Assess physical self-inventory and suffering | 34 retired athletes (Philippines) | Spearman, narrative analysis | Suffering more linked to body self-perception than time since retirement |
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The Effect of Athletic Factors on Quality of Adaptation to Post-Sport Retirement |
디피카 (2021) | Examine impact of success, planning, identity on life adjustment | 295 former elite Sri Lankan athletes | SEM, CFA, path analysis | Career success, identity, and planning predicted better adaptation; self-efficacy mediated the effect |
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Inflexibility, Reactions to Retirement, and Mental Health in Elite Competitors: A Mediation Analysis |
Zimmerman et al., (2024) | Explore how inflexibility relates to depression/anxiety | 223 former DCI competitors (age-out rule) | Regression, mediation (bootstrapping) | Inflexibility predicted depression; loss-of-control mediated the effect |
| An Examination of the Mental Health Symptoms of Former Adolescent Athletes Who Experienced Either Forced or Expected Athletic Retirement | Ahmann et al., (2023) | Compare mental health by retirement reason (forced/planned) | 347 U.S. former adolescent athletes | MANOVA, t-tests | Forced withdrawals = more distress; planned = more flourishing; control was protective |
| Elite athletes' subjective wellbeing trajectories throughout the retirement transition: an analysis using Ruthven's (2022) transition model | Zimet et al., (2024) | Analyze identity, voluntariness, reasons for retirement | 541 retired athletes (survey) | Linear mixed models | Strong AI, injury, or loss of motivation = lower well-being; timing mattered |
| How stressful is retirement! Antecedents of stress linked to athletes’ career termination | Pica et al., (2019) | Study how passion/regulation influence stress | 420 professional athletes | Mediation analysis | Obsessive passion linked to stress via closure needs; implications for intervention |
| Adaptation to Athletic Retirement and Perceptions About Aging: A Qualitative Study of Retired Olympic Athletes | Silver et al., (2021) | Explore how aging perceptions affect adaptation | 24 retired Olympic athletes | Thematic interviews | Positive aging views encouraged civic activity; lack of structure caused distress |
| Reconstructing Athletic Identity: College Athletes and Sport Retirement | Menke et al., (2019) | Explore identity loss and coping in revenue-sport athletes | Former U.S. college athletes (e.g., football, basketball) | Phenomenological interviews | Identity loss was common; coping varied; strengths from sport sometimes supported transition |
| Elite Sport Retirement: Elite New Zealand Athletes' Perceptions of Retirement Interventions | Lenton et al., (2020) | Assess perceptions of retirement interventions | 16 retired elite NZ athletes (gender-balanced) | Qualitative interviews | Educational support used, but limited emotional help; call for mentorship and workshops |
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A Qualitative Examination of Sport Retirement in Former NCAA Division I Athletes |
Barcza-Renner et al., (2020) | Explore experiences 4–5 months post-retirement | ~15 former NCAA D-I athletes | Thematic content analysis | Positive transition tied to goals/support; many still needed professional support |
| “I still have that athlete soul”: storying identity and pain in retired athletes | Welch et al., (2023) | Understand how pain affects post-career identity | 8 retired athletes (various backgrounds) | Dialogical narrative analysis | Pain reshaped body perception and identity; storytelling aided meaning-making |
| Female Athletes in Retirement: A Test of a Psychosocial Model of Bulimic Symptomatology | Barrett et al., (2020) | Test a psychosocial model of eating disorders post-retirement | 218 former NCAA Division I female athletes | SEM (controlling for BMI, retirement years) | Sociocultural pressure and body dissatisfaction predicted bulimic symptoms post-retirement |
| “I’m more than my sport”: Exploring the dynamic processes of identity change in athletic retirement | Haslam et al., (2024) | Explore identity transition process after retirement | 21 retired elite athletes | Thematic analysis of semi-structured interviews | Identity change involved loss recognition, exploration, renegotiation, and integration |
| The relationship between demographic factors, psychological distress, COVID worries, resilience, and athletic identity: A study of collegiate student-athletes. | Shinnick et al., (2024) | Examine distress, COVID worries, resilience, identity | 325 NCAA athletes (various divisions) | Regression, path analysis | Juniors/seniors had lower AI; distress tied to low resilience; COVID worries mediated by distress |
| When the final whistle blows: Social Identity Pathways in Adjustment to Retirement from Competitive Sport | Haslam et al., (2021) | Test SIMIC model in Western and Chinese athletes | 215 Western, 183 Chinese former athletes | Multigroup path analysis | Identity loss reduced adaptation; SIMIC (social groups) mitigated effects differently across cultures |
| Predictors and Correlates of Depression in Retired Elite Level Rugby League Players. | Iverson et al., (2021) | Identify predictors of depression | 141 former elite rugby players (mean age 52.6) | Correlation, regression | Resilience reduced depression; pain increased it; concussions not significant predictors |
| Athletic Identity and Psychological Distress: The Moderating Roles of Social Support and Self-Compassion | Hayes et al., (2023) | Test moderators of distress post-COVID | 4,116 NCAA athletes (diverse demographics) | ANOVA, moderation (PROCESS model) | AI and distress linked via low self-compassion/support, with differences across race and gender |
| 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 | Norouzi et al., (2020) | Test MBSR effects on retired players' well-being | 40 retired Iranian footballers | Repeated-measures ANOVA | MBSR improved well-being and reduced anxiety, depression, and stress |
| As the Lights Fade: A Grounded Theory of Male Professional Athletes’ Decision-Making and Transition to Retirement | Eggleston et al., (2020) | Explore how pros decide to retire | U.S. professional athletes | Grounded theory | Social support eased transition; a theoretical model of retirement decision was developed |
| Prevalence of mental health symptoms among male and female Australian professional footballers. | Kilic et al., (2021) | Compare mental health symptoms across status and gender | 149M, 132F active; 81M retired soccer players (Australia) | χ2, regression | Higher distress and substance use in retired players; resilience was protective; injuries linked to symptoms |
| Athletic identity and psychiatric symptoms following retirement from varsity sports | Giannone et al., (2017) | Examine how athletic identity predicts anxiety and depression symptoms post-retirement | 72 varsity college athletes (surveyed during last season and 3 months after retirement) | Regression (controlling for pre-retirement anxiety) | Athletic identity significantly predicted post-retirement anxiety; a similar trend (non-significant) for depression |
| Common mental disorders among Irish jockeys: prevalence and risk factors | King et al., (2019) | Assess prevalence of CMDs among jockeys and test associations with risk factors | 84 professional jockeys (52% response rate) | Binary logistic regression | 79% met criteria for CMDs. Alcohol abuse (61%), depression (35%), anxiety (27%). Risk increased by burnout, low career satisfaction, poor support, and retirement contemplation |
| Predictors and Correlates of Perceived Cognitive Decline in Retired Professional Rugby League Players | Van Patten et al., (2021) | Identify predictors of self-reported cognitive decline | 133 retired professional rugby league players (Australia; mean age 53.1; avg. 28 concussions) | Clinical interview, neuropsychological tests, regression | Perceived decline associated with depression, lower resilience, fewer years in sport; not linked to concussion count or objective cognition |
| Prevalence and determinants of symptoms of common mental disorders in retired professional Rugby Union players | Gouttebarge et al., (2016) | Determine CMD prevalence and association with stressors | 295 retired Rugby Union professionals (France, Ireland, South Africa) | Cross-sectional; logistic regression | CMD prevalence: 25% distress, 28% anxiety/depression, 29% sleep issues, 62% adverse eating, 24% alcohol abuse. Life events and career dissatisfaction were key stressors |
| A prospective cohort study on symptoms of common mental disorders among current and retired professional ice hockey players | Gouttebarge & Kerkhoffs (2017) | Examine CMD symptoms and stressor links in current and retired players | Ice hockey players (Denmark, Finland, Norway, Switzerland) – number not specified | Prospective cohort study (6-month follow-up); validated tools | CMD prevalence: 8–24% active; 12–29% retired. High comorbidity. Incidence up to 25%. Injuries, surgeries, recent life events, and dissatisfaction increased CMD risk |
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