Mindfulness and Mental Health in Swedish Athletes: Psychometric Development and Investigations with Body Scan
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]
The present research aimed to deepen the understanding of mindfulness and mental health among competitive athletes by examining mindfulness and psychological flexibility. The aim was to investigate if a brief body scan and relaxation were helpful for student-athletes’ anxiety symptoms, sleep problems, and quality of life (QoL), with a focus on facets of mindfulness.
Study I was an examination and validation of psychological flexibility using two samples of athletes. A factor with seven items appeared from the Psychological Flexibility in Sport Scale (PFSS). Results indicated correlations between psychological flexibility, performance, and QoL. PFSS was significantly negatively associated with age, years in sport, and years as an athlete. Study II was a longitudinal randomized controlled trial comparing the effects of body scan and relaxation on student athletes’ anxiety symptoms and sleep problems. Time trends in anxiety symptoms and sleep problems were estimated using linear repeated-measures models and compared across four groups. Outcomes indicated that a brief body scan and a brief relaxation helped lower anxiety levels. Neither body scan nor relaxation improved sleep problems. Study III investigated whether the effects of a brief body scan intervention on QoL among student-athletes would mediate a change in mindfulness. Student athletes (n = 99) were randomized into two arms: a 4-week body scan and a 4-week relaxation. A simple mediation analysis was applied. The results showed no significant differences between body scan and relaxation on QoL. There were no significant outcomes between interventions on the mediator mindfulness (FFMQ), and no significant indirect associations between facets of mindfulness on QoL.
Conclusion: Student-athletes appear to be a healthy population. The body scan intervention was not more effective than relaxation in improving student-athletes’ mental health. Future research could benefit from incorporating mixed methods to study mindfulness and psychological flexibility in greater depth.
Abstract [en]
There is growing interest in applying mindfulness and acceptance-based interventions among competitive athletes. However, longitudinal studies assessing the impact of these interventions remain scarce. Additionally, there is a lack of validated sport-specific scales to measure psychological flexibility in athletic contexts. The studies included in this thesis investigated mental health in competitive athletes, focusing on psychological flexibility and the effects of mindfulness-based body scan interventions. Study I developed and validated the Psychological Flexibility in Sport Scale (PFSS), identifying a single-factor, seven-item structure. Higher levels of psychological flexibility were associated with better performance and quality of life (QoL). Study II, a randomized controlled trial, compared a brief body scan intervention with relaxation. Both interventions reduced anxiety, but neither improved sleep. There were no significant differences by intervention type or duration. Study III examined the mediating role of mindfulness measured by the Five Facet Mindfulness Questionnaire (FFMQ) on QoL. No significant differences or mediations were found between interventions. In conclusion, both body scan and relaxation interventions were somewhat effective in reducing anxiety but did not improve sleep or QoL. Investigations demonstrated healthy levels of anxiety and sleep among student-athletes. Future research could benefit from incorporating mixed methods to study mindfulness and psychological flexibility in greater depth.
Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2026. , p. 148
Series
Karlstad University Studies, ISSN 1403-8099 ; 2026:36
Keywords [en]
Sport psychology, quality of life, mindfulness, psychological flexibility, psychometric development, sleep, anxiety
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-109566DOI: 10.59217/zmrd9806ISBN: 978-91-7867-727-6 (print)ISBN: 978-91-7867-728-3 (electronic)OAI: oai:DiVA.org:kau-109566DiVA, id: diva2:2050969
Public defence
2026-09-11, 11D257, 10:00 (Swedish)
Opponent
Supervisors
2026-08-212026-04-072026-08-21Bibliographically approved
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