{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T04:34:41Z","timestamp":1793421281437,"version":"4.5.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This systematic review synthesizes evidence on the psychological and emotional experiences of collegiate student-athletes, identifying key stressors, coping strategies, and intervention effectiveness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Literature was searched in PubMed, PsycINFO, Scopus, and Web of Science for studies published between 2010 and 2024. A total of 41 empirical studies met inclusion criteria (27 cross-sectional, 7 longitudinal\/observational, 4 quasi-experimental\/experimental, and 3 mixed-methods). The studies were conducted primarily in the USA (<jats:italic>n<\/jats:italic>\u202f=\u202f19), Europe (<jats:italic>n<\/jats:italic>\u202f=\u202f11), and East Asia (<jats:italic>n<\/jats:italic>\u202f=\u202f8), with sample sizes ranging from 30 to &amp;gt;1,000 participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across studies, the most frequently reported stressors were training load (68% of studies), academic pressure (61%), and coach-athlete or team dynamics (42%). Emotional outcomes included anxiety (reported in 70% of studies), depression (52%), and burnout\/fatigue (39%). Quantitative data indicated that depressive symptoms affected up to 35% of female student-athletes and COVID-related disruptions increased distress levels in over 40% of participants. Coping strategies with strongest empirical support included Psychological Skills Training (PST) (9 studies), Cognitive-Behavioral Therapy (CBT) (3 studies), and self-care practices such as sleep hygiene and mindfulness (11 studies).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Student-athletes\u2019 well-being is shaped by the dual demands of sport and academics, moderated by gender and cultural context. Evidence supports PST and CBT as effective interventions, complemented by self-care practices. To translate these findings into practice, universities and sports organizations should integrate structured mental skills programs into athletic training, provide flexible academic support during peak competition periods, and invest in accessible counseling services. Policy efforts should focus on reducing stigma, training coaches and staff to recognize early signs of distress, and expanding digital or mobile-based mental health solutions to increase accessibility.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1645177","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T05:42:06Z","timestamp":1759902126000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Advancements in research on psychological and emotional aspects of student-athletes"],"prefix":"10.3389","volume":"16","author":[{"given":"Zhoujie","family":"Mao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1002\/jad.12179","article-title":"The associations between sport- and physical activity-related concussions and suicidality, suicide capability, and hopelessness among high school adolescents","volume":"95","author":"Bailey","year":"2023","journal-title":"J. Adolesc."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1111\/j.1600-0838.2010.01188.x","article-title":"Psychological skills training as a way to enhance an athlete's performance in high-intensity sports","volume":"20","author":"Birrer","year":"2010","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s13643-022-01932-5","article-title":"An updated systematic review of interventions to increase awareness of mental health and well-being in athletes, coaches, officials and parents","volume":"11","author":"Breslin","year":"2022","journal-title":"Syst. Rev."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s13643-017-0568-6","article-title":"A systematic review of interventions to increase awareness of mental health and well-being in athletes, coaches and officials","volume":"6","author":"Breslin","year":"2017","journal-title":"Syst. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1080\/10413200305389","article-title":"Anxiety versus fundamental emotions as predictors of perceived functionality of pre-competitive emotional states, threat, and challenge in individual sports","volume":"15","author":"Cerin","year":"2003","journal-title":"J. Appl. Sport Psychol."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1136\/bjsports-2019-101583","article-title":"Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American medical Society for Sports Medicine Position Statement-Executive Summary","volume":"54","author":"Chang","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"733","DOI":"10.4085\/1062-6050-0527.22","article-title":"Examination of stress, sport anxiety, neuroticism, and coping in student-athletes: implications for patient mental health","volume":"58","author":"Contreras","year":"2023","journal-title":"J. Athl. Train."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e0251171","DOI":"10.1371\/journal.pone.0251171","article-title":"Challenges and stresses experienced by athletes and coaches leading up to the Paralympic games","volume":"16","author":"Dehghansai","year":"2021","journal-title":"PLoS One"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"361","DOI":"10.4085\/1062-6050-0586.21","article-title":"Trends in college student-athlete mental health in the National College Health Assessment (NCHA), 2011-2019","volume":"58","author":"Edwards","year":"2021","journal-title":"J. Athl. Train."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1016\/j.csm.2019.05.003","article-title":"Supporting mental health and well-being among student-athletes","volume":"38","author":"Egan","year":"2019","journal-title":"Clin. Sports Med."},{"key":"ref11","volume-title":"Stress, appraisal, and coping","author":"Folkman","year":"2025"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e40406","DOI":"10.2196\/40406","article-title":"Mobile-delivered mindfulness intervention on anxiety level among college athletes: randomized controlled trial","volume":"26","author":"Gao","year":"2024","journal-title":"J. Med. Internet Res."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/1471-244X-12-157","article-title":"Barriers and facilitators to mental health help-seeking for young elite athletes: a qualitative study","volume":"12","author":"Gulliver","year":"2012","journal-title":"BMC Psychiatry"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3389\/fphys.2019.00034","article-title":"Monitoring training loads and perceived stress in young elite university athletes","volume":"10","author":"Hamlin","year":"2019","journal-title":"Front. Physiol."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2823","DOI":"10.3390\/ijerph16162823","article-title":"Sport locus of control and perceived stress among college student-athletes","volume":"16","author":"Holden","year":"2019","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"10","DOI":"10.3390\/healthcare10122357","article-title":"Effects of a cognitive-behavioral therapy intervention on the rowers of the junior Spain National Team","volume":"10","author":"Isorna-Folgar","year":"2022","journal-title":"Healthcare (Basel)"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1080\/17509840902829331","article-title":"A theory of challenge and threat states in athletes","volume":"2","author":"Jones","year":"2009","journal-title":"Int. Rev. Sport Exerc. Psychol."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1177\/1941738119887966","article-title":"The quality, quantity, and Intraindividual variability of sleep among students and student-athletes","volume":"12","author":"Leduc","year":"2020","journal-title":"Sports Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1047472","DOI":"10.3389\/fpsyg.2023.1047472","article-title":"Psychological skills training impacts autonomic nervous system responses to stress during sport-specific imagery: an exploratory study in junior elite shooters","volume":"14","author":"Lee","year":"2023","journal-title":"Front. Psychol."},{"key":"ref20","first-page":"283","article-title":"Depression and chronic fatigue in the high school student and athlete","volume":"18","author":"Lidstone","year":"1991","journal-title":"Prim. Care"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"4821","DOI":"10.3390\/ijerph19084821","article-title":"The coach-athlete-parent relationship: the importance of the sex, sport type, and family composition","volume":"19","author":"Lisinskiene","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref22","first-page":"126","article-title":"Impact of identity on anxiety in athletes","volume":"38","author":"Masten","year":"2006","journal-title":"Kinesiology."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"406","DOI":"10.4085\/1062-6050-49.2.16","article-title":"Susceptibility to eating disorders among collegiate female student-athletes","volume":"49","author":"McLester","year":"2014","journal-title":"J. Athl. 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Differ."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"821893","DOI":"10.3389\/fpsyg.2022.821893","article-title":"Current state and the support system of athlete wellbeing in Japan: the perspectives of the university student-athletes","volume":"13","author":"Noguchi","year":"2022","journal-title":"Front. Psychol."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1080\/10826084.2020.1861629","article-title":"Relevance of athlete-specific psychosocial factors in high school student-athlete alcohol consumption","volume":"56","author":"Olthuis","year":"2021","journal-title":"Subst. Use Misuse"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1080\/07448481.1989.9939063","article-title":"The college student-athlete: psychological considerations and interventions","volume":"37","author":"Pinkerton","year":"1989","journal-title":"J. Am. Coll. Heal."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"954086","DOI":"10.3389\/fspor.2022.954086","article-title":"Motivation to train during a pandemic: the role of fitness resources, mental health, and motivational profiles among student-athletes in team sports","volume":"4","author":"Purc-Stephenson","year":"2022","journal-title":"Front Sports Act Living"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1136\/bjsports-2015-095586","article-title":"The psychological response to injury in student athletes: a narrative review with a focus on mental health","volume":"50","author":"Putukian","year":"2016","journal-title":"Br. J. Sports Med."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e11863","DOI":"10.7717\/peerj.11863","article-title":"Validity and usefulness of the student-athletes' motivation toward sport and academics questionnaire: a Bayesian multilevel approach","volume":"9","author":"Quinaud","year":"2021","journal-title":"PeerJ"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s40279-016-0492-2","article-title":"The mental health of elite athletes: a narrative systematic review","volume":"46","author":"Rice","year":"2016","journal-title":"Sports Med."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1080\/17461391.2020.1792558","article-title":"Role of sports psychology and sports nutrition in return to play from musculoskeletal injuries in professional soccer: an interdisciplinary approach","volume":"21","author":"Rollo","year":"2021","journal-title":"Eur. J. Sport Sci."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1052744","DOI":"10.3389\/fpubh.2022.1052744","article-title":"The impact of the COVID-19 pandemic on physical activity, life satisfaction, anxiety, stress perception and coping strategies in student-athletes: a comparison between Belarus and Poland-countries with a different approach of anti-pandemic measures","volume":"10","author":"Shpakou","year":"2022","journal-title":"Front. Public Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.bodyim.2018.12.009","article-title":"Examining positive body image, sport confidence, flow state, and subjective performance among student athletes and non-athletes","volume":"28","author":"Soulliard","year":"2019","journal-title":"Body Image"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"6458","DOI":"10.3390\/ijerph19116458","article-title":"Social support and post-injury depressive and anxiety symptoms among college-student athletes","volume":"19","author":"Sullivan","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1037\/cdp0000387","article-title":"In or out of the game? Counter-stereotype paradoxes and Asian-identified student-athlete mental health","volume":"27","author":"Tran","year":"","journal-title":"Cultur. Divers. Ethnic Minor. Psychol."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1080\/07448481.2020.1725018","article-title":"Looking forward to student-athlete mental health: racial\/ethnic trends from 2010 to 2015","volume":"69","author":"Tran","year":"","journal-title":"J. Am. Coll. Heal."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3390\/ijerph20032339","article-title":"The effect of mindfulness intervention on the psychological skills and shooting performances in male collegiate basketball athletes in Macau: a quasi-experimental study","volume":"20","author":"Wang","year":"2023","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.3390\/ijerph20021211","article-title":"An examination of depression, anxiety, and self-esteem in collegiate student-athletes","volume":"20","author":"Weber","year":"2023","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/s11920-020-01185-w","article-title":"Mental health in the young athlete","volume":"22","author":"Xanthopoulos","year":"2020","journal-title":"Curr. Psychiatry Rep."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"P1","DOI":"10.3389\/fpsyg.2024.1400094","article-title":"Sport anxiety and subjective happiness of college athletes: a self-determination theory perspective","volume":"15","author":"Zhang","year":"2024","journal-title":"Front. 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