Mindfulness-Based Stress Reduction Benefits Psychological Well-Being, Sleep Quality, and Athletic Performance in Female Collegiate Rowers

Bethany J Jones, Sukhmanjit Kaur, Michele Miller, Rebecca M C Spencer, Bethany J Jones, Sukhmanjit Kaur, Michele Miller, Rebecca M C Spencer

Abstract

Factors such as psychological well-being, sleep quality, and athletic coping skills can influence athletic performance. Mindfulness-based interventions, including mindfulness-based stress reduction (MBSR), have been shown to benefit these factors, suggesting they may, at least indirectly, benefit athletic performance. Moreover, while mindfulness training has been linked to better accuracy in some high-precision sports, whether it can improve non-precision elements of athletic performance is unclear. The objective of this study was to investigate the influence of MBSR on psychological well-being, sleep, athletic coping skills, and rowing performance in collegiate rowers in a controlled experimental design. Members of a Division I NCAA Women's Rowing team completed either an 8-week MBSR course along with their regular athletic training program (Intervention group) or the athletic training program alone (Control group). Measurements of interest were taken at baseline and again either during or shortly following the intervention. In contrast to the Control group, the Intervention group showed improvements in psychological well-being, subjective and objective sleep quality, athletic coping skills, and rowing performance as measured by a 6,000-m ergometer test. Improvements in athletic coping skills, psychological well-being, and subjective sleep quality were all correlated with increases in mindfulness in the Intervention group. These results suggest that mindfulness training may benefit non-precision aspects of athletic performance. Incorporating mindfulness training into athletic training programs may benefit quality of life and performance in student athletes.

Keywords: actigraphy; collegiate athletics; coping skills; endurance; mindfulness training; rowing.

Copyright © 2020 Jones, Kaur, Miller and Spencer.

Figures

Figure 1
Figure 1
Experimental timeline and procedure. Participants either completed an 8-week mindfulness-based stress reduction (MBSR) course along with their regular athletic training program (Intervention group) or the athletic training program alone (Control group). Questionnaires, actigraphy, and an ergometer test were administered once at baseline and once again either during or shortly following the intervention.
Figure 2
Figure 2
Average Five Facet Mindfulness Questionnaire (FFMQ) scores in the MBSR and Control groups at the pre-test and post-test time points. Higher scores reflect greater mindfulness. Error bars represent standard errors of means.
Figure 3
Figure 3
Psychological well-being. (A) Average psychological well-being scores in the MBSR and Control groups at the pre-test and post-test time points. Lower scores reflect greater well-being. Error bars represent standard errors of means. (B) Relationship between change in FFMQ score and change in psychological well-being score in the MBSR group.
Figure 4
Figure 4
Sleep. (A,B) Average Pittsburg Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) scores in MBSR and Control groups at the pre-test and post-test time points. Lower scores reflect better sleep quality and lower daytime sleepiness, respectively. (C,D) Relationships between change in FFMQ score and changes in PSQI and ESS scores. (E,F) Average percent sleep efficiency (SE) and minutes of wake after sleep onset (WASO) in MBSR and Control groups at the pre-test and post-test time points, as measured by actigraphy. Error bars represent standard errors of means.
Figure 5
Figure 5
Athletic coping skills and rowing performance. (A) Average Athletic Coping Skills Inventory 28 (ACSI-28) scores in MBSR and Control groups at the pre-test and post-test time points. Higher scores reflect better coping skills. (B) Relationship between change in FFMQ score and change in ACSI-28 score. (C) Average time taken to complete the 6 K ergometer test in the MBSR and Control groups at the pre-test and post-test time points. Error bars represent standard errors of means.

References

    1. Ancoli-Israel S., Martin J. L., Blackwell T., Buenaver L., Liu L., Meltzer L. J., et al. . (2015). The SBSM guide to actigraphy monitoring: clinical and research applications. Behav. Sleep Med. 13, S4–S38. 10.1080/15402002.2015.1046356, PMID:
    1. Baer R. A., Smith G. T., Hopkins J., Krietemeyer J., Toney L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment 13, 27–45. 10.1177/1073191105283504, PMID:
    1. Beck A. T., Epstein N., Brown G., Steer R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. J. Consult. Clin. Psychol. 56, 893–897. 10.1037/0022-006X.56.6.893, PMID:
    1. Beck A. T., Steer R. A., Brown G. K. (1996). Manual for the beck depression inventory-II. San Antonio (TX): Psychological Corporation.
    1. Bertollo M., di Fronso S., Lamberti V., Ripari P., Reis V. M., Comani S., et al. (2015). To focus or not to focus: is attention on the core components of action beneficial for cycling performance? Sport Psychol. 29, 110–119. 10.1123/tsp.2014-0046
    1. Brauer A. A., Athey A. B., Ross M. J., Grandner M. A. (2019). Sleep and health among collegiate student athletes. Chest 156, 1234–1245. 10.1016/j.chest.2019.08.1921, PMID:
    1. Bühlmayer L., Birrer D., Röthlin P., Faude O., Donath L. (2017). Effects of mindfulness practice on performance-relevant parameters and performance outcomes in sports: a meta-analytical review. Sports Med. 47, 2309–2321. 10.1007/s40279-017-0752-9, PMID:
    1. Buysse D. J., Reynolds C. F., Monk T. H., Berman S. R., Kupfer D. J. (1989). The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 28, 193–213. 10.1016/0165-1781(89)90047-4, PMID:
    1. Castro-Sánchez M., Zurita-Ortega F., Chacón-Cuberos R., López-Gutiérrez C. J., Zafra-Santos E. (2018). Emotional intelligence, motivational climate and levels of anxiety in athletes from different categories of sports: analysis through structural equations. Int. J. Environ. Res. Public Health 15:894. 10.3390/ijerph15050894, PMID:
    1. Chiesa A., Serretti A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J. Altern. Complement. Med. 15, 593–600. 10.1089/acm.2008.0495, PMID:
    1. Cincotta A. L., Gehrman P., Gooneratne N. S., Baime M. J. (2011). The effects of a mindfulness-based stress reduction programme on pre-sleep cognitive arousal and insomnia symptoms: a pilot study. Stress Health 27, e299–e305. 10.1002/smi.1370
    1. Cohen S. (1988). “Perceived stress in a probability sample of the United States” in The claremont symposium on applied social psychology. The social psychology of health. eds. Spacapan S., Oskamp S. (Thousand Oaks, CA: Sage Publications, Inc.), 31–67.
    1. Comani S., di Fronso S., Filho E., Castronovo A. M., Schmid M., Bortoli L., et al. (2014). “Attentional focus and functional connectivity in cycling: an EEG case study.” in XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013; September 25–28, 2013; Seville: Springer International Publishing, 137–140.
    1. Connolly C., Janelle C. (2003). Attentional strategies in rowing: performance, perceived exertion, and gender considerations. J. Appl. Sport Psychol. 15, 195–212. 10.1080/10413200305387
    1. di Fronso S., Tamburro G., Robazza C., Bortoli L., Comani S., Bertollo M. (2018). Focusing attention on muscle exertion increases EEG coherence in an endurance cycling task. Front. Psychol. 9:1249. 10.3389/fpsyg.2018.01249, PMID:
    1. Garland S. N., Carlson L. E., Stephens A. J., Antle M. C., Samuels C., Campbell T. S. (2014). Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. J. Clin. Oncol. 32, 449–457. 10.1200/JCO.2012.47.7265, PMID:
    1. Geukes K., Harvey J. T., Trezise A., Mesagno C. (2017). Personality and performance in real-world competitions: testing trait activation of fear of negative evaluation, dispositional reinvestment, and athletic identity in the field. Psychol. Sport Exerc. 30, 101–109. 10.1016/j.psychsport.2017.02.008
    1. Gross C. R., Kreitzer M. J., Reilly-Spong M., Wall M., Winbush N. Y., Patterson R., et al. . (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Exp. Dermatol. 7, 76–87. 10.1016/j.explore.2010.12.003, PMID:
    1. Grossman P., Niemann L., Schmidt S., Walach H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. J. Psychosom. Res. 57, 35–43. 10.1016/S0022-3999(03)00573-7, PMID:
    1. Hill A. P., Hall H. K., Duda J. L., Appleton P. R. (2011). The cognitive, affective and behavioural responses of self-oriented perfectionists following successive failure on a muscular endurance task. Int. J. Sport Exerc. Psychol. 9, 189–207. 10.1080/1612197X.2011.567108
    1. John D. S., Verma D. S. K., Khanna D. G. L. (2011). The effect of mindfulness meditation on HPA-axis in pre-competition stress in sports performance of elite shooters. Natl. J. Integr. Res. Med. 2, 15–21.
    1. Johns M. W. (1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14, 540–545. 10.1093/sleep/14.6.540, PMID:
    1. Jones G. (2002). What is this thing called mental toughness? An investigation of elite sport performers. J. Appl. Sport Psychol. 14, 205–218. 10.1080/10413200290103509
    1. Josefsson T., Ivarsson A., Lindwall M., Gustafsson H., Stenling A., Böröy J., et al. . (2017). Mindfulness mechanisms in sports: mediating effects of rumination and emotion regulation on sport-specific coping. Mindfulness 8, 1354–1363. 10.1007/s12671-017-0711-4, PMID:
    1. Kabat-Zinn J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen. Hosp. Psychiatry 4, 33–47. 10.1016/0163-8343(82)90026-3, PMID:
    1. Kroshus E., Wagner J., Wyrick D., Athey A., Bell L., Benjamin H. J., et al. . (2019). Wake up call for collegiate athlete sleep: narrative review and consensus recommendations from the NCAA interassociation task force on sleep and wellness. Br. J. Sports Med. 53, 731–736. 10.1136/bjsports-2019-100590, PMID:
    1. Leeder J., Glaister M., Pizzoferro K., Dawson J., Pedlar C. (2012). Sleep duration and quality in elite athletes measured using wristwatch actigraphy. J. Sports Sci. 30, 541–545. 10.1080/02640414.2012.660188, PMID:
    1. Lengacher C. A., Reich R. R., Paterson C. L., Jim H. S., Ramesar S., Alinat C. B., et al. . (2015). The effects of mindfulness-based stress reduction on objective and subjective sleep parameters in women with breast cancer: a randomized controlled trial. Psycho-Oncology 24, 424–432. 10.1002/pon.3603, PMID:
    1. Li C., Kee Y. H., Lam L. S. (2018). Effect of brief mindfulness induction on university athletes’ sleep quality following night training. Front. Psychol. 9:508. 10.3389/fpsyg.2018.00508, PMID:
    1. MacKinnon D. P., Fairchild A. J., Fritz M. S. (2007). Mediation analysis. Annu. Rev. Psychol. 58, 593–614. 10.1146/annurev.psych.58.110405.085542, PMID:
    1. Mah C. D., Kezirian E. J., Marcello B. M., Dement W. C. (2018). Poor sleep quality and insufficient sleep of a collegiate student-athlete population. Sleep Health 4, 251–257. 10.1016/j.sleh.2018.02.005, PMID:
    1. 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, 943–950. 10.5665/SLEEP.1132, PMID:
    1. McConville J., McAleer R., Hahne A. (2017). Mindfulness training for health profession students—the effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: a systematic review of randomized and non-randomized controlled trials. Exp. Dermatol. 13, 26–45. 10.1016/j.explore.2016.10.002, PMID:
    1. Nicholls A., Perry J., Jones L., Sanctuary C., Carson F., Clough P. J. (2015). The mediating role of mental toughness in sport. J. Sports Med. Phys. Fitness [Epub ahead of print]
    1. Nolen-Hoeksema S., Morrow J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. J. Pers. Soc. Psychol. 61, 115–121. 10.1037/0022-3514.61.1.115, PMID:
    1. Oliver S. J., Costa R. J. S., Laing S. J., Bilzon J. L. J., Walsh N. P. (2009). One night of sleep deprivation decreases treadmill endurance performance. Eur. J. Appl. Physiol. 107, 155–161. 10.1007/s00421-009-1103-9, PMID:
    1. Pineau T. R., Glass C. R., Kaufman K. A., Bernal D. R. (2014). Self‐ and team-efficacy beliefs of rowers and their relation to mindfulness and flow. J. Clin. Sport Psychol. 8, 142–158. 10.1123/jcsp.2014-0019
    1. Reardon C. L., Hainline B., Aron C. M., Baron D., Baum A. L., Bindra A., et al. . (2019). Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br. J. Sports Med. 53, 667–699. 10.1136/bjsports-2019-100715, PMID:
    1. Röthlin P., Horvath S., Birrer D., Holtforth M. G. (2016). Mindfulness promotes the ability to deliver performance in highly demanding situations. Mindfulness 7, 727–733. 10.1007/s12671-016-0512-1
    1. Rusch H. L., Rosario M., Levison L. M., Olivera A., Livingston W. S., Wu T., et al. . (2019). The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann. N. Y. Acad. Sci. 1445, 5–16. 10.1111/nyas.13996, PMID:
    1. Ryff C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J. Pers. Soc. Psychol. 57, 1069–1081. 10.1037/0022-3514.57.6.1069
    1. Sadeh A., Sharkey M., Carskadon M. A. (1994). Activity-based sleep-wake identification: an empirical test of methodological issues. Sleep 17, 201–207. 10.1093/sleep/17.3.201, PMID:
    1. Samuels C., James L., Lawson D., Meeuwisse W. (2016). The athlete sleep screening questionnaire: a new tool for assessing and managing sleep in elite athletes. Br. J. Sports Med. 50, 418–422. 10.1136/bjsports-2014-094332, PMID:
    1. Scott L. M., Scott D., Bedic S. P., Dowd J. (1999). The effect of associative and dissociative strategies on rowing ergometer performance. Sport Psychol. 13, 57–68. 10.1123/tsp.13.1.57
    1. Skein M., Duffield R., Edge J., Short M. J., Mündel T. (2011). Intermittent-sprint performance and muscle glycogen after 30 h of sleep deprivation. Med. Sci. Sports Exerc. 43, 1301–1311. 10.1249/MSS.0b013e31820abc5a, PMID:
    1. Smith R. E., Schutz R. W., Smoll F. L., Ptacek J. T. (1995). Development and validation of a multidimensional measure of sport-specific psychological skills: the athletic coping skills inventory-28. J. Sport Exerc. Psychol. 17, 379–398. 10.1123/jsep.17.4.379
    1. Solberg E. E., Berglund K. A., Engen O., Ekeberg O., Loeb M. (1996). The effect of meditation on shooting performance. Br. J. Sports Med. 30, 342–346. 10.1136/bjsm.30.4.342, PMID:
    1. Vidic Z., Martin M. S., Oxhandler R. (2017). Mindfulness intervention with a U.S. women’s NCAA division I basketball team: impact on stress, athletic coping skills and perceptions of intervention. Sport Psychol. 31, 147–159. 10.1123/tsp.2016-0077
    1. Watson A. M. (2017). Sleep and athletic performance. Curr. Sports Med. Rep. 16, 413–418. 10.1249/JSR.0000000000000418, PMID:
    1. Zhang C. -Q., Si G., Duan Y., Lyu Y., Keatley D. A., Chan D. K. C. (2016). The effects of mindfulness training on beginners’ skill acquisition in dart throwing: a randomized controlled trial. Psychol. Sport Exerc. 22, 279–285. 10.1016/j.psychsport.2015.09.005

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