The mental health and psychological wellbeing of South African athletes and coaches during the COVID-19 pandemic: lessons learned from their health experience

Authors

DOI:

https://doi.org/10.17159/2078-516X/2025/v37i1a16401

Keywords:

psychological distress, lockdown, social, emotional

Abstract

Background: During the COVID-19 pandemic lockdown, athletes’ and coaches’ participation in sport was restricted severely.

Objectives: This study explore the mental health and wellbeing of athletes and coaches in South Africa during the COVID-19 pandemic at the end of adjusted level 3 lockdown in February 2021. At the time, participants were restricted from engaging in sports activities for a year.

Methods:  A convenience sample of 135 athletes (mean age= 36.2±16.8) and 110 coaches (mean age=44.0±14.0) from 37 sporting codes participated in the study. They were invited via their federations to complete the Kessler Psychological Distress Scale and Mental Health Continuum – Short Form. Descriptive results, correlations and group differences were determined. A direct logistic regression was done to predict psychological distress for athletes and coaches.

Results: Psychological distress was observed for athletes (46%) and coaches (47%), while 45% of athletes and 46% of coaches were flourishing under conditions of the pandemic. The social wellbeing of more athletes’ (25%) and coaches’ (28%) was disrupted than their emotional and psychological wellbeing during lockdown. The mental wellbeing of athletes (OR=0.86; CI 95%=0.81-0.91: p=0.0001) and coaches (OR=0.93; CI 95%=0.89-0.97: p=0.0001) seemed to mitigate their psychological distress, while female athletes (OR=4.97; CI 95%=1.62-15.18: p=0.005) were almost five times more likely to experience psychological distress than male athletes.

Conclusion: Almost half of the participating athletes and coaches showed high psychological distress, while high mental wellbeing seemed to protect athletes and coaches from negative mental health outcomes during the pandemic. Female athletes and coaches were identified as high-risk groups for mental health challenges during lockdown conditions.

Downloads

Download data is not yet available.

References

1. Bas D, Martin M, Pollack C, Venne R. The impact of COVID-19 on sport, physical activity and wellbeing and its effects on social development.2020.Available: https://www.un.org/development/desa/dpad/publication/un-desa-policy-brief-73-the-impact-of-covid-19-on-sport-physical-activity-and-well-being-and-its-effects-on-social-development/ (Accessed May, 2020).

2. Government of South Africa. Covid-19/Novel Coronavirus: About alert system. 2022. Available: https://www.gov.za/covid-19/about/about-alert-system (Accessed, November 2022).

3. Ramagole DA, Janse van Rensburg DC, Pillay L, Viviers P, Zondi P, Patricios J. Implications of COVID-19 for resumption of sport in South Africa: A South African Sports Medicine Association (SASMA) position statement. SA J. Sports Med. 2020;32(1):1-6. [doi:https://doi.org/10.17159/2078-516x/2020/v32i1a8986] [PMID: 36818971].

4. Magamela MR, Dzinamarira T, Hlongwa M. COVID-19 consequences on mental health: An African perspective. S Afr J Psychiatr. 2021;27(1):1-2. [doi: https://doi.org/10.4102/sajpsychiatry.v27i0.1611] [PMID: 33604078].

5. World Health Organization. Mental health and COVID-19. Available: https://www.who.int/teams/mental-health-and-substance-use/mental-health-and-covid-19 (Accessed March, 2021).

6. Keyes CLM. The mental health continuum: From languishing to flourishing in life. J Health Soc Behav. 2002;43(2):207–222. [doi:https://www.jstor.org/stable/3090197] [PMID: 12096700].

7. Westerhof GJ, Keyes CLM. Mental illness and mental health: The two continua model across the lifespan. J Adult Dev. 2010;17:110–119. [doi:https://doi.org/10.1007/s10804-009-9082-y] [PMID: 20502508].

8. Carnevale Pellino V, Lovecchio N, Puci MV, Marin L, Gatti A, Pirazzi A, Negri F, Ferraro OE, Vandoni M. Effects of the lockdown period on the mental health of elite athletes during the COVID-19 pandemic: A narrative review. Sport Sci Health. 2022 Dec;18(4):1187-99. [doi: https://doi.org/10.1007/s11332-022-00964-7] [PMID: 35693326].

9. Jia L, Carter MV, Cusano A, Li X, Kelly IV JD, Bartley JD, Parisien RL. The effect of the COVID-19 pandemic on the mental and emotional health of athletes: a systematic review. Am J Sports Med. 2022; 12:03635465221087473. [doi: https://doi.org/10.1177/03635465221087473] [PMID: 35413208].

10. Armino N, Gouttebarge V, Mellalieu S, Schlebusch R, van Wyk JP, Hendricks S. Anxiety and depression in athletes assessed using the 12-item General Health Questionnaire (GHQ-12)-a systematic scoping review. SA J. Sports Med. 2021;33(1):1-3. [doi:https://doi.org/10.17159/2078-516x/2021/v33i1a10679] [PMID: 39498363]

11. Poucher ZA, Tamminen KA, Kerr G, Cairney J. A commentary on mental health research in elite sport. J Appl Sport Psychol. 2021;33(1):60-82. [doi:https://doi.org/10.1080/10413200.2019.1668496].

12. Grobler H, du Plooy K, Kruger P, Ellis S. The prevalence of common mental disorders and its relationship with mental toughness in professional South African rugby players. S Afr J Psychol. 2022;52(1):61-72. [doi:https://doi.org/10.1177/00812463211009422].

13. Pillay L, van Rensburg DC, van Rensburg AJ, Ramagole DA, Holtzhausen L, Dijkstra HP, Cronje T. Nowhere to hide: The significant impact of coronavirus disease 2019 (COVID-19) measures on elite and semi-elite South African athletes. J Sci Med Sport. 2020;23(7):670-9. [doi: https://doi.org/10.1016/j.jsams.2020.05.016] [PMID: 32448749].

14. Malele LS, Noorbhai H. The Impact of COVID-19 on Male Semiprofessional Cricket Player's Mental Health and Performance Following the Resumption of Sporting Events. Am J Mens Health. 2023;17(3):15579883231178752. [doi: https://doi.org/10.1177/15579883231178752] [PMID: 37283237].

15. Bahdur K, Pillay L, Dell'oca D. Sport during the COVID-19 bio-bubble: Wellness and opinions in South African elite football. SA J. Sports Med. 2022;34(1):1-7. [doi: https://doi.org/10.17159/2078-516x/2022/v34i1a12528] [PMID: 36815914].

16. Santi G, Quartiroli A, Costa S, di Fronso S, Montesano C, Di Gruttola F, Ciofi EG, Morgilli L, Bertollo M. The impact of the COVID-19 lockdown on coaches’ perception of stress and emotion regulation strategies. Front Psychol. 2021:3872. [doi: https://doi.org/10.3389/fpsyg.2020.601743] [PMID: 33584438].

17. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959-76 [doi:https://doi.org/10.1017/s0033291702006074] [PMID: 12214795].

18. Van Niekerk RL, van Gent MM. Mental health and wellbeing of university staff during the coronavirus disease 2019 levels 4 and 5 lockdown in an Eastern Cape university, S Afr J Psychiatr. 2021;27(0):1589. [doi: https://doi.org/10.4102/sajpsychiatry.v27i0.1589] [PMID: 33824757].

19. Keyes CL, Wissing M, Potgieter JP, Temane M, Kruger A, Van Rooy S. Evaluation of the mental health continuum–short form (MHC–SF) in setswana‐speaking South Africans. Clin Psychol Psychother. 2008;15(3):181-92. [doi: https://doi.org/10.1002/cpp.572] [PMID: 19115439].

20. IBM Corp. IBM SPSS Statistics for Windows, Version 25.0. Released 2017. Armonk, NY: IBM Corp.

21. Robinson E, Sutin AR, Daly M, Jones A. A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020. J Affect Disord. 2022;296:567-76. [doi: https://doi.org/10.1016/j.jad.2021.09.098] [PMID: 34600966].

22. Bazett-Jones DM, Garcia MC, Taylor-Haas JA, Long JT, Rauh MJ, Paterno MV, Ford KR. Changes in motivation, socialization, wellness and mental health in youth long-distance runners during COVID-19 social distancing restrictions. Front Sports Act Living. 2021; 3:696264. [doi: https://doi.org/10.3389/fspor.2021.696264] [PMID: 34553139].

23. Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89:531-42. [doi: https://doi.org/10.1016/j.bbi.2020.05.048] [PMID: 32485289].

Downloads

Published

2025-06-04

Issue

Section

Articles

How to Cite

van Niekerk, R. L., & Tsebe, K. (2025). The mental health and psychological wellbeing of South African athletes and coaches during the COVID-19 pandemic: lessons learned from their health experience. South African Journal of Sports Medicine, 37(1). https://doi.org/10.17159/2078-516X/2025/v37i1a16401
Views
  • Abstract 3069
  • PDF 3011
  • XML 57