A catastrophe model of anxiety and performance

Sport Psychology: Principles and Practices for Sports Medicine Physicians

ABSTRACT

Sport psychology is the scientific study and application of psychological principles to enhance performance and well-being in sport, exercise, and physical activity. It has numerous applications to sports medicine, as psychological factors are associated with sport injury risk, recovery, successful return to play, and overall health. This article addresses how sport psychology is important to sports medicine and what applied sport psychologists do. We discuss several psychological principles and practices relevant to individual performance and well-being, including goal setting, communication, arousal and performance, imagery/mental rehearsal, attention management, managing psychological distress, and behavioral health. We also discuss principles and practices of sport psychology relevant to team performance, including stages of team development, goal setting, communication, arousal and performance, and behavioral health. Sport psychology and applied sport psychology practitioners can be valued assets to sports medicine teams in supporting individual and team performance and injury recovery.

Heart rate variability and perception of mental stress among medical students and residents at an emergency department

BACKGROUND

When Medical Residents (MR) and Medical Students (MS) are assigned to the demanding environment of an Emergency they inevitably encounter stress. The aims of this study are to measure short-term heart rate variability (HRV) before and after shifts, estimate perceived stress levels, and assess the recovery patterns after their shifts.

METHODS

We assessed HRV parameters in MS and MR using the wristband physiological monitor Polar® Verify Sense before and after day (DS) and night shifts (NS). Perceived stress levels were evaluated using the simplified State Trait Anxiety Inventory (STAI-S6) and the Subjective Units of Distress Scale.

RESULTS

This study included 60 participants of which 55% were female with a mean age of 26 years. MS presented significant reduction in sympathetic nervous system index after DS [0.68 (0.01-2.42) vs -0.22 (-0.75-1.13), p < 0.01] and NS [0.87 (-0.28-1.45) vs 0.06 (-0.70-1.04), p < 0.01], while MR maintained the same levels of sympathetic activity [DS: 1.17 (0.04 -2.88) vs 0.93 (0.50-1.41), p = 0.14; NS: 1.37 (0.76-2.21) vs 1.29 (0.35-2.18), p = 0.40]. Psychological data from STAI-S6 showed statistically significant differences when comparing before and after DS in both groups, with more perceived stress after than before DS (MS: 12 ± 4 vs 14 ± 4, p = 0.04; MR: 14 ± 4 vs 16 ± 4, p = 0.04), which was not observed at NS (MS: 12 ± 3 vs 12 ± 3, p = 0.84; MR: 15 ± 3 vs 15 ± 4, p = 0.40).

CONCLUSIONS

Short-term HRV recordings before and after day or night shifts among MR and MS revealed heightened sympathetic activity preceding each shift, with a more sustained increase observed in the MR population and more perceived stress after day shifts in both groups.

Testing the hormesis hypothesis on motor behavior under stress

While much research has focused on the deleterious effects of stress on goal-directed behavior in recent decades, current views increasingly discuss growth under stress, often assuming dose-dependent effects of stress in a curvilinear association. This is based on the concept of hormesis, which postulates a strengthening effect of stress at low-to-moderate doses. Leveraging this approach, hormetic curves indicate under which stress dose an individual is able to maintain or even increase goal-directed behavior. The present study aimed to test the hormetic effect of low-to-moderate stress on tactical movement performance in the context of police operational scenarios in virtual reality. In teams of three to four, 37 riot police officers had to search a building for a potentially aggressive perpetrator in three scenarios with escalating stress potential (i.e., increasing weapon violence and number of civilians). Tactical movement performance as behavioral response was quantified by the sample entropy of each officer's velocity derived from positional data. To account for inter-individuality in response to the scenarios, we assessed self-reported stress, anxiety, mental effort, and vagally mediated heart rate variability. Specifically, we tested the quadratic associations between tactical movement performance and stress parameters, respectively. Random-intercept-random-slope regressions revealed neither significant linear nor quadratic associations between any of the stress parameters and performance. While we did not find evidence for hormesis in the present study, it stimulates theoretical discussions about the definition of "baseline" functioning and how the understanding of hormesis can move from psychological to behavioral adaptations to stressors.

Noisy condition and three-point shot performance in skilled basketball players: the limited effect of self-talk

In modern basketball, the three-point shot plays an important tactical role. Basketball players often face the distraction from audience and opponents, necessitating psychological skill to maintain their performance. The study examined the effects of self-talk interventions on the three-point shot performance under quiet and noisy conditions. It involved 42 national second-level basketball players and used a 2 (Condition: quiet condition, noisy condition) × 3 (Intervention: control group, motivational self-talk, instructional self-talk) mixed design to investigate the performance of the static and dynamic three-point shots tasks. The results revealed that the static three-point shot score was significantly lower in noisy condition compared to quiet condition (p = 0.016), while the main effect of Intervention and the interaction effect of Condition × Intervention were not significant. Post-hoc analysis indicated that only the control group showed significantly lower scores in the noisy condition (p = 0.043). For the dynamic three-point shots performance, there were no significant main effects of Intervention or Condition, nor any significant interaction effect between Condition and Intervention. In conclusion, noise distraction negatively affects the static three-point shots task, and although self-talk interventions can mitigate such negative effects, their effectiveness is limited for dynamic three-point shots task with high physical demands.

Emotional visual stimuli and simulated laparoscopic surgical performance: A pilot cohort study

BACKGROUND

Exposure to stress prior to or during surgery can negatively impact performance. Management of stress is an essential non-technical skill required for safe practice. The effects of exposure to emotional visual stressors on surgical performance are poorly understood. This study aims to develop a model to investigate effects of emotive visual stimuli on simulated laparoscopic performance.

METHODS AND MATERIALS

A single-centre cohort study. Thirty novice, simulator-naïve medical students were randomly allocated to view either positive, negative, or neutral emotional images (sourced from validated image registry). Participants focused for 5 s on the image before completing a peg-threading laparoscopic task. Time, instrument distance, speed, acceleration, motion smoothness, and ambidexterity were recorded automatically with instrument tracking software. 8 task cycles were completed; 3 control practices followed by 5 with the stimuli, according to group allocation.

RESULTS

The final performance metrics of students (time, distance, speed, and motion smoothness) were not significantly different when comparing positive and neutral stimuli groups to those shown negative stimuli. However, changes were seen in the rate of performance improvements (positive: p = 0.711, p = 0.837, p = 0.297, and p = 0.393) (neutral: p = 0.285, p = 0.918, p = 0.835, and p = 0.396). Participation improved performance metrics overall (p=<0.001, p=<0.001, p = 0.088, p = 0.025, p=<0.001).

CONCLUSION

Model systems may be valuable for investigating the impact of stress on surgeon performance. The effect of emotive visual stimuli on surgical performance is complex. This model may aid the further exploration of these relationships and ultimately can provide an environment in which surgeons can develop strategies to mitigate the adverse effect of stressors.

The effect of the partnership between DanceSport couples on competitive performance: the mediating role of athlete engagement

Objectives

Although the positive association of partnership between DanceSport couples with competitive performance (CP) is documented, less is known about the mediating factors of this relationship. According to the related literature and self-determination theory (SDT), the present study finds and verifies that athlete engagement (AE) mediates the association between partnership and competitive performance.

Methods

A total of 242 Chinese sports dancers were recruited using the purposive sampling method. The Partnership Scale-DanceSport Couples (PS-DSC), the Athlete Engagement Questionnaire (AEQ), and the Competitive Performance Questionnaire (CPQ) were adopted to collect data.

Results

The obligatory instrumental ties, expressive ties, and interpersonal perception scores are all positively correlated with both athlete engagement and competitive performance, and athlete engagement scores are positively correlated with competitive performance. Athlete engagement completely mediates the association between obligatory instrumental ties and competitive performance, and it partially mediates the association between expressive ties, interpersonal perception, and competitive performance, with the mediating effect accounting for 25.29 and 24.40% of the total effect, respectively.

Conclusion

Athlete engagement mediates the association between DanceSport couples' partnership and competitive performance. High levels of athlete engagement are needed to improve the chance of promoting obligatory instrumental ties, expressive ties, and interpersonal perception between DanceSport couples toward excellent competitive performance. Overall, the results represent an attempt to extend our understanding of the mechanisms by which the three partnership stereotype factors individually influence dancers' cognitive and psychological states.

It's not a virus! Reconceptualizing and de-pathologizing music performance anxiety

Music Performance Anxiety (MPA) is one of the most widespread and debilitating challenges facing musicians, affecting significant numbers of performers in terms of both their personal and professional functioning. Although numerous interventions exist to target MPA, its prevalence remains unchanged since the first large-scale studies of the 1980s, indicating that available interventions are having limited impact. This review synthesizes and critiques existing literature in order to investigate possible reasons for the limited efficacy of current approaches to managing MPA. Key concepts discussed include conceptual and methodological challenges surrounding defining MPA, theoretical perspectives on MPA's etiology and manifestation, and the coping strategies and interventions used to manage MPA. MPA has predominantly been investigated pathologically and defined as a negative construct manifesting in unwanted symptoms. Based on this conceptualization, interventions largely seek to manage MPA through ameliorating symptoms. This review discusses possible reasons why this approach has broadly not proved successful, including the issue of relaxation being both unrealistic and counterproductive for peak performance, issues associated with intentionally changing one's state creating resistance thus exacerbating anxiety, and focusing on the presence of, rather than response to, symptoms. Despite 50 years of research, MPA remains an unsolved enigma and continues to adversely impact musicians both on and off the stage. Reconceptualizing MPA as a normal and adaptive response to the pressures of performance may offer a new perspective on it, in terms of its definition, assessment and management, with practical as well as theoretical implications.

Physiologic Fidelity as a Domain in Assessing Mixed Reality Trauma Simulation

INTRODUCTION

Mixed reality has been used in trauma and emergency medicine simulation for more than a decade. As mixed reality potential in trauma simulation continues to expand, so too does the need to validate it as a surrogate for real-life emergency scenarios. Validation of these simulations can occur by measuring fidelity, or the degree to which a computing system can reproduce real-world experiences. After performing a literature review, we determined that most fidelity assessments of trauma and emergency simulations focus on how the user subjectively experiences the simulation. Although subjective user assessment is an important component of determining fidelity, we pose an introductory three-part framework that may assess mixed reality trauma simulation more adequately.

MATERIALS AND METHODS

A literature review was conducted using Google Scholar, PubMed, and the Uniformed Services University PowerER search database. Relevant articles were assessed to identify how studies measured fidelity in trauma simulation. We then designed the three-part framework to aid researchers in assessing the fidelity of mixed reality trauma simulations.

RESULTS

The domains we determined to best assess mixed reality emergency simulation are as follows:1. Continue assessing fidelity via subjective user assessments. This allows the researcher to know how real the simulation looked and felt to the user based on their individual report.2. Determine whether the trauma simulation changes the medical decision-making capacity of the user. If the user's decision-making capacity changes with a stress-inducing trauma simulation versus a non-stress-inducing simulation, then the stress-inducing trauma environment would be approaching greater fidelity.3. Study the domain of our newly proposed concept: physiologic fidelity. We define physiologic fidelity as the degree to which the simulation elicits a measurable, autonomic response independent of observed emotion or perceived affect. Recreating objective autonomic arousal may be the best way to ensure a trauma simulation reaches fidelity.

CONCLUSION

We propose a methodology to assess mixed reality trauma simulation fidelity. Once fidelity is more fully known to the researcher and the simulation user, adjustments can be made to approach reality more closely. Improved simulators may enrich the preparedness of both junior and senior learners for real-life emergencies. We believe assessing the three domains using the Wide Area Virtual Experience at the Val G. Hemming simulation center in Bethesda, MD, will validate mixed reality-trauma simulators as invaluable surrogates for real-life emergency scenarios and ultimately contribute to improved clinical outcomes for clinicians and their patients.

"Icing the shooter" in basketball: The unintended consequences of time-out management when the game is on the line

While the sport of basketball is usually characterized by a non-segmented and mostly uninterrupted play, the stoppage of the time due to time-outs (TOs) is widespread when the game is on the line. In the current investigation, we studied the effects of TOs on free-throw performance when NCAA (National Collegiate Athletic Association) games were close and time was winding down (n = 99,026 combined sample). We generally found that time extension before execution undermined performance but not in the last minute of play when performance deteriorated altogether. In line, traditional icing when TOs were called by opposing coaches specifically to undermine performance in the last minute of play failed to exact the intended goal of lowering free-throw performance.

Sex, ducks, and rock "n" roll: Mathematical model of sexual response

In this paper, we derive and analyze a mathematical model of a sexual response. As a starting point, we discuss two studies that proposed a connection between a sexual response cycle and a cusp catastrophe and explain why that connection is incorrect but suggests an analogy with excitable systems. This then serves as a basis for derivation of a phenomenological mathematical model of a sexual response, in which the variables represent levels of physiological and psychological arousal. Bifurcation analysis is performed to identify stability properties of the model's steady state, and numerical simulations are performed to illustrate different types of behavior that can be observed in the model. Solutions corresponding to the dynamics associated with the Masters-Johnson sexual response cycle are represented by "canard"-like trajectories that follow an unstable slow manifold before making a large excursion in the phase space. We also consider a stochastic version of the model, for which spectrum, variance, and coherence of stochastic oscillations around a deterministically stable steady state are found analytically, and confidence regions are computed. Large deviation theory is used to explore the possibility of stochastic escape from the neighborhood of the deterministically stable steady state, and the methods of an action plot and quasi-potential are employed to compute most probable escape paths. We discuss implications of the results for facilitating better quantitative understanding of the dynamics of a human sexual response and for improving clinical practice.

The effect of an attending versus neutral observer on peg transfer and intracorporeal knot-tying laparoscopic tasks

BACKGROUND

Surgery is an outcome-based specialty where maintaining peak performance is crucial to patient care. There are a variety of identified surgeon stressors that can have an impact on performance, but one factor unique to surgical residents is the observation by an attending surgeon. This study explored how the perceived authority of the observer had an impact on the participants' physiologic markers of stress and task completion times.

METHODS

Eighteen general surgery residents performed the Fundamentals of Laparoscopic Surgery skills intracorporeal knot-tying and peg transfer tasks in a crossover study design while under the observation of an attending and a neutral observer. Heart rate variability, mean R-R interval, the time between R spikes on an EKG, minimum heart rate, maximum heart rate, average heart rate, and time to task completion were recorded. Analyses were completed via 2 × 2 analysis of variance with repeated measures.

RESULTS

When observed by an attending, participants demonstrated higher minimum, average, and maximum heart rates (P = .046, = .007, and < .001, respectively) than when observed by a neutral observer. Attending observation also significantly shortened time to task completion, relative to neutral observation (P = .022).

CONCLUSION

Attending observation is linked to increased objective measures of stress at the time of performance with decreased task completion times. Educational efforts to optimize the response to stress during learning may lead to better outcomes.

The impact of Mindfulness and Mental Skills Protocols on Athletes’ Competitive Anxiety

Study aim: This study aims at examining the impact of Mindfulness and mental skills on competitive anxiety in athletes.

Material and methods: The present study is quasi-experimental with a pretest-posttest design. Participants were 45 19–30 years old male shooters randomly assigned to three groups with 15 people. The test consisted of six 60-minute mindfulness training/Mental skills/control that lasted six weeks. Measurements included competitive state anxiety based on the competitive state anxiety inventory in two pretest and post-test stages. Data were analyzed using statistical software at a confidence level of 0.05 using the Statistical Package for the Social Sciences (SPSS).

Results: The results showed that cognitive interventions of Mindfulness and mental skills reduced competitive state anxiety (P < 0.05), but there was no difference between the effectiveness of these methods. (P < 0.05).

Conclusions: Six weeks of mindfulness and mental skills training can help improve athletic performance by reducing anxiety levels.

Effects of Cooperation and Competition on Performance, Emotion, and Effort: Goal and Means Interdependence

Social interdependence theory proposes that task structure influences performance via social interaction. Using this framework, we examined sport performance. Fifty-six males performed a basketball task under four conditions: as an individual (individual, perform your best) and as a member of a team of two (cooperation, where teammates sought to better their individual performance; means independent competition, where two teams competed sequentially to outperform the other team; means interdependent competition, where two teams competed simultaneously to outperform the other team). Task performance (points) was better during means independent competition than other conditions. Anxiety and effort peaked during the competitions and enjoyment was greater during competition and cooperation than during the individual condition. Emotions, effort, and actions are discussed as explanations for the performance effects. Social interdependence theory provides a valuable framework to understand emotion, motivation, and performance. Team competition can be used to promote effort and enhance performance in sport.

"He was the one with the gun!" Associative memory for white and black faces seen with weapons

Much research has found that implicit associations between Black male faces and aggression affect dispositional judgments and decision-making, but there have been few investigations into downstream effects on explicit episodic memory. The current experiment tested whether such implicit associations interact with explicit recognition memory using an associative memory paradigm in younger and older adults. Participants studied image pairs featuring faces (of Black or White males) alongside handheld objects (uncategorized, kitchenware, or weapons) and later were tested on their recognition memory for faces, objects, and face/object pairings. Younger adults were further divided into full and divided attention encoding groups. All participants then took the race faces implicit association test. Memory for image pairs was poorer than memory for individual face or object images, particularly among older adults, extending the empirical support for the age-related associative memory deficit hypothesis (Naveh-Benjamin in J Exp Psychol Learn Mem Cognit 26:1170–1187, 2000) to associations between racial faces and objects. Our primary hypothesis—that older adults’ associative memory deficit would be reduced under Black/weapon pairings due to their being schematically related stimuli—was not confirmed. Younger adults and especially older ones, who were predominantly White, exhibited an own-race recognition bias. In addition, older adults showed more negative implicit bias toward Black faces. Importantly, mixed linear analyses revealed that negative implicit associations for Black faces predicted increased explicit associative memory false alarm rates among older adults. Such a pattern may have implications for the criminal justice system, particularly when weighting eyewitness testimony from older adults.

Longitudinal estimation of stress-related states through bio-sensor data

Purpose

The authors aim to develop a conceptual framework for longitudinal estimation of stress-related states in the wild (IW), based on the machine learning (ML) algorithms that use physiological and non-physiological bio-sensor data.

Design/methodology/approach

The authors propose a conceptual framework for longitudinal estimation of stress-related states consisting of four blocks: (1) identification; (2) validation; (3) measurement and (4) visualization. The authors implement each step of the proposed conceptual framework, using the example of Gaussian mixture model (GMM) and K-means algorithm. These ML algorithms are trained on the data of 18 workers from the public administration sector who wore biometric devices for about two months.

Findings

The authors confirm the convergent validity of a proposed conceptual framework IW. Empirical data analysis suggests that two-cluster models achieve five-fold cross-validation accuracy exceeding 70% in identifying stress. Coefficient of accuracy decreases for three-cluster models achieving around 45%. The authors conclude that identification models may serve to derive longitudinal stress-related measures.

Research limitations/implications

Proposed conceptual framework may guide researchers in creating validated stress-related indicators. At the same time, physiological sensing of stress through identification models is limited because of subject-specific reactions to stressors.

Practical implications

Longitudinal indicators on stress allow estimation of long-term impact coming from external environment on stress-related states. Such stress-related indicators can become an integral part of mobile/web/computer applications supporting stress management programs.

Social implications

Timely identification of excessive stress may improve individual well-being and prevent development stress-related diseases.

Originality/value

The study develops a novel conceptual framework for longitudinal estimation of stress-related states using physiological and non-physiological bio-sensor data, given that scientific knowledge on validated longitudinal indicators of stress is in emergent state.

Recreational Screen Time and Anxiety among College Athletes: Findings from Shanghai

To better understand the behavioral factors contributing to the mental health status among student athletes, we examined the link between recreational screen time and college student athlete’s anxieties. This cross-sectional study was conducted among 278 college student athletes from Shanghai, China, aged between 17 and 25 years old (M = 19.4, SD = 1.5). Multivariate regression analyses, controlled for age, gender, rural vs. urban residency, and individual vs. team sports factors, were performed to analyze the association between their average daily recreational screen time in a week and their dispositional anxiety, pre-competition anxiety, and anxiety during competition, which were measured by the Chinese version of validated psychometric scales among athlete population. Significant results were found in both dispositional anxiety and situational anxiety in relation to recreational screen time among college athletes. Conclusions: Our findings indicate that excessive recreational screen time is a risk indicator of college student athletes’ dispositional anxiety, pre-competition anxiety, and anxiety during competition.

Mechanics of the Jump Shot: The "Dip" Increases the Accuracy of Elite Basketball Shooters

The present study assessed the mechanics of the basketball jump shot to determine whether or not the “dip” increased shot accuracy. There remained a debate between coaches who believed “dipping” was too slow and coaches who believed “dipping” increased accuracy. A mixed design was used for the present study with elite high-school and university players all performing shots with and without the “dip” at four distances: the last hash mark before the free throw line (3.125 m), the length of an imaginary hash mark beyond the free throw line (4.925 m), the top of the free throw circle (6.025 m), and the three-point line (6.750 m). These distances best emulated where the majority of shots were attempted in a game. Thirty-six athletes completed the study, with accuracy and shot quality being measured using Hardy-Parfitt’s six-point scale. The results of the present study indicated that the “dip” led to approximately a 7–9% increase in accuracy of the jump shot for both high school shooters, and university shooters, suggesting that coaches should begin to teach the “dip” in a player’s shooting motion to improve scoring results.

Measurement of Trauma Caregiver Stress: Validation of Heart rate variability in a Real-World Surgical Setting

BACKGROUND

Acute stress is a potentially modifiable risk-factor that contributes to errors in trauma care. Research on stress mitigation is limited by the lack of a validated objective measure of surgeon stress. We sought to validate HRV in a real-world surgical setting by comparison to the Subjective Units of Distress Score (SUDS), and correlation with self-reported peak stress moments.

METHODS

Attending and resident surgeons on the trauma team at a Level I Trauma Center wore armbands to measure HRV. Stress-associated blunting of HRV was analyzed using the standard deviation of N-N intervals (SDNN) and the root mean square of successive differences . Perceived stress was measured with the SUDS at random intervals and at perceived stress peaks. SUDS and HRV metrics were compared with a mixed effect regression model. Correlation between binned SUDS quartiles and HRV was evaluated. HRV at reported peak-stress moments were compared to shift baseline values.

RESULTS

Twelve participants were monitored for 340 h, producing 135 SUDS responses and 65 peak-stress time points. Regression analysis demonstrated no correlation between HRV and SUDS. With a binned approach, decreased SDNN was associated with an elevated SUDS (P = 0.03). The self-identified peak-stress moments correlated with decreases in both SDNN and root mean square of successive differences (P = 0.02; P < 0.01).

CONCLUSIONS

HRV by SDNN analysis correlated with heightened perceived stress, supporting its validity as a measure. However, the wide, frequent variation of HRV tracings within subjects, the sensitivity of HRV to of analytic technique, and the impact of confounders may limit its utility as an education or research tool.

LEVEL OF EVIDENCE

V Diagnostic test.

Health Anxiety and Its Correlations with Self-Perceived Risk and Attitude on COVID-19 among Malaysian Healthcare Workers during the Pandemic

Healthcare workers (HCW) are exposed to health-related anxiety in times of pandemic as they are considered to have a high risk of being infected whilst being the vital workforce to manage the outbreak. This study determined the factors that influence health anxiety and its extent in correlations with perceived risk, knowledge, attitude, and practice of HCW. A cross-sectional online survey was conducted on a total of 709 HCW from both public and private healthcare facilities who completed a set of questionnaires on sociodemographic data, knowledge, attitude, and practice of HCW on COVID-19, and health anxiety traits assessed using the short version Health Anxiety Inventory (HAI). Multiple linear regression (adjusted R² = 0.06) revealed respondents with higher perceived risk for COVID-19 significantly predicted higher HAI scores (beta 1.281, p < 0.001, 95%, CI: 0.64, 1.92), and those with a higher cautious attitude towards COVID-19 significantly predicted higher HAI scores (beta 0.686, p < 0.001, 95%CI: 0.35, 1.02). Healthcare workers’ perceived risk and cautious attitude towards COVID-19 might be potentially influenced by management of the sources and approaches to the dissemination of information of the pandemic. The implementation of certain measures that minimize the infection risk and its related anxiety is important to preserve both their physical and psychological wellbeing.

Stress and resident interdisciplinary team performance: Results of a pilot trauma simulation program

BACKGROUND

Excessive stress negatively impacts surgical residents' technical performance. The effect of stress on trainee nontechnical skills, however, is less well studied. Given that nontechnical skills are known to impact clinical performance, the purpose of this study was to assess the relationship between residents' perceived stress and nontechnical skills during multidisciplinary trauma simulations.

METHODS

First-year surgery and emergency medicine residents voluntarily participated in this study. Residents participated in 3 trauma simulations across 2 training sessions in randomly assigned teams. Each team's nontechnical skills were evaluated by faculty using the Trauma Nontechnical Skills scale. The Trauma Nontechnical Skills scale consists of 5 items: leadership, cooperation, communication, assessment, and situation awareness/coping with stress. After each scenario, residents completed the 6-item version of the State-Trait Anxiety Inventory and the Surgery Task Load Index to detail their perceived stress and workload during scenarios. Linear regressions were run to assess relationships between stress, workload, and nontechnical skills.

RESULTS

Twenty-five residents participated in the first simulation day, and 24 residents participated in the second simulation day. Results from regressions revealed that heightened stress and workload predicted significantly lower nontechnical skills performance during trauma scenarios. In regard to specific aspects of nontechnical skills, residents' heightened stress and workload predicted statistically significant lower situation awareness and decision-making during trauma scenarios.

CONCLUSION

Residents' perceived stress and workload significantly impaired their nontechnical skills during trauma simulations. This finding highlights the need to offer stress management and performance-optimizing mental skills training to trainees to lower their stress and optimize nontechnical skills performance during challenging situations.

The Effects of Avoiding Instructions Under Pressure: An Examination of the Volleyball Serving Task

Wegner predicts that under pressure self-avoiding instructions not to perform in a certain manner will break down precisely where it is least desired that is the hypothesis of the present study. Specifically, the aim was to test the hypothesis that when instructed not to serve into a certain zone, ironic error would be more prevalent under pressure. Our sample comprised 43 female participants between the age of 13 and 16 (M_age = 14.51, SD = 1.35) who were active volleyball players (M_{training years} = 5.40, SD = 2.38). We measured the participants’ psychophysiological indications of anxiety via the heart rate, heart rate variability as well as the self-reported Mental Readiness Form-3. To measure performance, we counted the number of target and non-target serving zones under different anxiety conditions. Participants scored +5 points for serving into the target zone, scored -5 points for serving to the out or hitting the net and 1 point for serving into the court except the target zone. A 2 (anxiety) × 3 (serving zone) fully repeated measures ANOVA revealed a significant anxiety x serving zone interaction F (2, 84) = 36.52, p < .001. When instructed not to serve in a certain zone, players’ overall performance did not change across anxiety conditions t (42) = .68, p =.50. Results did not provide support for the Wegner’s theory as expected, but instead revealed evidence for the Woodman et al.’s (2015) differentiation of ironic performance error. The results demonstrate that the theory of ironic processes may account for practical instruction-based solution for reducing the susceptibility to ironic errors in the serving type of task in volleyball.

Quantitative EEG in sports: performance level estimation of professional female soccer players

Purpose

Measuring the peak performance of athletes remains a challenge in movement science and sports psychology. Non-invasive quantitative electroencephalography (QEEG) recordings can be used to analyze various factors in sports psychology.

Method

In this context, sports-related psychological factors were used to estimate the performance of Thai professional female soccer players before a competition. The QEEG recordings of thirty-two players were recorded three times: twice before a competition (once a week) and a week after a competition. Four factors of sports psychology were estimated and observed: anxiety, perceptual response to an acute bout of brain activity, assertiveness, and brain central fatigue. A brain topographic map (absolute power) and brain connectivity (coherence and amplitude asymmetry) data were used to analyze sports-related psychological factors. These factors were measurable based on the brain activity of the athletes and could be used to evaluate their performance during competitions by using QEEG values.

Results

Sports-related psychological performance was estimated by Pearson's correlation coefficients, which revealed that a quick perceptual response to an acute bout of brain activity could predict an athlete's performance during competition (r = .584, p = .000). Additionally, Spearman's correlation coefficients were used to estimate athletes performance. The results revealed a strong relationship ( r s =.634, p = .000), which was derived from the summation of anxiety and perceptual response to an acute bout of brain activity.

Conclusion

Consequently, the results of the present study can provide information to help staff coaches to choose the best performing players, representing an alternative method for accurately selecting key players in the competitive sports community.

Comparison of Sport Competitive Anxiety Levels of Flemish athletes with and without intellectual disability

BACKGROUND

High anxiety levels are common in people with intellectual disabilities (ID) and anxiety can affect sport performance, but sport competitive anxiety profiles in athletes with ID are unknown.

METHODS

A total of 303 athletes; 116 with ID (33% female, M age = 22.64, SD = 3.94), and 187 without ID (54% female, M age = 21.81, SD = 3.23), completed the modified questionnaire Sport Anxiety Scale-2-FLemish-ID (SAS-2-FL-ID).

RESULTS

The SAS-2-FL-ID was a valid tool to use in a population of athletes with ID. They had higher trait anxiety (9.36 ± 2.62) than peers without ID (7.58 ± 2.44), F = 26.95, p<.001. With respect to sport anxiety, they only scored higher on the "concentration disruption" subscale. Their overall level of competitive anxiety across all subscales (24.14 ± 7.73) was significantly lower compared to athletes without ID (26.51 ± 7.49), F = 27.10, p<.001.

CONCLUSION

On the sporting field, athletes with ID worry less and feel less somatic anxiety compared to athletes without ID.

I Am Great, but Only When I Also Want to Dominate: Maladaptive Narcissism Moderates the Relationship Between Adaptive Narcissism and Performance Under Pressure

Narcissism-performance research has focused on grandiose narcissism but has not examined the interaction between its so-called adaptive (reflecting overconfidence) and maladaptive (reflecting a domineering orientation) components. In this research, the authors tested interactions between adaptive and maladaptive narcissism using two motor tasks (basketball and golf in Experiments 1 and 2, respectively) and a cognitive task (letter transformation in Experiment 3). Across all experiments, adaptive narcissism predicted performance under pressure only when maladaptive narcissism was high. In the presence of maladaptive narcissism, adaptive narcissism also predicted decreased pre-putt time in Experiment 2 and an adaptive psychophysiological response in Experiment 3, reflecting better processing efficiency. Findings suggest that individuals high in both aspects of narcissism perform better under pressure thanks to superior task processing. In performance contexts, the terms "adaptive" and "maladaptive"-adopted from social psychology-are oversimplistic and inaccurate. The authors believe that "self-inflated narcissism" and "dominant narcissism" are better monikers for these constructs.

Heart rate variability and pre-competitive anxiety according to the demanding level of the match in female soccer athletes

The present study aimed to evaluate the effects of a highly-demanding match and a lowly-demanding match on pre-competitive heart rate variability (HRV) and anxiety in semi-professional female soccer athletes. A total of 14 players, with a mean age of 23.78 (4.93), from the Cáceres Women Football Club of the Spanish Second National Division participated in our study. They were evaluated in two microcycles which correspond to a highly- and a lowly-demanding matches. For each microcycle a baseline and a pre-competitive measures were collected. Results indicated that HRV was significantly reduced before a highly demanding match whereas a lowly-demanding match did not lead to any change. Significant differences in HRV and cognitive anxiety were observed when compared the highly and the lowly demanding matches, which means an increase in the anxiety levels before the highly-demanding match. HRV could be an indicator of precompetitive anxiety in semi-professional female soccer players. This could be used by coaches or physical trainers as a tool to examine the precompetitive anxiety in athletes.

Performance anxiety and the plasticity of emotional responses

Current psychological theories of performance anxiety focus heavily on relating performers' physiological and mental states to their abilities to maintain focus and execute learned skills. How task-specific expertise and past experiences moderate the degree to which individuals become anxious in a given performance context are not well accounted for within these theories. This review considers how individual differences arising from learning may shape the psychobiological, emotional, and cognitive processes that modulate anxious states associated with the performance of highly trained skills. Current approaches to understanding performance anxiety are presented, followed by a critique of these approaches. A connectionist model is proposed as an alternative approach to characterising performance anxiety by viewing performers' anxious states at a specific time point as jointly determined by experience-dependent plasticity, competition between motivational systems, and ongoing cognitive and somatic states. Clarifying how experience-dependent plasticity contributes to the emergence of socio-evaluative anxiety in challenging situations can not only help performers avoid developing maladaptive emotional responses, but may also provide new clues about how memories of past events and imagined future states interact with motivational processes to drive changes in emotional states and cognitive processing.

The Influence of Cortisol, Flow, and Anxiety on Performance in E-Sports: A Field Study

Background and Objectives. Most performance theories were tested under controlled laboratory settings and offer therefore only limited transferability to real-life situations. E-sport competitions offer a relatively controllable while at the same time competitive setting, and our aim was to examine different influencing factors on competitive performance. Design and Methods. Salivary cortisol was measured immediately before, after, and 30 minutes after a game of 23 computer players during e-sport tournaments. The players answered the Flow Short Scale, which consists of the two subdimensions “flow experience” and “anxiety” subsequent to their game. The performance was assessed by the result of each player's game (win or loss).

The Development of Generalized Motor Program in Constant and Variable Practice Conditions

The main objective of our study was to determine whether constant and variable practice conditions lead to the development of different memory representations (GMP) and as a result, they benefit performance of a skill differently. We compared one of the Generalized Motor Program (GMP) invariant features, i.e., relative timing, of the same variation of skill developed in constant and variable practice conditions. In two experiments, participants, naïve to the basketball, were practicing free throws, receiving the same amount of practice. In constant conditions they practiced at one distance only (4.57 m), whereas in variable conditions they practiced at seven (2.74, 3.35, 3.96, 4.57, 5.18, 5.79, and 6.4 m) and five (3.35, 3.96, 4.57, 5.18, and 5.79 m) distances, in Experiments 1 and 2, respectively. We found that relative timing of skills developed in constant and variable practice conditions is the same, confirming that these practice conditions form the same memory representation. However, we also observed that constant practice (CP) conditions resulted in overall shorter movement time as compared to the skill practiced in variable conditions. We hypothesized that it may be due to the facilitation of parameters assignment as it takes place in especial skill.

The Effects of Prosocial and Antisocial Behaviors on Emotion, Attention, and Performance During a Competitive Basketball Task

The purpose of this experiment was to investigate whether prosocial and antisocial teammate behaviors affect emotions (i.e., happiness, anxiety, anger), attention, and performance. Undergraduate sport and exercise science students (N = 102) were randomly assigned to 1 of 3 groups: prosocial behavior, antisocial behavior, and control. They performed a basketball free-throw shooting task for 2 min in baseline and experimental phases and completed measures of emotions and attention. Free-throw shooting performance was also recorded. A series of analyses of covariances controlling for baseline scores showed that the prosocial group reported more happiness than the antisocial and control groups. The antisocial group reported more anxiety than the prosocial group and more anger and lower attention than the other 2 groups. The prosocial and antisocial groups performed better than the control group. These findings suggest that prosocial and antisocial teammate behaviors may influence the recipient's emotions, attention, and performance during sport competition.

The quiet eye is sensitive to exercise-induced physiological stress

The current study sought to explore attentional mechanisms underpinning visuomotor performance degradation following acute exercise. Ten experienced basketball players took free throws while wearing mobile eye tracking glasses, before and after performing a bout of cycling exercise. Shooting accuracy was measured using a 6-point scoring system, and quiet eye duration (the final fixation to a target) was adopted as an objective measure of top-down attentional control. Four intensities of exercise (based on an initial ramp test) were performed in a counterbalanced order: rest, moderate, heavy and severe. The four intensities resulted in participants reaching 52±4%, 58±4%, 76±6% and 86±5% of their heart rate max, respectively. Performance and quiet eye were only significantly impaired (19% and 45% drops, respectively) between pre- and post-intervention at the severe intensity workload level. Additionally, exercise-induced changes in quiet eye predicted 33% of the subsequent change in performance accuracy. The results suggest that attentional disruptions may at least partially explain why sporting skills break down under acute fatigue. Implications for training to mitigate against these impairments are discussed.

Effects of antisocial behaviour on opponent's anger, attention, and performance

Sledging, which is verbal antisocial behaviour in sport, aims to impair an opponent's performance. Previously, variations in performance have been attributed to changes in emotion and cognition. To improve our understanding of sledging, the current experiment examined the effects of verbal antisocial behaviour on anger, attention and performance. Participants performed a competitive basketball free-throw shooting task under insult (verbal behaviour designed to offend and upset the performer), distraction (verbal behaviour designed to draw attention away from the task), or control (neutral verbal behaviour) conditions. Performance was assessed by the number of successful baskets and a points-based scoring system, while anger and attention were measured post-task. The insult condition provoked more anger than the control and distraction conditions, whereas the insult and distraction conditions increased distraction and reduced self-focus compared to the control condition. Although verbal antisocial behaviour had no overall direct effect on performance, mediation analysis showed that anger indirectly impaired performance via distraction. Implications for the antisocial behaviour-performance relationship are discussed.

Anxiety Influences the Perceptual-Motor Calibration of Visually Guided Braking to Avoid Collisions

We investigated whether anxiety influences perceptual-motor calibration in a braking to avoid a collision task. Participants performed either a discrete braking task (Experiment 1) or a continuous braking task (Experiment 2), with the goal of stopping before colliding with a stop sign. Half of participants performed the braking task after an anxiety induction. We investigated whether anxiety reduced the frequency of crashing and if it influenced the calibration of perception (visual information) and action (brake pressure) dynamically between-trials in Experiment 1 and within-trials in Experiment 2. In the discrete braking task, anxious participants crashed less often and made larger corrective adjustments trial-to-trial after crashing, suggesting that the influence of anxiety on behavior did not occur uniformly, but rather dynamically with anxiety amplifying the reaction to previous crashes. However, when performing continuous braking, anxious participants crashed more often, and their within-trial adjustments of deceleration were less related to visual information compared to controls. Taken together, these findings suggest that the timescale and nature of the task mediates the influence of anxiety on the performance of goal-directed actions.

A Qualitative Approach on Motives and Aspects of Risks in Freeriding

Recent research has shown that there are multiple motives for participation in high-risk sport; however these results have come from studies that consider a number of different sports. Therefore, the aim of the present study was to better understand the motives and risk-related aspects of freeriding, using a qualitative approach. Semi-structured interviews were conducted with 40 professional and semi-professional freeride skiers and snowboarders. All freeriders were highly experienced, of different age (19–44 years; 27.5 ± 4.5 years), gender (female = 13), and profession (professional athletes = 11). Analyses were done using MAXQDA software following a code theme approach. Mixed methods analyses using χ²-tests were computed for age (<25 years ≥) and gender (female/male) on motives and risk factors. Five emerging themes were found, namely Challenge (n = 36), Friends (n = 31), Nature (n = 27), Balance (n = 26), and Freedom (n = 26). A sixth theme Habit (n = 13) was allocated as a subtheme due to minor responses. With regard to risk management, participants decided upon a risk calculation strategy which included multiple factors (e.g., planning, conditions, current situation, knowledge, and experience). Trusting in one's own abilities, avoiding negative fear and having trusted partners were among the risk factors. Deliberately seeking out dangerous situations was not a motive. χ²-tests revealed no gender or age differences regarding aspects of risk (range of p-scores: p = 0.17–1.00) or motives (p = 0.16–1.00). Freeriding was shown to provide positive effects through participation. Some important factors seem to be motivational drivers for freeriders: challenging oneself, experiencing nature, contributing to deep friendships, freeriding as a counterbalance to everyday life and escape from restrictions. Contrary to prior research reports on sensation seeking, experienced freeriders do not search the risk; they seem to minimize it based on knowledge and experience. Analyses of the present data did not show any gender or age differences, which may suggest that experience plays a more important role in high-risk sports than age or gender. Future research should qualitatively investigate further terrain based activities and implement motives and risk-related factors in quantitative research.

Sport-related anxiety: current insights

To date, much research has been devoted to understanding how anxiety can affect sport performance, both in practice and in competitive settings. It is well known that sport has the potential for high levels of stress and anxiety, and that practicing and employing a range of psychological strategies can be beneficial in anxiety management. Equally, growing evidence also suggests that anxiety can play a role in sport injury prevention, occurrence, rehabilitation, and the return to sport process. The purpose of this paper is to provide current insights into sport-related anxiety. More specifically, it will provide the reader with definitions and theoretical conceptualizations of sport-related anxiety. This will be followed by making a case for considering the term “performance” to be broader than activities associated with sport-related performance in practice and competition, by including performance activities associated with sport injury prevention, rehabilitation, and the return to sport process. The paper will then highlight the importance of recognizing early signs and symptoms of anxiety, and the potential need for referral. Finally, the conclusions will emphasize the need for appropriate, client-specific, and practitioner competent care for athletes experiencing sport-related anxiety.

Correlations Between Hysteretic Categorical and Continuous Judgments of Perceptual Stimuli Supporting a Unified Dynamical Systems Approach to Perception

We report from two variants of a figure-ground experiment that is known in the literature to involve a bistable perceptual domain. The first variant was conducted as a two-alternative forced-choice experiment and in doing so tested participants on a categorical measurement scale. The second variant involved a Likert scale measure that was considered to represent a continuous measurement scale. The two variants were conducted as a single within-subjects experiment. Measures of bistability operationalized in terms of hysteresis size scores showed significant positive correlations across the two response conditions. The experimental findings are consistent with a dualistic interpretation of self-organizing perceptual systems when they are described on a macrolevel by means of so-called amplitude equations. This is explicitly demonstrated for a Lotka-Volterra-Haken amplitude equation model of task-related brain activity. As a by-product, the proposed dynamical systems perspective also sheds new light on the anchoring problem of producing numerical, continuous judgments.

A physical model for dementia

Aging associated brain decline often result in some kind of dementia. Even when this is a complex brain disorder a physical model can be used in order to describe its general behavior. A probabilistic model for the development of dementia is obtained and fitted to some experimental data obtained from the Alzheimer's Disease Neuroimaging Initiative. It is explained how dementia appears as a consequence of aging and why it is irreversible.

Application of Mental Skills Training in Surgery: A Review of Its Effectiveness and Proposed Next Steps

INTRODUCTION

Mental skills training, which refers to the teaching of performance enhancement and stress management psychological strategies, may benefit surgeons. Our objective was to review the application of mental skills training in surgery and contrast it to other domains, examine the effectiveness of this approach in enhancing surgical performance and reducing stress, and provide future directions for mental skills training in surgery.

MATERIALS AND METHODS

A systematic literature search of MEDLINE, PubMed, PsycINFO, and ClinicalKey was performed between 1996 and 2016. Keywords included were mental readiness, mental competency, mental skill, mental practice, imagery, mental imagery, mental rehearsal, stress management training, stress coping, mental training, performance enhancement, and surgery. Reviews of mental skills interventions in sport and well-regarded sport psychology textbooks were also reviewed. Primary outcome of interest was the effect of mental skills on surgical performance in the simulated or clinical environment.

RESULTS

Of 490 identified abstracts, 28 articles met inclusion criteria and were reviewed. The majority of the literature provides evidence that mental imagery and stress management training programs are effective at enhancing surgical performance and reducing stress. Studies from other disciplines suggest that comprehensive mental skills programs may be more effective than imagery and stress management techniques alone.

CONCLUSIONS

Given the demonstrated efficacy of mental imagery and stress management training in surgery and the incremental value of comprehensive mental skills curricula used in other domains, a concerted effort should be made to apply comprehensive mental skills curricula during surgical training.

The Great British Medalists Project: A Review of Current Knowledge on the Development of the World's Best Sporting Talent

The literature base regarding the development of sporting talent is extensive, and includes empirical articles, reviews, position papers, academic books, governing body documents, popular books, unpublished theses and anecdotal evidence, and contains numerous models of talent development. With such a varied body of work, the task for researchers, practitioners and policy makers of generating a clear understanding of what is known and what is thought to be true regarding the development of sporting talent is particularly challenging. Drawing on a wide array of expertise, we address this challenge by avoiding adherence to any specific model or area and by providing a reasoned review across three key overarching topics: (a) the performer; (b) the environment; and (c) practice and training. Within each topic sub-section, we review and calibrate evidence by performance level of the samples. We then conclude each sub-section with a brief summary, a rating of the quality of evidence, a recommendation for practice and suggestions for future research. These serve to highlight both our current level of understanding and our level of confidence in providing practice recommendations, but also point to a need for future studies that could offer evidence regarding the complex interactions that almost certainly exist across domains.

The effect of badminton-specific exercise on badminton short-serve performance in competition and practice climates

This study examined the effects of changes in physiological and psychological arousal on badminton short-serve performance in competitive and practice climates. Twenty competitive badminton players (10 males and 10 females) volunteered to participate in the study following ethics approval. After familiarisation, badminton short-serve performance was measured at rest, mid-way through and at the end of a badminton-specific exercise protocol in two conditions; competition vs. practice. Ratings of cognitive and somatic anxiety were assessed at three time points prior to badminton short-serve performance using the Mental Readiness Form 3. Heart rate and rating of perceived exertion (RPE) were assessed during the exercise protocol. Results indicated that better short-serve performance was evident in practice compared to competition (P = .034). RPE values were significantly higher in the competition condition compared to practice (P = .007). Cognitive anxiety intensity was significantly lower post-exercise in the practice condition compared to competition (P = .001). Cognitive anxiety direction showed greater debilitation post-exercise in the competition condition compared to practice (P = .01). Somatic anxiety intensity increased from pre-, to mid- to post-exercise (P = .001) irrespective of condition. This study suggests that badminton serve performance is negatively affected when physiological arousal, via badminton-specific exercise, and cognitive anxiety, via perceived competition, are high.

Fear Similarly Alters Perceptual Estimates of and Actions over Gaps

Previous research has demonstrated an influence of one's emotional state on estimates of spatial layout. For example, estimates of heights are larger when the viewer is someone typically afraid of heights (trait fear) or someone who, in the moment, is experiencing elevated levels of fear (state fear). Embodied perception theories have suggested that such a change in perception occurs in order to alter future actions in a manner that reduces the likelihood of injury. However, other work has argued that when acting, it is important to have access to an accurate perception of space and that a change in conscious perception does not necessitate a change in action. No one has yet investigated emotional state, perceptual estimates, and action performance in a single paradigm. The goal of the current paper was to investigate whether fear influences perceptual estimates and action measures similarly or in a dissociable manner. In the current work, participants either estimated gap widths (Experiment 1) or were asked to step over gaps (Experiment 2) in a virtual environment. To induce fear, the gaps were placed at various heights up to 15 meters. Results showed an increase in gap width estimates as participants indicated experiencing more fear. The increase in gap estimates was mirrored in participants' stepping behavior in Experiment 2; participants stepped over fewer gaps when experiencing higher state and trait fear and, when participants actually stepped, they stepped farther over gap widths when experiencing more fear. The magnitude of the influence of fear on both perception and action were also remarkably similar (5.3 and 3.9 cm, respectively). These results lend support to embodied perception claims by demonstrating an influence on action of a similar magnitude as seen on estimates of gap widths.

The effect of exercise intensity on cognitive performance during short duration treadmill running

This study examined the effect of short duration, moderate and high-intensity exercise on a Go/NoGo task. Fifteen, habitually active (9 females and 6 males aged 28 ± 5 years) agreed to participate in the study and cognitive performance was measured in three sessions lasting 10 min each, performed at three different exercise intensities: rest, moderate and high. Results indicated significant exercise intensity main effects for reaction time (RT) (p = 0.01), the omission error rate (p = 0.027) and the decision error rate (p = 0.011), with significantly longer RTs during high intensity exercise compared to moderate intensity exercise (p = 0.039) and rest (p = 0.023). Mean ± SE of RT (ms) was 395.8 ± 9.1, 396.3 ± 9.1 and 433.5 ± 16.1 for rest, moderate and high intensity exercise, respectively. This pattern was replicated for the error rate with a significantly higher omission error and decision error rate during high intensity exercise compared to moderate intensity exercise (p = 0.003) and rest (p = 0.001). Mean ± SE of omission errors (%) was 0.88 ± 0.23, 0.8 ± 0.23 and 1.8 ± 0.46% for rest, moderate and high intensity exercise, respectively. Likewise, mean ± SE of decision errors (%) was 0.73 ± 0.24, 0.73 ± 0.21 and 1.8 ± 0.31 for rest, moderate and high intensity exercise, respectively. The present study’s results suggest that 10 min workout at high intensity impairs RT performances in habitually active adults compared to rest or moderate intensity exercise.

The Influence of the 'Trier Social Stress Test' on Free Throw Performance in Basketball: An Interdisciplinary Study

The aim of the present study was to explore the relationship between stress and sport performance in a controlled setting. The experimental protocol used to induce stress in a basketball free throw was the Trier Social Stress Test (TSST) and its control condition (Placebo-TSST). Participants (n = 19), novice basketball players but trained sportspersons, were exposed to two counterbalanced conditions in a crossover design. They were equipped with sensors to measure movement execution, while salivary cortisol and psychological state were also measured. The task consisted of two sequences of 40 free throws, one before either the TSST or Placebo-TSST and one after. Physiological and psychological measures evidenced that the TSST induced significant stress responses, whereas the Placebo-TSST did not. Shooting performance remained stable after the TSST but decreased after the Placebo-TSST. We found no effect of the TSST or Placebo-TSST on movement execution. A multivariate model of free throw performance demonstrated that timing, smoothness and explosiveness of the movements are more relevant to account for beginner’s behavior than stress-related physiological and psychological states. We conclude that the TSST is a suitable protocol to induce stress responses in sport context, even though the effects on beginners’ free throw performance and execution are small and complex.

Salivary hormones and anxiety in winners and losers of an international judo competition

The purpose of this study was to investigate the responses of salivary hormones and salivary secretory immunoglobulin A (SIgA) and anxiety in winners and losers during an international judo competition. Twenty-three trained, male, national-level judo athletes provided three saliva samples during a competition day: morning, in anticipation of competition after an overnight fast, mid-competition, and post-competition within 15 min post-fight for determination of salivary cortisol, salivary testosterone, salivary testosterone/cortisol ratio, SIgA absolute concentrations, SIgA secretion rate and saliva flow rate. The competitive state anxiety inventory questionnaire was completed by the athletes (n = 12) after the first saliva collection for determination of somatic anxiety, cognitive anxiety and self-confidence. Winners were considered 1-3 ranking place (n = 12) and losers (n = 11) below third place in each weight category. Winners presented higher anticipatory salivary cortisol concentrations (p = 0.03) and a lower mid-competition salivary testosterone/cortisol ratio (p = 0.003) compared with losers with no differences for salivary testosterone. Winners tended to have higher SIgA secretion rates (p = 0.07) and higher saliva flow rates (p = 0.009) at mid-competition. Higher levels of cognitive anxiety (p = 0.02) were observed in the winners, without differences according to the outcome in somatic anxiety and self-confidence. The results suggest that winners experienced higher levels of physiological arousal and better psychological preparedness in the morning, and as the competition progressed, the winners were able to control their stress response better.