Abstract
Our aim was to comprehensively assess the well-being of athletes in Paralympic sports and determine if their results are comparable to other elite athlete populations. Participants (Para, n = 103; Olympic, n = 193; 56% female) were invited to complete an online questionnaire measuring subjective, psychological, social, and physical well-being. Using ANOVA analyses, Para athletes had comparable well-being to Olympic sport athletes across most dimensions. Para athletes recorded significantly lower physical well-being compared to Olympic sport athletes (p < 0.01). Well-being differences between male and female athletes were observed across dimensions of psychological (autonomy, personal growth, positive relation with others) and social well-being (actualization, integration). There were more well-being similarities between Para and Olympic sport athletes, than differences, suggesting the well-being of Para athletes is similar to their Olympic counterparts. The principle of athlete-first and a client-centered approach are discussed with respect to athlete well-being.
Similar content being viewed by others
Change history
06 July 2018
Due to some technical problem related with rendering of online issue 3, the below articles need to be read as part of Vol. 1, multiple Issue 1-3
Notes
Dunn and Andrews (2015) recommended the use of person-first (e.g., athletes in Paralympic sports) and identity-first (e.g., Para sport athlete) language in order to recognise the social constructs around the term ‘disability’ and empower people with disabilities. This approach has been used throughout the article.
References
Akasaka, K., Takakura, Y., Okuma, O., Kusano, S., Suyama, T., Yamamoto, M., & Kunisawa, Y. (2003). SF-36 health survey in disabled sitting volleyball players in Japan. Journal of Physical Therapy Science, 15, 71–73. https://doi.org/10.1589/jpts.15.71.
Bäckmand, H., Kaprio, J., Kujala, U., & Sarna, S. (2001). Personality and mood of former elite male athletes--a descriptive study. International Journal of Sports Medicine, 22(3), 215–221. https://doi.org/10.1055/s-2001-16382.
Baron, D. A., Reardon, C. L., & Baron, S. H. (Eds.). (2013). Clinical sports psychiatry: An international perspective. West Sussex: Wiley.
Bland, J., & Altman, D. (1997). Statistics notes: Cronbach's alpha. BMJ, 314, 275. https://doi.org/10.1136/bmj.314.7080.572.
Blauwet, C., & Willick, S. E. (2012). The Paralympic movement: Using sports to promote health, disability rights, and social integration for athletes with disabilities. PM&R: The Journal of Injury, Function, and Rehabilitation, 4, 851–856. https://doi.org/10.1016/j.pmrj.2012.08.0158.
Blauwet, C. A., Cushman, D., Emery, C., Willick, S. E., Webborn, N., Derman, W., et al. (2016). Risk of injuries in Paralympic track and field differs by impairment and event discipline a prospective cohort study at the London 2012 Paralympic games. The American Journal of Sports Medicine, 44(6), 1455–1462. https://doi.org/10.1177/0363546516629949.
Campbell, E., & Jones, G. (1997). Precompetition anxiety and self-confidence in wheelchair sport participants. Adapted Physical Activity Quarterly, 14, 95-107. Available from: SPORTDiscus with full text, Ipswich, MA.
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20, 1019–1028. https://doi.org/10.1002/jts.20271.
Carpentier, J., & Mageau, G. A. (2013). When change-oriented feedback enhances motivation, well-being and performance: A look at autonomy-supportive feedback in sport. Psychology of Sport and Exercise, 14, 423–435. https://doi.org/10.1016/j.psychsport.2013.01.003.
Coakley, J. J. (1998). Sport in society: Issues and controversies. New York: McGraw Hill.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.
Cross, S. E., & Madson, L. (1997). Models of the self: Self-construals and gender. Psychological Bulletin, 122, 5–37. https://doi.org/10.1037/0033-2909.122.1.5.
Derman, W., Schwellnus, M., Jordaan, E., Blauwet, C. A., Emery, C., Pit-Grosheide, P., et al. (2013). Illness and injury in athletes during the competition period at the London 2012 Paralympic games: Development and implementation of a web-based surveillance system (WEB-IISS) for team medical staff. British Journal of Sports Medicine, 47(7), 420–425. https://doi.org/10.1136/bjsports-2013-092375.
Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75. https://doi.org/10.1207/s15327752jpa4901_13.
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302.
Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D.-W., Oishi, S., & Biswas-Diener, R. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97, 143–156. https://doi.org/10.1007/s11205-009-9493-y.
Dinh, K. T., Holmberg, M. D., Ho, I. K., & Haynes, M. C. (2014). The relationship of prejudicial attitudes to psychological, social, and physical well-being within a sample of college students in the United States. Journal of Cultural Diversity, 21(2), 56–66.
Dorogi, L., Szabo, A., & Bognar, J. (2008). Goal orientation and perceived motivational climate in Hungarian athletes with physical and visual disabilities and in able-bodied athletes. Kinesiology, 40, 162–169 Retrieved from http://hrcak.srce.hr/file/48816.
Dunn, D. S., & Andrews, E. E. (2015). Person-first and identity-first language: Developing psychologists’ cultural competence using disability language. American Psychologist, 70(3), 255–264. https://doi.org/10.1037/a0038636.
Eisenlohr-Moul, T. A., & Segerstrom, S. C. (2013). Autonomy, positive relationships, and IL-6: Evidence for gender-specific effects. British Journal of Health Psychology, 18, 420–438. https://doi.org/10.1111/j.2044-8287.2012.02085.x.
Fagher, K., & Lexell, J. (2014). Sports-related injuries in athletes with disabilities. Scandinavian Journal of Medicine & Science in Sports, 24(5), e320–e331. https://doi.org/10.1111/sms.12175.
Ferreira, P., & Fox, K. R. (2008). Physical self-perceptions and self-esteem in male basketball players with and without disability players: A preliminary analysis using the physical self-perception profile. European Journal of Adapted Physical Activity, 1(1), 35–49 Retrieved from http://eujapa.upol.cz/index.php/EUJAPA/article/view/3.
Forgeard, M., Jayawickreme, E., Kern, M., & Seligman, M. (2011). Doing the right thing: Measuring wellbeing for public policy. International Journal of Wellbeing, 1, 79–106. https://doi.org/10.5502/ijw.v1i1.15.
Glick, I. D., Kamm, R., & Morse, E. (2009). The evolution of sport psychiatry, circa 2009. Sports Medicine, 39(8), 607–613. https://doi.org/10.2165/00007256-200939080-00001.
Goodger, K., Gorely, T., Lavallee, D., & Harwood, C. (2007). Burnout in sport: A systematic review. The Sport Psychologist, 21, 127–151.
Gould, D., Dieffenbach, K., & Moffett, A. (2002). Psychological characteristics and their development in Olympic champions. Journal of Applied Sport Psychology, 14, 172–204. https://doi.org/10.1080/10413200290103482.
Groff, D. G., Lundberg, N. R., & Zabriskie, R. B. (2009). Influence of adapted sport on quality of life: Perceptions of athletes with cerebral palsy. Disability & Rehabilitation, 31, 318–326. https://doi.org/10.1080/09638280801976233.
Gucciardi, D. F., Jackson, B., Coulter, T. J., & Mallett, C. J. (2011). The Connor-Davidson resilience scale (CD-RISC): Dimensionality and age-related measurement invariance with Australian cricketers. Psychology of Sport and Exercise, 12, 423–433. https://doi.org/10.1016/j.psychsport.2011.02.005.
Henderson, L. W., & Knight, T. (2012). Integrating the hedonic and eudaimonic perspectives to more comprehensively understand wellbeing and pathways to wellbeing. International Journal of Wellbeing, 2, 196–221. https://doi.org/10.5502/ijw.v2i3.3.
Huppert, F. A., & So, T. T. (2013). Flourishing across Europe: Application of a new conceptual framework for defining well-being. Social Indicators Research, 110(3), 837–861. https://doi.org/10.1007/s11205-011-9966-7.
Hutzler, Y., & Bergman, U. (2011). Facilitators and barriers to participation while pursuing an athletic career: Retrospective accounts of swimmers with disabilities. Therapeutic Recreation Journal, 45(1), 1 Retrieved from http://ez.library.latrobe.edu.au/login?url=http://search.proquest.com/docview/923770938?accountid=12001.
Hutzler, Y., & Shemesh, R. (2012). Self-efficacy, task and ego orientation, and family support in wheelchair and able-bodied basketball players. Therapeutic Recreation Journal, 46, 73–90 Retrieved from http://js.sagamorepub.com/trj.
Iezzoni, L. I. (2009). Public health goals for persons with disabilities: Looking ahead to 2020. Disability and Health Journal, 2, 111–115. https://doi.org/10.1016/j.dhjo.2009.03.002.
Kahneman, D., Diener, E., & Schwarz, N. (1999). Well-being: The foundations of hedonic (eudaimonia) and hedonic enjoyment. Journal of Personality and Social Psychology, 64, 678–691. https://doi.org/10.1037/0022-3514.64.4.678.
Kendall, M. G., & Stuart, A. (1958). The advanced theory of statistics. New York: Hafner.
Kesimci, A., Goral, S., & Gencoz, T. (2005). Determinants of stress-related growth: Gender, stressfulness of the event, and coping strategies. Current Psychology: Developmental, Learning, Personality, Social, 24, 68–75. https://doi.org/10.1007/s12144-005-1005-x.
Keyes, C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61, 121–140. https://doi.org/10.2307/2787065.
Keyes, C. L. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207–222 Retrieved from http://www.jstor.org/stable/3090197.
Li, F., Bai, X., & Wang, Y. (2013). The scale of positive and negative experience (SPANE): Psychometric properties and normative data in a large Chinese sample. PLoS One, 8(4), e61137. https://doi.org/10.1371/journal.pone.0061137.
Lundqvist, C. (2011). Well-being in competitive sports—The feel-good factor? A review of conceptual considerations of well-being. International Review of Sport and Exercise Psychology, 4, 109–127. https://doi.org/10.1080/1750984X.2011.584067.
Lundqvist, C., & Sandin, F. (2014). Well-being in elite sport: Dimensions of hedonic and eudaimonic well-being among elite orienteers. The Sport Psychologist, 28, 245–254. https://doi.org/10.1123/tsp.2013-0024.
Macdougall, H., O’Halloran, P., Shields, N., & Sherry, E. (2015). Needs and strengths of Australian para-athletes: Identifying their subjective, psychological, social, and physical health and well-being. The Sports Psychologist, 30, 1–12. https://doi.org/10.1123/tsp.2015-0006.
Macdougall, H., O’Halloran, P., Shields, N., & Sherry, E. (2016). Comparing the well-being of Para and Olympic sport athletes: A systematic review. Adapted Physical Activity Quarterly, 32, 256–276. https://doi.org/10.1123/APAQ.2014-0168.
Machida, M., Irwin, B., & Feltz, D. (2013). Resilience in competitive athletes with spinal cord injury: The role of sport participation. Qualitative Health Research, 23(8), 1054–1065. https://doi.org/10.1177/1049732313493673.
McDuff, D. R. (2012). Sports psychiatry: Strategies for life balance and peak performance. Washington, DC: American Psychiatric Publications.
McHorney, C. A., Ware Jr., J. E., Lu, J. F., & Sherbourne, C. D. (1994). The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32, 40–66. https://doi.org/10.1023/A:1026406620756.
Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5, 164–172. https://doi.org/10.1037/1040-3590.5.2.164.
Pensgaard, A. M., Roberts, G. C., & Ursin, H. (1999). Motivational factors and coping strategies of Norwegian Paralympic and Olympic winter sport athletes. Adapted Physical Activity Quarterly, 16, 238–250 Retrieved from http://journals.humankinetics.com/apaq.
Perreault, S., & Marisi, D. Q. (1997). A test of multidimensional anxiety theory with male wheelchair basketball players. Adapted Physical Activity Quarterly, 14, 108-118. Retrieved from: SPORTDiscus with full text.
Rice, S. M., Purcell, R., Silva, S., Mawren, D., McGorry, P. D., & Parker, A. G. (2016). The mental health of elite athletes: A narrative systematic review. Sports Medicine, 46, 1333–1353. https://doi.org/10.1007/s40279-016-0492-2.
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potential: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. https://doi.org/10.1146/annurev.psych.52.1.141.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081. https://doi.org/10.1037/0022-3514.57.6.1069.
Schaal, K., Tafflet, M., Nassif, H., Thibault, V., Pichard, C., et al. (2011). Psychological balance in high level athletes: Gender-based differences and sport-specific patterns. PLoS One, 6(5), e19007. https://doi.org/10.1371/journal.pone.0019007.
Seligman, M. E. P. (2011). Flourish: A Visionary New Understanding of Happiness and Well-Being (1st free press hardcover ed.). New York: Free Press.
Smith, B., & Sparkes, A. C. (2012). Disability, sport and physical activity: A critical review. In N. Watson, A. Roulstone, & C. Thomas (Eds.), Routledge handbook of disability studies. New York: Routledge.
Steffen, K., Soligard, T., & Engebretsen, L. (2011). The IOC’s endeavor to protect the health of the athlete continues. British Journal of Sports Medicine, 45, 551–552. https://doi.org/10.1136/bjsports-2011-090070.
Swain, J., & French, S. (2000). Towards an affirmation model of disability. Disability & Society, 15, 569–582. https://doi.org/10.1080/09687590050058189.
Tamminen, K. A., Holt, N. L., & Neely, K. C. (2013). Exploring adversity and the potential for growth among elite female athletes. Psychology of Sport and Exercise, 14, 28–36. https://doi.org/10.1016/j.psychsport.2012.07.002.
Tsai, C., Bayliss, M.S., & Ware, J. E., Jr. (1997). SF-36 Health Survey annotated bibliography (2nd ed., 1988–1996). Boston: Health assessment lab, New England Medical Center.
Van de Vliet, P., Biesen, D. V., & Vanlandewijck, Y. C. (2008). Athletic identity and self-esteem in Flemish athletes with a disability. European Journal of Adapted Physical Activity, 1, 9–21 Retrieved from https://www.eujapa.upol.cz.
Vanlandewijck, Y. C., & Thompson, W. R. (2011). The Paralympic athlete. Handbook of sports medicine and science (Vol. chapter 1). Oxford: Wiley-Blackwell.
Ware Jr., J. E., Kosinski, M., & Keller, S. K. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute.
Webborn, N., & Emery, C. (2014). Descriptive epidemiology of Paralympic sports injuries. PMR, 6(8 Suppl), S18–S22. https://doi.org/10.1016/j.pmrj.2014.06.003.
Weiler, R., Van Mechelen, W., Fuller, C., & Verhagen, E. (2016). Sport injuries sustained by athletes with disability: A systematic review. Sports Medicine. https://doi.org/10.1007/s40279-016-0478-0.
Wisniowska, M., Tasiemski, T., & Bauerfeind, J. (2012). Athletic identity assessment in disabled sitting volleyball players. Fizjoterapia, 20(1), 10–19. https://doi.org/10.2478/v10109-012-0002-5.
Yazicioglu, K., Yavuz, F., Goktepe, A. S., & Tan, A. K. (2012). Influence of adapted sports on quality of life and life satisfaction in sport participants and non-sport participants with physical disabilities. Disability & Health Journal, 5, 249–253. https://doi.org/10.1016/j.dhjo.2012.05.00.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Rights and permissions
About this article
Cite this article
Macdougall, H.K., O’Halloran, P., Sherry, E. et al. Putting the Athlete First: a Comprehensive Assessment of Elite Para Athlete Well-Being. J well-being assess 1, 35–47 (2017). https://doi.org/10.1007/s41543-017-0003-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41543-017-0003-8