MENTAL HEALTH DISORDERS AFFECTING ATHLETES AFTER CAREER TERMINATION: INTERVENTIONS SUPPORTING PSYCHOLOGICAL ADAPTATION — A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.31435/ijitss.1(49).2026.4947Keywords:
Athletic Retirement, Mental Health, Psychological Adaptation, Retired Athletes, Support Interventions, Career Transition, Psychoeducational ProgramsAbstract
Introduction: Loss of athletic identity — following retirement, athletes often lose the central element that previously defined their lives. This loss may lead to an identity crisis and significant emotional difficulties. Numerous studies indicate that former athletes are at an increased risk of developing depression, anxiety, and substance use disorders, particularly during the initial years after the end of their athletic careers.
Objective: The aim of this paper is to conduct a literature review on mental health disorders observed in athletes following retirement from professional sport, and to evaluate the effectiveness of various psychological, social, and medical interventions that support adaptation to post-athletic life.
Materials and methods: The study is based on a variety of analyses from 2007 to 2026 that were found using PubMed and Google Scholar.
Results: Research findings indicate that former athletes constitute a high-risk group for mood disorders and adjustment difficulties. Effective interventions include psychological support programs, psychoeducational interventions, development of non-sport-related skills, and social and vocational support.
Conclusion: Psychological support during the transition period following athletic retirement should be systemic and long-term. Integrating psychological interventions with career development programs can significantly enhance the well-being of former athletes.
References
Alfermann, D., & Stambulova, N. (2007). Career transitions and career termination. In G. Tenenbaum & R. C. Eklund (Eds.), Handbook of sport psychology (3rd ed., pp. 712–733). Wiley.
Wegner, I., Schröder, J., & Reer, R. (2025). Availability, accessibility and effectiveness of psychological interventions following sports injuries or career termination in elite athletes. German Journal of Exercise and Sport Research. https://doi.org/10.1007/s12662-025-01063-8
Di Rocco, F., Romagnoli, C., Ciaccioni, S., Capranica, L., Padua, E., & Guidotti, F. (2025). Sustainable career transitions and mental health support in elite sport: A systematic review of evidence and practices. Sports, 13(12), 438. https://doi.org/10.3390/sports13120438
Gouttebarge, V., Frings-Dresen, M. H. W., & Sluiter, J. K. (2015). Mental and psychosocial health among current and former professional footballers. Occupational Medicine, 65(3), 190–196. https://doi.org/10.1093/occmed/kqu202
Montero, A., Baranoff, J., Adams, R., & Drummond, M. (2024). Athletic retirement: Factors contributing to sleep and mental health problems. Frontiers in Psychology, 15, Article 1350925. https://doi.org/10.3389/fpsyg.2024.1350925
Montero, A., Baranoff, J., Adams, R., & Drummond, M. (2024). Athletic retirement: Factors contributing to sleep and mental health problems. Frontiers in Psychology, 15, Article 1350925. https://doi.org/10.3389/fpsyg.2024.1350925
Mannes, Z. L., Waxenberg, L. B., Cottler, L. B., Perlstein, W. M., Burrell, L. E., II, Ferguson, E. G., Edwards, M. E., & Ennis, N. (2019). Prevalence and correlates of psychological distress among retired elite athletes: A systematic review. International Review of Sport and Exercise Psychology, 12(1), 265–294. https://doi.org/10.1080/1750984X.2018.1469162
Cottler, L. B., Ben Abdallah, A., Cummings, S. M., Barr, J., Banks, R., & Forchheimer, R. (2011). Injury, pain, and prescription opioid use among former National Football League players. Drug and Alcohol Dependence, 116(1–3), 188–194. https://doi.org/10.1016/j.drugalcdep.2010.12.003
Kontro, H. G., Brown, G., Esopenko, C., Marshall, S. W., & Gouttebarge, V. (2017). Alcohol misuse and psychological distress among retired elite athletes: A systematic review. Journal of Sport and Health Science, 6(4), 365–374. https://doi.org/10.1016/j.jshs.2017.08.003
van Amerongen, S., Pulukuri, S. V., Tuz Zahra, F., et al. (2024). Inflammatory biomarkers for neurobehavioral dysregulation in former American football players: Findings from the DIAGNOSE CTE Research Project. Journal of Neuroinflammation, 21, 46. https://doi.org/10.1186/s12974-024-03034-6
Bočková, K., Lovásik, J., & Procházka, D. A. (2025). Transitioning from elite sport: An empirical study on coping and well-being. Journal of Posthumanism, 5(7), 784–801. https://doi.org/10.63332/joph.v5i7.2842
Haugen, P. R., & Markser, V. Z. (2025). Availability, accessibility and effectiveness of psychological interventions following sports injuries or career termination in elite athletes: A systematic review. German Journal of Exercise and Sport Research. https://doi.org/10.1007/s12662-025-01063-8
Aravind, A., Agarwal, M., Malhotra, S., & Ayyub, S. (2025). Effectiveness of acceptance and commitment therapy on mental health issues: A systematic review. Annals of Neurosciences, 32(4), 321–327. https://doi.org/10.1177/09727531241300741
Wang, Y., Lei, S.-M., & Fan, J. (2023). Effects of mindfulness-based interventions on promoting athletic performance and related factors among athletes: A systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 20(3), Article 2038. https://doi.org/10.3390/ijerph20032038
Reynoso Sánchez, L. F., & Hoyos Flores, J. R. (2023). A single-session eye movement desensitization and reprocessing (EMDR) therapy reduces anxiety and improves self-confidence in athletes with post-traumatic stress associated with injury. International Journal of Sport Studies for Health, 5(2), Article e134823. https://doi.org/10.61838/kman.intjssh.5.2.2
Werner, C., Parrish, D., & McIngvale, E. (2023). Future of mental health in sport: CBT and athletes. Sport Social Work Journal, 4(1), 81–94. https://doi.org/10.33043/sswj.4.1.81-94
Isorna Folgar, M., Leirós Rodríguez, R., López Roel, S., & García Soidán, J. L. (2022). Effects of a cognitive behavioral therapy intervention on psychological characteristics related to sport performance in youth rowers. International Journal of Environmental Research and Public Health, 19(1), Article 437. https://doi.org/10.3390/ijerph19010437
Vella, J. D., Facer-Childs, E. R., Ogden, J., Liddle, S., Engelman, A., Volchek, I., & King, K. (2026). Influences on the mental health and well-being of retired professional athletes from high contact team sports: A mixed methods systematic review. British Journal of Sports Medicine, 60(1), 67–77. https://doi.org/10.1136/bjsports-2024-108953
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Copyright (c) 2026 Julia Kwiecien, Julia Stołtny, Magdalena Mida, Anna Maruszak, Magdalena Michalik, Urszula Majda, Magdalena Lisik, Justyna Goryczka, Witold Kimla, Natalia Hajok

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