Extreme Sport Athletes Research Articles

417 An Athlete-Oriented Holistic Coaching Program Targeting Performance and Wellbeing in Neurosurgery Residents

INTRODUCTION: Neurosurgery residency is a demanding environment, requiring high levels of performance endured over long periods of time. As a result, neurosurgery residency has been associated with significant rates of fatigue, depression, and physician burnout. To address this, the authors instituted a program within the residency, entitled the “Performance Protection Program,” consisting of a personalized program based on principles used with world-class extreme sports athletes designed for residents to achieve sustainably high levels of performance. METHODS: A 12-month coaching program was instituted by a performance coach within a single neurosurgery residency program. Residents attended individual and team-based monthly meetings, engaged in offsite team outings, and completed interactive reflective questions. The program focused on several pillars of performance excellence including mental, emotional, social, physical and physiological domains. RESULTS: Residents engaged in a total of 19 team sessions, 3 team outings, and over 87 individual sessions by mobile device or in-person during which they strategized with the coach on topics including: productivity, communication, regulating emotions under pressure, in-hospital nutrition, meal preparation, efficiency, accountability, posture and strength, job interviewing, confidence, visualization skills, and team leadership dynamics. By demand, a bi-weekly posture and mobility session was incorporated into the program. Early feedback demonstrated a need for adaptive strategies personalized to the resident’s stage of training and life. Most residents expressed need for improvement in nutrition, physical wellness, and communication under fatigue. CONCLUSIONS: Neurosurgery residency is stress-provoking and arduous for trainees. To optimize resident performance while minimizing burnout, a curriculum based on principles in extreme sports was successfully enacted over a 12-month period. Other training programs may utilize similar interventions to promote resident well-being and improve mental and physiological states.

Comparison of Hemodynamic Brain Responses Between Big Wave Surfers and Non-big Wave Surfers During Affective Image Presentation.

BackgroundBig wave surfers are extreme sports athletes who expose themselves to life-threatening risk when training and competing. Little is known about how and why extreme sports athletes choose to participate in their chosen sports. This exploratory study investigated potential neurophysiological and psychometric differences between big and non-big wave surfers.MethodsThirteen big wave surfers (BWS) and 10 non-big wave surfers (CON) viewed a series of images from the International Affective Picture System (IAPS) while undergoing brain functional magnetic resonance imaging (fMRI). The Fear Schedule Survey-III, Arnett Inventory of Sensation Seeking, Discrete Emotions Questionnaire, and Positive and Negative Affect Schedule were also completed.ResultsThe BWS group demonstrated higher blood-oxygen level-dependent (BOLD) signal change in the insula, visual cortex, and periaqueductal gray, whereas the CON group displayed increased hypothalamus activation in response to high amplitude negative-valence (HAN) image presentation. Psychophysiological interaction (PPI) analyses found CON showed significant interactions between frontal and temporal cortical regions as well as between the hypothalamus and the insula, frontal, and temporal cortices during HAN image presentation that were not seen in BWS. No differences between groups were found in their responses to the questionnaires.ConclusionOur findings demonstrate significant differences in brain activation between BWS and CON in response to the presentation of HAN IAPS images, despite no significant differences in scores on psychometric questionnaires.

Boredom Proneness Predicts Self-Assessed Decision Errors in Sports but Is Unrelated to Risk Taking in General.

Introduction: Boredom proneness is linked to poor self-regulation, leading to poor decision making and/or increased risk taking. These links have not yet been investigated in the domain of sports and exercise. However, poor decisions or excessive risk behavior would be highly detrimental to sporting performance and, in some cases, even cause physical harm. Here, we address this gap by assessing if boredom proneness is linked to general risk taking, sport-specific risk taking, and to regrets about sports-specific decision errors with respect to acting too risky or too passively. Methods: N = 936 athletes (27.6 ± 9.0 years, 89.6% men): n = 330 Climbers (31.8 ± 10.7 years, 82.4% men), n = 83 Snowboarders (29.9 ± 8.3 years, 79.5% men), and n = 523 Esports athletes (24.6 ± 6.3 years, 95.8% men) completed the Short Boredom Proneness Scale (SBPS), along with measures for objective risk taking (Balloon Analogue Risk Task; BART), subjective risk taking (general willingness to take risks), as well as assessments for sport-specific risk taking and regrets for sports-specific decision errors (taking too many risks, failing to act at all). In the two extreme sports samples (i.e., climbers and snowboarders), we additionally assessed self-selected outcome certainty in a hypothetical sports-specific scenario where an error would result in physical harm. Results: A series of multiple regression analyses revealed that boredom proneness was unrelated to objective and subjective general risk taking, but a significant predictor of sport-specific risk taking and higher risk taking in the sports scenario (climbers and snowboarders only). Most importantly, boredom proneness predicted regrets for taking too many risks and being too passive. Exploratory post-hoc analyses further indicated that boredom proneness in extreme sports athletes was lower than in esports athletes. Higher boredom proneness was significantly related to lower skill levels across all kinds of sport. Discussion: Across three athlete samples, boredom proneness was unrelated to general risk taking but significantly related to poorer decision making, as indicated by regrets about acting too risky and too passively, as well as demanding a significantly lower safety threshold to make a risky sports-specific choice. While at odds with the often-reported link between boredom proneness and risk taking, these results are consistent with the conceptualization of boredom proneness as a maladaptive self-regulatory disposition that leads to noisy decision making in sports. In addition, we provide preliminary evidence that boredom proneness covaries with self-selection into specific types of sports and might also stand in the way of skill acquisition in sports.

Bursting balloons - comparison of risk taking between extreme sports, esports, and the general public

Arguably, extreme sports athletes exhibit a more significant risk appetite than the general public. Are standard behavioral risk measures able to capture this? To answer this question, we assessed self-reports of risk taking and measured the risk-taking behavior of samples of snowboarders and climbers. Two groups of non-athletes, university students and crowdworkers, and athletes of a sport that does not include the potential of grave injury or death, esports athletes, serve as control conditions and complement our study. Across these five different groups, 1313 participants performed an online version of the Balloon Analogue Risk Task (BART) and gave self-reports of general willingness to take risks and sports-specific risk taking. Extreme sports athletes exhibited greater risk taking in the BART than non-athletes and esports athletes. Furthermore, BART-performance predicted sports-specific risk taking and its affective consequences. Our results speak to the BART’s ecological validity and the unique role of physical consequences on risk-taking behavior.

Positive Relationship Between Precompetitive Sympathetic Predominance and Competitive Performance in Elite Extreme Sports Athletes.

Elite athletes achieve superior performance under high pressure in competitive situations. Although it is known that such situations affect the precompetitive activity of their autonomic nervous system (ANS), the relationship between precompetitive ANS activity and performance remains controversial. Especially in extreme sports, it has been shown that cardiac sympathetic tone occurs in athletes before competition attempts. However, the relationship between precompetitive sympathetic tone and performance is unclear. To investigate this relationship in extreme sports, we organized a freestyle snowboard jumping competition and examined competitors' physiological states and performance during this event. The electrocardiograms (ECGs) of 20 elite snowboarders were measured 10 min before each jump in different competitive situations: practice, qualifying, and final sessions. The mean heart rate (HR), the low-frequency to high-frequency component ratio (LF/HF ratio), the logarithm of the HF (lnHF) component of the frequency-domain of the heart rate variability (HRV), the ratio of the standard deviation of all R–R intervals to the root mean square of successive differences of R–R intervals (SDNN/rMSSD ratio), and the rMSSD of the time-domain of the HRV were calculated from the ECG data. The results showed a significant increase in the mean HR as well as significant decreases in the lnHF component and rMSSD of the HRV as the sessions progressed. Interestingly, the mean HR, LF/HF ratio and SDNN/rMSSD ratio of the HRV showed significant positive correlations with competitive scores, and the lnHF component and rMSSD of the HRV showed significant negative correlations with the scores. Our results indicate that precompetitive ANS activity becomes predominantly sympathetic in elite extreme athletes, such as freestyle snowboarders, when the competition intensifies, and that this sympathetic predominance is positively related to competitive performance.

An Ecological Dynamics Perspective of Return to Play Decision-Making for Extreme Sport Athletes

An Ecological Dynamics Perspective of Return to Play Decision-Making for Extreme Sport Athletes

Extreme Sport, Identity, and Well-Being: A Case Study and Narrative Approach to Elite Skyrunning

Although extreme-sport athletes’ experiences have been explored in sport psychology, more research is needed to understand the nuanced identity meanings for these athletes in the context of health and well-being. A case-study approach grounded in narrative inquiry was used to explore identity meanings of 1 elite extreme-sport athlete (i.e., skyrunner Kilian Jornet) in relation to well-being. Data gleaned from 4 documentary films and 10 autobiographical book chapters describing the Summits of My Life project were subjected to a thematic narrative analysis. Two intersecting narratives—discovery and relational—threaded the summits project and were used by Jornet to construct an “ecocentric” identity intertwined with nature in fluid ways, depending on 3 relationships related to well-being: the death of climbing partner Stéphane Brosse, team members’ shared values, and her relationship with partner Emelie Forsberg. An expansion of identity, health, and well-being research on extreme-sport athletes beyond simplistic portrayals of them as pathological risk takers and/or motivated by personality traits was gained from these findings.

An Exploratory Study of Extreme Sport Athletes' Nature Interactions: From Well-Being to Pro-environmental Behavior.

Traditionally, perceptions about extreme sport athletes being disconnected from nature and a risk-taking population have permeated the research literature. Drawing upon theoretical perspectives from environmental, sport, organizational and positive psychology, this qualitative study attempts to explore the lived experiences of four male and four female extreme sport athletes. The purpose of this study was to gain insight and understanding into the individuals’ attitudes toward the benefits of extreme sport activities for well-being, resilience and pro-environmental behavior. Eight participants (Mean age = 40.5 years; SD = ± 12.9) provided written informed consent to partake in semi-structured interviews. Each athlete provided written consented to allow the publication of their identifiable data and in order to facilitate sharing of their autobiographical account of their experiences. After conducting thematic analysis, meta-themes that emerged from the analyses were as follows: (a) early childhood experiences, (b) the challenge of the outdoors, (c) their emotional response to nature, (d) nature for coping, (e) restorative spaces, and (f) environmental concern. The findings convey great commonalities across the participants with regard to their mindset, their emotional well-being as well as their connectivity with nature and attitudes toward the natural environment. The cognitive-affective-social-behavioral linkage of the benefits of extreme sport participation for well-being, psychological recovery and pro-environmental behavior are highlighted. This study examining the lived experiences of extreme sportspeople provides a novel contribution to our contemporary understanding of extreme athletes’ relationship to nature and its commensurate impact upon well-being and pro-environmental attitudes. The findings suggest that extreme sport participation, while inherently risky has psychological benefits ranging from evoking positive emotions, developing resilience and life coping skills to cultivating strong affinity to and connection with nature and the natural environment.

Investigation of self confidence levels in elite extreme athletes

Purpose: The purpose of this study is to examine self-confidence levels of extreme sports athletes in terms of variables such as gender, sport experience and sports level. Methods: A total of 1660 athletes in skiing, snowboarding, mountaineering, motor-car and motor-bike racing participated in the study. “Self-confidence scale” developed by Akın (2007) was used to find out athletes’ characteristics of self-belief, being able to control emotions and taking risks. Mann Whitney U and Kruskal Wallis test were used for data analysis. Results: Skiers and motor-car racers were found to have the highest self-confidence values, while snowboarders had the lowest values. Although there were less women in the study, significance was found only in external self-confidence in favour of women (p<0.05). Significant association was found between self-confidence values in terms of sport experience and sports level (p<0.05). Conclusions: Extreme sports should be generalized, supported and introduced to raise successful and self-confident individuals. This will contribute to the fast development of these sports which are known as dangerous sports throughout the world.

The Effect of Leisure Benefits on Leisure Satisfaction: Extreme Sports

In this study, it was aimed to investigate the effect of leisure benefit on leisure satisfaction in extreme sports athletes. In order to determine the leisure satisfaction level of participants, Leisure Satisfaction Scale developed by Beard and Ragheb (1980) and adapted to Turkish by Gökçe and Orhan (2011) was used. Leisure benefit scale developed by Ho (2008) and adapted into Turkish by Akgül, Ertüzün, and Karaküçük (2018) was used to measure the perceived benefit from recreational activities. The conventional sampling method was used for sample selection, and a face-to-face survey method was used for data collection. Descriptive statistics, Pearson Correlation Analysis, and Regression Analysis were used in the analysis of obtained data. A total of 202 people (105 male and 97 female) participated in the study voluntarily. According to the results of the present study, it was determined that there was a positive significant relationship between Leisure benefit and Leisure satisfaction. In addition, it was determined that Leisure satisfaction was predicted by the sub-dimensions of Leisure benefit approximately 84%. This result showed that providing leisure benefits in extreme sports had a significant effect on Leisure satisfaction of extreme athletes.

The Thrill of Speedy Descents: A Pilot Study on Differences in Facially Expressed Online Emotions and Retrospective Measures of Emotions During a Downhill Mountain-Bike Descent

When extreme sport athletes explain the engagement behind their taxing and risky endeavors, they often refer to the happiness generated by the activities. However, during the activity, these athletes seem neither pleased nor happy. This article proposes some answers from a study of facially expressed emotions measured moment by moment during downhill mountain biking. Self-reported emotions were also assessed immediately after the trip was over. The participants display less happiness during the activity than before and after the activity. No significant associations between facially expressed and self-reported emotions were observed. Findings are discussed with reference to the functional well-being approach arguing that some momentary feelings are non-evaluative in the sense of being caused by the difficulty of the ongoing activity. Within this framework, easy tasks produce happy feelings while difficult tasks produce interest—regardless of whether a goal has been reached or not. By contrast, retrospective emotions involve the evaluation of the activity in relation to its goal. When a goal is accomplished, the accompanying feeling is positive. If a goal (or value) is threatened, lost, or not achieved, negative feelings follow.

Antecedents of Exercise Dependence in Ultra-Endurance Sports: Reduced Basic Need Satisfaction and Avoidance-Motivated Self-Control.

Initiating and maintaining sports and exercise behavior are usually discussed in terms of strategies for promoting health. In the present study, we analyzed a sample of extreme endurance sport athletes and set out to predict exercise addiction, which is a facet of a sport-related health risk. We therefore draw on self-determination theory (Deci and Ryan, 1985, 2000), according to which low basic psychological need satisfaction can lead to excessive compensatory behavior. We aim to disentangle the effects of need satisfaction in the activity itself (exercising) and outside the activity (work/leisure) on exercise addiction. Furthermore, we propose anxious self-motivation as a mediator and tested whether it links low basic need satisfaction with exercise dependence. A correlational study with 323 multi-triathlon athletes confirmed our hypothesis that need satisfaction in work/leisure (but not in sports) is negatively related to exercise addiction. Furthermore, only need for competence in both domains (sport, work/leisure) is associated with anxious self-motivation. Mediation models showed that low competence satisfaction leads to anxious self-motivation that in turn predicts exercise addiction. The results are discussed critically in terms of their practical and theoretical implications for promoting health through sport and exercise.

Development and Initial Validation of a Rock Climbing Craving Questionnaire (RCCQ).

Conceptual similarities have been identified between experiences of extreme sports athletes and those with drug and behavioral addictions. Evidence suggests rock climbers experience craving and other withdrawal-like states when abstinent from their sport. However, no studies have attempted to quantitatively measure the craving experienced by participants of any extreme sports. Such a measure could allow a greater understanding of the craving experienced by extreme sports athletes and a comparison of these across sports (e.g., surfing) and activities (e.g., drug-use). Therefore, using validated craving measures as a template, the aim of the two studies outlined here was to design and preliminarily validate a subjective multidimensional inventory that could be used to measure craving in the sports of rock-climbing and mountaineering (“RCCQ”). The aim of the first study was to investigate the factor structure of a preliminary measure of craving. Climbers (n = 407) completed the RCCQ. A 3-factor model explained 53.65% of the total variance in item scores. All three factors comprised five items each, which were conceptually labeled as “urge to climb” “negative reinforcement” and “positive reinforcement.” The aim of the second study was to validate the 15-item 3-factor RCCQ resulting from Study 1 using confirmatory factor analysis (CFA). Climbers (n = 254) completed the questionnaire under a climbing-related cue condition or a cue-neutral condition. CFA revealed a good model fit and that all individual parameter estimates were significant and standard errors were within reasonable limits once item 13 was removed from Factor 1. Study 1 supports the multi-dimensional nature of rock climbing craving and shows parallels with substance-related craving in reflecting intention and positive (desire) and negative (withdrawal) reinforcement. Study 2 confirms this factor structure and gives initial validation to the measure with evidence that these factors are sensitive to cue exposure. Given the preliminary nature of the data, any practical implications are tentative. However, if as shown here, craving for climbing (and potentially other extreme sports) is similar to that experienced by drug-users and addicts, there is the potential that climbing and other extreme sports could be used as a replacement therapy for drug users.

Stress reactivity and personality in extreme sport athletes: The psychobiology of BASE jumpers

This is the first report of the psychobiology of stress in BASE jumpers, one of the most dangerous forms of extreme sport. We tested the hypotheses that indicators of emotional style (temperament) predict salivary cortisol reactivity, whereas indicators of intentional goal-setting (persistence and character) predict salivary alpha-amylase reactivity during BASE jumping. Ninety-eight subjects completed the Temperament and Character Inventory (TCI) the day before the jump, and 77 also gave salivary samples at baseline, pre-jump on the bridge over the New River Gorge, and post-jump upon landing. Overall BASE jumpers are highly resilient individuals who are highly self-directed, persistent, and risk-taking, but they are heterogeneous in their motives and stress reactivity in the Hypothalamic-Pituitary-Adrenal (HPA) stress system (cortisol reactivity) and the sympathetic arousal system (alpha-amylase reactivity). Three classes of jumpers were identified using latent class analysis based on their personality profiles, prior jumping experience, and levels of cortisol and alpha-amylase at all three time points. “Masterful” jumpers (class 1) had a strong sense of self-directedness and mastery, extensive prior experience, and had little alpha-amylase reactivity and average cortisol reactivity. “Trustful” jumpers (class 2) were highly cooperative and trustful individuals who had little cortisol reactivity coincident with the social support they experienced prior to jumping. “Courageous” jumpers (class 3) were determined despite anxiety and inexperience, and they had high sympathetic reactivity but average cortisol activation. We conclude that trusting social attachment (Reward Dependence) and not jumping experience predicted low cortisol reactivity, whereas persistence (determination) and not jumping experience predicted high alpha-amylase reactivity.

Addiction in Extreme Sports: An Exploration of Withdrawal States in Rock Climbers.

Background and aimsExtreme sports athletes are often labeled “adrenaline junkies” by the media, implying they are addicted to their sport. Research suggests during abstinence these athletes may experience withdrawal states characteristic of individuals with an addiction (Celsi, Rose, & Leigh, 1993; Franken, Zijlstra, & Muris, 2006; Willig, 2008). Despite this notion, no research has directly explored withdrawal experiences of extreme sports athletes.MethodsUsing semi-structured interviews, we explored withdrawal experiences of high (n = 4) and average-ability (n = 4) male rock climbers during periods of abstinence. We investigated the psychological and behavioral aspects of withdrawal, including craving, anhedonia, and negative affect; and differences in the frequency and intensity of these states between groups.ResultsDeductive content analysis indicated support for each of the three categories of anhedonia, craving, and negative affect. Consistent with existing substance addiction literature, high-ability climbers recalled more frequent and intense craving states and negative affect during abstinence compared with average-ability climbers. No differences in anhedonic symptoms between high and average-ability participants were found.ConclusionsRock climbing athletes appear to experience withdrawal symptoms when abstinent from their sport comparable to individuals with substance and behavioral addictions. The implications of these findings and suggestions for future research are discussed.

Athletes’ experiences, enjoyment, satisfaction, and memories from the Extreme Sport Week in Voss, Norway

Purpose– The purpose of this paper is to demonstrate how experiences, sport careers and biographic variables predict: enjoyment, satisfaction and memories from the unique and spectacular Extreme Sport Week (Ekstremsportveko), Voss, Norway, as reported by the extreme sport athletes.Design/methodology/approach– An electronic questionnaire was distributed to all participants during 2011, and collected responses from 292 athletes (27 per cent response rate). Data were analysed by frequencies, mean values, correlations and multiple regression.Findings– Extreme sport athletes were typically amateurs with serious leisure careers. Social ties between participants and volunteers were found. They had positive experiences at the event, and the realms of education, aesthetics and entertainment were the strongest predictors of enjoyment, satisfaction and memories. Level of excitement augmented the explained variance, especially when predicting memories. Most participants intended to re-visit future Extreme Sport Weeks.Research limitations/implications– The moderate response rate warrants generalisations from the study. As the study is cross-sectional, cause-effect relationships cannot be established.Practical implications– For event organisers, the study shows the athletes’ appreciations with its managerial implications.Social implications– The Voss area is highly appreciated for its natural beauty and extreme sport resources, and re-visits are likely to occur, hence contributing to its growth as extreme sport venue and to sport tourism.Originality/value– This study is the first to explore the experiences of athletes who participated in the unique and spectacular event Extreme Sport Week. For researchers and practitioners, it is an example of how to measure experiences and their outcomes of (extreme sport) events.

A Phenomenological Investigation of the Psychology of Big-Wave Surfing at Maverick’s

Extreme sport athletes perform in environments that are characterized by danger, unpredictability, and fear, and the consequences of a mistake include severe injury or death. Maverick’s is a big-wave surfing location in northern California that is known for its cold water temperatures, dangerous ocean wildlife, deep reef, and other navigational hazards. The purpose of this study was to use a phenomenological framework to understand the psychology of big-wave surfing at Maverick’s. Seven elite big-wave surfers completed in-depth phenomenological interviews and discussed the psychology related to various stages of big-wave surfing, including presurf, in the lineup, catching the wave, riding the wave, wiping out, and postsurf. Big-wave surfers described a variety of experiences associated with surfing at Maverick’s and discussed several ways that they coped with its challenges. The results provide a greater understanding of the psychology of participating in an extreme environment.

Energy Drinks: What Teenagers (and Their Doctors) Should Know

1. Kwabena L. Blankson, MD* 2. Amy M. Thompson, DO† 3. Dale M. Ahrendt, MD‡ 4. Vijayalakshmy Patrick, MD§ 1. *Maj, US Air Force, Adolescent Medicine, Naval Medical Center, Portsmouth, VA. 2. †Maj, US Army, Adolescent Medicine Fellow, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), San Antonio, TX. 3. ‡Lt Col, US Air Force, Program Director, Adolescent Medicine, Fellowship, SAUSHEC, San Antonio, TX. 4. §Psychiatrist, Brooke Army Medical Center Associate Professor, University of Texas Health Science Center, San Antonio, TX. Hundreds of different energy drinks are available and are marketed to adolescents, carrying the potential for substance abuse that involves caffeine and alcohol. Clinicians must be educated to deal with their patients’ use of these products. After reading this article, readers should be able to: 1. Understand the size and scope of the energy drink market and recognize common energy drink brands. 2. Know that adolescents are high consumers of energy drinks and use them as performance enhancers. 3. Know the contents of energy drinks and their adverse effects and safety concerns. 4. Know that energy drinks can be a cause of tachycardia, hypertension, obesity, and other medical problems in adolescents. 5. Know the dangers of mixing energy drinks with alcohol. 6. Understand the relationship between caffeine tolerance/dependence and alcohol tolerance/dependence. 7. Understand the importance of screening teenagers for energy drink use in the office setting and offering appropriate counseling. Energy drinks are caffeinated beverages advertised as boosting the immune system, enhancing performance, and creating a “buzz” or a “high.” Some of these drinks contain alcohol, and sometimes consumers mix them with alcoholic beverages. This article reviews current information about the content, benefits, and risks of the use of these energy drinks by adolescents. Adolescents are no strangers to energy drinks, and over the past 2 years, media reports have heightened the awareness of doctors, parents, and lawmakers. In 2010, nine university students in Washington State were hospitalized and one almost died; their illness was attributed to a fruit-flavored, caffeinated alcoholic drink. A month earlier, on a college campus in New Jersey, 23 students were hospitalized after becoming intoxicated, again reportedly after drinking the same …