Managing pre-competition psychological pressure in elite athletes: a systematic review of stressors, anxiety interpretation, and coping strategies

Ifdil Ifdil; Nur Adila Wafiqoh Zulvi; M Fahli Zatrahadi

doi:10.32698/03682

Managing pre-competition psychological pressure in elite athletes: a systematic review of stressors, anxiety interpretation, and coping strategies

Ifdil Ifdil⁽¹⁾, Nur Adila Wafiqoh Zulvi⁽²⁾, M Fahli Zatrahadi⁽³⁾,
(1) Universitas Negeri Padang, Padang

Indonesia
(2) Universitas Negeri Padang, Padang

Indonesia
(3) Universitas Islam Negeri Sultan Syarif Kasim Riau, Pekanbaru

Indonesia

Corresponding Author

DOI : https://doi.org/10.32698/03682

Full Text:

Language : en

Abstract

Elite athletes routinely face intense psychological pressure before competition, yet evidence on how they experience and regulate it remains dispersed across qualitative, correlational, and intervention research. This systematic review aimed to synthesise the sources and forms of pre-competition pressure reported by elite athletes, the coping strategies and mental skills they use, and the links between these strategies and performance readiness. The review followed the PRISMA 2020 framework and used a SPIDER-informed Boolean search of Scopus combining terms for elite athletes, psychological pressure, coping, and competition. The search identified 217 records. After removing 12 duplicates, 205 records were screened and 92 full-text reports were assessed against predefined criteria covering English-language primary empirical journal articles on elite or high-performance athletes published between 2005 and 2025. Fifteen studies were included and appraised with design-specific tools. Pressure arose from performance, organisational, and team-climate demands and was shaped more by appraisal and symptom interpretation than by anxiety intensity. Elite athletes combined imagery, self-talk, goal setting, routines, social support, and problem-focused coping, while mindfulness and hypnosis interventions reduced competitive anxiety and physiological stress. These findings support appraisal-based, individualised mental preparation. Future research should adopt longitudinal, ecologically valid, and culturally diverse designs.

Keywords

Competition stressors; Competitive anxiety; Coping strategies; Elite athletes; Mental preparation.

References

Aase, E., Abrahamsen, F. E., & Gustafsson, H. (2025). From pandemic to podium? Norwegian Olympic handball players' journey to Tokyo 2020. Frontiers in Psychology, 16, Article 1566238. https://doi.org/10.3389/fpsyg.2025.1566238

Anshel, M. H., Williams, L. R. T., & Williams, S. M. (2000). Coping style following acute stress in competitive sport. Journal of Social Psychology, 140(6), 751–773. https://doi.org/10.1080/00224540009600515

Aromataris, E., & Munn, Z. (Eds.). (2020). JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-01

Calmeiro, L., Tenenbaum, G., & Eccles, D. W. (2014). Managing pressure: Patterns of appraisals and coping strategies of non-elite and elite athletes during competition. Journal of Sports Sciences, 32(19), 1813–1820. https://doi.org/10.1080/02640414.2014.922692

Casuga, S. M., Vogel, E. B., & Pope-Rhodius, A. (2017). A qualitative content analysis of the bahala na attitude in Filipino elite athletes. International Journal of Sport Psychology, 48(4), 419–434. https://doi.org/10.7352/IJSP2017.48.419

Chiron, F., Gulören, B., Erblang, M., Poirier, C., Elbaz, M., Servonnet, A., Gaudin, M., Le Coz, C., Lopes, P., Chennaoui, M., Hanon, C., Léger, D., & Thomas, C. (2025). Exploring the influence of coherent breathing on psychophysiological stress during a simulated 3-day 400-m race. Journal of Strength and Conditioning Research, e460–e471. https://doi.org/10.1519/JSC.0000000000005377

Cooke, A., Smith, D., & Booth, A. (2012). Beyond PICO: The SPIDER tool for qualitative evidence synthesis. Qualitative Health Research, 22(10), 1435–1443. https://doi.org/10.1177/1049732312452938

Devonport, T. (2015). Understanding stress and coping among competitive athletes in sport: Applying psychological theory and research. In Sport and exercise psychology: Topics in applied psychology (2nd ed., pp. 127–153). Routledge. https://doi.org/10.4324/9781315713809

Di Corrado, D., Tortella, P., Coco, M., Guarnera, M., Tusak, M., & Parisi, M. C. (2025). Mental imagery and stress: The mediating role of self-efficacy in competitive martial arts athletes. Frontiers in Psychology, 16, Article 1517718. https://doi.org/10.3389/fpsyg.2025.1517718

Doron, J., & Martinent, G. (2021). Dealing with elite sport competition demands: An exploration of the dynamic relationships between stress appraisal, coping, emotion, and performance during fencing matches. Cognition and Emotion, 35(7), 1365–1381. https://doi.org/10.1080/02699931.2021.1960800

Gucciardi, D. F. (2017). The psychosocial development of world-class athletes: Additional considerations for understanding the whole person and salience of adversity. Progress in Brain Research, 232, 127–132. https://doi.org/10.1016/bs.pbr.2016.11.006

Hanton, S., Wadey, R., & Connaughton, D. (2005). Debilitative interpretations of competitive anxiety: A qualitative examination of elite performers. European Journal of Sport Science, 5(3), 123–136. https://doi.org/10.1080/17461390500238499

Hoedaya, D., & Anshel, M. H. (2003). Use and effectiveness of coping with stress in sport among Australian and Indonesian athletes. Australian Journal of Psychology, 55(3), 159–165. https://doi.org/10.1080/0004953042000298622

Hoffmann, N., Strahler, J., & Schmidt, B. (2024). Starting in your mental pole position: Hypnosis helps elite downhill mountainbike athletes to reach their optimal racing mindset. Frontiers in Psychology, 15, Article 1334288. https://doi.org/10.3389/fpsyg.2024.1334288

Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O'Cathain, A., Rousseau, M.-C., Vedel, I., & Pluye, P. (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285–291. https://doi.org/10.3233/EFI-180221

Kristiansen, E., & Roberts, G. C. (2010). Young elite athletes and social support: Coping with competitive and organizational stress in "Olympic" competition. Scandinavian Journal of Medicine and Science in Sports, 20(4), 686–695. https://doi.org/10.1111/j.1600-0838.2009.00950.x

Kudlackova, K., Eccles, D. W., & Dieffenbach, K. (2013). Use of relaxation skills in differentially skilled athletes. Psychology of Sport and Exercise, 14(4), 468–475. https://doi.org/10.1016/j.psychsport.2013.01.007

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174. https://doi.org/10.2307/2529310

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6(7), Article e1000100. https://doi.org/10.1371/journal.pmed.1000100

Mahoney, M. J., & Avener, M. (1977). Psychology of the elite athlete: An exploratory study. Cognitive Therapy and Research, 1(2), 135–141. https://doi.org/10.1007/BF01173634

Mahot, K., Pété, E., Lienhart, N., & Doron, J. (2026). Communal coping in high-level sports teams: A mixed-method investigation. Psychology of Sport and Exercise, 83, Article 103059. https://doi.org/10.1016/j.psychsport.2025.103059

McGinn, S., Alcock, D., & Cameron, L. J. (2018). Straight from the horse's mouth: Understanding professional event riders' mental preparation for maximising self-confidence prior to competition using thematic analysis. Comparative Exercise Physiology, 14(4), 261–270. https://doi.org/10.3920/CEP180020

Mehrsafar, A. H., Strahler, J., Gazerani, P., Khabiri, M., Sánchez, J. C. J., Moosakhani, A., & Zadeh, A. M. (2019). The effects of mindfulness training on competition-induced anxiety and salivary stress markers in elite Wushu athletes: A pilot study. Physiology & Behavior, 210, Article 112655. https://doi.org/10.1016/j.physbeh.2019.112655

Mellalieu, S. D., Neil, R., Hanton, S., & Fletcher, D. (2009). Competition stress in sport performers: Stressors experienced in the competition environment. Journal of Sports Sciences, 27(7), 729–744. https://doi.org/10.1080/02640410902889834

Meng, M., Su, R.-H., Kogiso, K., Zheng, R.-R., Chen, L., Wei, W., Li, W., & Hsu, M.-C. (2024). How the perfectionistic climate of a sports team predicts the athletic performance of elite athletes: A case study of the CUBAL women's basketball team. Frontiers in Psychology, 15, Article 1415196. https://doi.org/10.3389/fpsyg.2024.1415196

Moreira da Silva, F., Malico Sousa, P., Pinheiro, V. B., López-Torres, O., Refoyo Roman, I., & Mon-López, D. (2021). Which are the most determinant psychological factors in olympic shooting performance? A self-perspective from elite shooters. International Journal of Environmental Research and Public Health, 18(9), Article 4637. https://doi.org/10.3390/ijerph18094637

Neil, R., Mellalieu, S. D., & Hanton, S. (2006). Psychological skills usage and the competitive anxiety response as a function of skill level in rugby union. Journal of Sports Science and Medicine, 5(3), 415–423.

Nicolas, M., Drapeau, M., & Martinent, G. (2017). A reciprocal effects model of the temporal ordering of coping and defenses. Stress and Health, 33(2), 143–152. https://doi.org/10.1002/smi.2690

Noblet, A. J., & Gifford, S. M. (2002). The sources of stress experienced by professional Australian footballers. Journal of Applied Sport Psychology, 14(1), 1–13. https://doi.org/10.1080/10413200209339007

Nogueira, J. M., Morais, C., Mansell, P., & Gomes, A. R. (2025). Emotional profile of athletes before competition: Contributions for perceived stress, cognitive appraisal and coping strategies. Frontiers in Sports and Active Living, 7, Article 1636826. https://doi.org/10.3389/fspor.2025.1636826

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., . . . Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, Article n71. https://doi.org/10.1136/bmj.n71

Pensgaard, A. M., & Roberts, G. C. (2003). Achievement goal orientations and the use of coping strategies among Winter Olympians. Psychology of Sport and Exercise, 4(2), 101–116. https://doi.org/10.1016/S1469-0292(01)00031-0

Pensgaard, A. M., & Ursin, H. (1998). Stress, control, and coping in elite athletes. Scandinavian Journal of Medicine and Science in Sports, 8(3), 183–189. https://doi.org/10.1111/j.1600-0838.1998.tb00190.x

Pereira, A. P. F., Costa, I. N., de Freitas, J. P., Miranda, M. J. C., da Silva Araújo, G., da Silva Telles, L. G., da Silva Novaes, J., de Oliveira Muniz Cunha, J. C., de Meirelles, A. G., de Jesus, I. R. T., & Monteiro, E. R. (2024). Effect of mindfulness meditation on high-performance sports: A scoping review. Retos, 57, 536–560. https://doi.org/10.47197/retos.v57.99004

Schinke, R. J., Battochio, R. C., Dube, T. V., Lidor, R., Tenenbaum, G., & Lane, A. M. (2012). Adaptation processes affecting performance in elite sport. Journal of Clinical Sport Psychology, 6(2), 180–195. https://doi.org/10.1123/jcsp.6.2.180

Souter, G., Lewis, R., & Serrant, L. (2018). Men, mental health and elite sport: A narrative review. Sports Medicine - Open, 4(1), Article 57. https://doi.org/10.1186/s40798-018-0175-7

Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., . . . Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, Article l4898. https://doi.org/10.1136/bmj.l4898

Stratas, A., Adam, I., & Pan, H. (2021). An interpretative phenomenological analysis of a visually impaired athlete's lived experience with competitive stress at the 2016 Summer Paralympics. International Journal of Sport and Society, 12(2), 123–135. https://doi.org/10.18848/2152-7857/CGP/v12i02/123-135

Thelwell, R. C., Weston, N. J. V., Greenlees, I. A., & Hutchings, N. V. (2008). Stressors in elite sport: A coach perspective. Journal of Sports Sciences, 26(9), 905–918. https://doi.org/10.1080/02640410801885933

Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8, Article 45. https://doi.org/10.1186/1471-2288-8-45

Tranfield, D., Denyer, D., & Smart, P. (2003). Towards a methodology for developing evidence-informed management knowledge by means of systematic review. British Journal of Management, 14(3), 207–222. https://doi.org/10.1111/1467-8551.00375

Wadey, R., & Hanton, S. (2008). Basic psychological skills usage and competitive anxiety responses: Perceived underlying mechanisms. Research Quarterly for Exercise and Sport, 79(3), 363–373. https://doi.org/10.1080/02701367.2008.10599500

Waite, L., Stanley, C., Zuleger, B., & Shadle, A. (2022). Evaluating sport psychology service delivery for elite USA track and field athletes: Findings and recommendations. The Sport Psychologist, 36(1), 47–60. https://doi.org/10.1123/tsp.2021-0069

Walton, C. C., Rice, S., Olive, L., Reardon, C. L., & Purcell, R. (2023). Anxiety disorders among elite athletes. In Routledge handbook of mental health in elite sport (pp. 159–174). Routledge. https://doi.org/10.4324/9781003099345-15

Woodman, T., & Hardy, L. (2001). A case study of organizational stress in elite sport. Journal of Applied Sport Psychology, 13(2), 207–238. https://doi.org/10.1080/104132001753149892