"The abuse of minors you witness or experience": A qualitative study of former professional ballet school students' characterizations of maltreatment.

BACKGROUND: The number of recent media reports of child maltreatment (CM) at international professional ballet schools surpasses the few studies on CM in dance. In general, studies on dance largely focus on psychological maltreatment. There is also little research on student experiences across the entire professional ballet school context, which typically include dance, academic, social life, and healthcare experiences, and for some students, living in residence or a homestay from a young age. OBJECTIVE: To explore how former professional ballet school students characterize and make sense of experiences of CM across the entire school context in dance training, academics, social life, living (e.g., in residence, homestay), and healthcare. PARTICIPANTS AND SETTING: Participants were 15 former professional ballet school students (12 women, three men) aged 18-27 years old across six countries. METHODS: Data from online semi-structured interviews and questionnaires were analyzed using reflexive thematic analysis. RESULTS: Experiences were interpreted in the wider context of participants' former ballet schools. Themes included: 1) psychological maltreatment in and beyond the studio; 2) neglect and devaluation: costs of over-prioritizing ballet; 3) physicalabuse: outdated but still rationalized as instrumental; and 4) sexual abuse in blurred private and public spaces. CONCLUSIONS: Participants used CM vocabulary to describe their own and peers' experiences and emphasized that CM should not be normalized. Sense making about experiences suggested a need for more ballet school community awareness about the multiple potential forms of harm of CM, as well as more research, intervention, and advocacy about CM at ballet schools.

Mental Health Among Elite Youth Athletes: A Narrative Overview to Advance Research and Practice.

CONTEXT: Participation in sports during youth is typically beneficial for mental health. However, it is unclear whether elite sport contexts contribute to greater risk of psychological distress or disorder. The aims of this paper are to highlight conceptual issues that require resolution in future research and practice, and to examine the key factors that may contribute to the mental health of elite youth athletes (EYAs). EVIDENCE ACQUISITION: A narrative overview of the literature combined with the clinical and research expertise of the authors. STUDY DESIGN: Narrative overview. LEVEL OF EVIDENCE: Level 5. RESULTS: EYAs experience a range of biopsychosocial developmental changes that interact with mental health in a multitude of ways. In addition, there are various sport-specific factors that contribute to the mental health of EYAs that may become more prominent in elite contexts. These include - but are not limited to - patterns relating to athlete coping and self-relating styles, the nature of peer, parental, and coach relationships, organizational culture and performance pressures, and mental health service provision and accessibility. CONCLUSION: A range of critical factors across individual, interpersonal, organizational, and societal domains have been shown to contribute to mental health among EYAs. However, this evidence is limited by heterogeneous samples and varied or imprecise terminology regarding what constitutes "youth" and "elite" in sport. Nevertheless, it is clear that EYAs face a range of risks that warrant careful consideration to progress to best practice principles and recommendations for mental health promotion and intervention in elite youth sport. SORT: Level C.

Maltreatment experiences and mental health indicators among elite athletes.

This study explored the relationships between athletes' experiences of maltreatment and mental health indicators. Canadian National Team athletes completed an online, anonymous survey that assessed reported experiences of maltreatment (psychological, physical, sexual harm and neglect), and mental health indicators of well-being, eating disorders and self-harming behaviours. All forms of maltreatment had a significant, positive correlation with eating disorder and self-harming behaviours, and a negative correlation with well-being. The relationships between maltreatment and mental health indicators differed based on identity characteristics of the athletes. Further work is needed on the prevention and intervention of maltreatment in sport to reduce the behaviours associated with negative health outcomes.

Investigating Sport Stakeholders' Understanding of Behaviour Management within a Competitive Youth Baseball Team.

The following study employed an instrumental case study to investigate sport stakeholders' understandings of behavioural management strategies used in competitive youth baseball, including the identification of common strategies and interpretations of these as punishment or discipline. Twenty-one participants, from one competitive (AAA) all-boys baseball team, including three coaches, eleven baseball players, and seven parents, were recruited to participate in an individual semi-structured interview. Interviews ranged between 30 and 150 min, and data were analyzed using reflexive thematic analysis. Several behaviour management tactics were identified, of which exercise, benching and yelling negative comments were most often reported. While participants interpreted excessive exercise and benching as punitive and/or disciplinary approaches to behavioural management, yelling was consistently viewed as punitive. Participants confused punishment and discipline as interchangeable, thus suggesting a lack of awareness regarding developmentally appropriate strategies of behavioural management and highlighting the normalization of certain punitive tactics in youth sport. The results underscore the necessity of imparting knowledge to the sports community regarding age-appropriate behavioural management interventions to foster safe and enjoyable athletic experiences for youth competitors.

Listening to Athletes' Voices: National Team Athletes' Perspectives on Advancing Safe Sport in Canada.

With increased media scrutiny, public awareness, and research on the prevalence of maltreatment experiences in sport, sport organizations have faced increased pressures to combat unsafe practices in sport. A consequence has been the emergence of the Safe Sport movement whereby organizations including the International Olympic Committee, Safe Sport International, US Center for SafeSport, Sport Canada, and others, have developed policies, initiatives, and education intended to create safer sport environments for all participants. Most of these policies have been implemented using a top-down approach, driven by government officials and sport leaders. However, if safe sport initiatives are to benefit athletes, consideration and incorporation of athletes' perspectives in the development and implementation of initiatives are imperative. The purpose of this study, therefore, was to examine athletes' perspectives on the challenges and recommendations to advancing safe sport. As part of a large-scale survey of current and retired Canadian National Team Athletes' experiences of maltreatment, open-ended questions were asked about athletes' recommendations and considerations for safe sport. Responses to these questions (n = 386) were analyzed using thematic analysis. According to the participants, barriers and challenges to safe sport included emphasizing performance excellence at-all-costs, normalization and complicity of harm, lack of attention to equity, diversity and inclusion, a culture of fear and silence, and a lack of trust in organizations to handle cases of harm. In an effort to advance safe sport, participants recommended prioritizing holistic athlete development, improving and strengthening accountability measures, implementing an independent 3rd party for disclosure, reporting and support, increased attention to equity, diversity and inclusion, stakeholder education, prohibition of sexual relations between athletes and those in positions of power and authority, and adoption of a broader perspective of harms and perpetrators. Findings are interpreted and critiqued in light of previous literature and recommendations for future research and practice are suggested.

'Safe Sport Is Not for Everyone': Equity-Deserving Athletes' Perspectives of, Experiences and Recommendations for Safe Sport.

There is a growing concern that the voices of athletes, and in particular, athletes from equity-deserving groups, are unaccounted for in the development and advancement of Safe Sport initiatives. The lack of consideration of the needs and experiences of diverse groups is concerning, given the existing literature outside the context of sport indicating that equity-deserving individuals experience more violence. As such, the following study sought to understand how equity-deserving athletes interpret and experience Safe Sport. Grounded within an interpretive phenomenological analysis, semi-structured interviews were used to understand how athletes with marginalised identities conceptualise and experience Safe Sport. Seven participants, including two Black male athletes, two White, gay male athletes, one Middle Eastern female athlete, one White, female athlete with a physical disability and one White, non-binary, queer, athlete with a physical disability, were asked to conceptualise and describe their experiences of Safe Sport. The findings revealed these athletes perceived Safe Sport as an unrealistic and unattainable ideal that cannot fully be experienced by those from equity-deserving groups. This interpretation was reinforced by reported experiences of discriminatory comments, discriminatory behaviours and systemic barriers, perpetrated by coaches, teammates, and resulting from structural aspects of sport. The findings draw on the human rights literature to suggest integrating principles of equity, diversity and inclusion are fundamental to safeguarding equity-deserving athletes.

Prevalence of Maltreatment Among Canadian National Team Athletes.

This study assessed the prevalence of maltreatment experienced by Canadian National Team athletes. In total, 995 athletes participated in this study, including current athletes and athletes who had retired in the past 10 years. An anonymous online survey was administered, consisting of questions about experiences of psychological, physical, and sexual harm, and neglect, as well as questions about identity characteristics, when the harm was experienced, and who perpetrated the harm. Neglect and psychological harm were most frequently reported, followed by sexual harm and physical harm. Female athletes reported significantly more experiences of all forms of harm. Retired athletes reported significantly more neglect and physical harm. Athletes reportedly experienced more harmful behaviors during their time on the national team than before joining a national team. Coaches were the most common perpetrators of all harms except for sexual harm, which was most frequently perpetrated by peers. This study highlighted the prevalence with which Canadian National Team athletes reportedly experience harmful behaviors in sport, suggesting the need for preventative and intervention initiatives.

Sport Administrators' Perspectives on Advancing Safe Sport.

Numerous international high-profile cases of athlete abuses have led to efforts to advance what has been termed "Safe Sport." Sport and coaching organisations are urgently designing and implementing policies, procedures and programmes to advance a culture of safe sport. However, we posit that these endeavours are occurring without a conceptual framework about what constitutes safe sport or how to achieve it. Without a consistent conceptual framework for safe sport, prevention and intervention initiatives may not be fully realised. As such, the purpose of the study was to explore sport administrators' perspectives of how to advance safe sport. Given the leadership positions sport administrators hold, understanding their perspectives may be helpful in informing a framework to guide the development and implementation of safe sport strategies. Using a constructivist grounded theory approach, semi-structured interviews were conducted with 13 sport administrators from different sport and coaching organisations to elicit views on how best to advance safe sport. The findings indicated that a multi-faceted approach embracing multiple advancement strategies was reportedly essential for progressing safe sport. Specifically, the sport administrators recommended that sport organisations establish a universal framework of safe sport, design and implement education, implement and enforce policies, establish independent monitoring and complaint mechanisms and conduct research to ensure that advancement strategies are current and applicable. The participants suggested that these advancement strategies are necessary to evolve sport from a culture that embraces hegemonic masculine narratives, interpersonal violence and controlling coach-athlete relationships, to a culture of sport that extends the safe sport focus beyond the prevention of harm to the promotion of positive values and human rights. The findings were interpreted through a safeguarding lens to propose a framework for achieving safeguarding sport, defined by the prevention of harm and the promotion of positive values in sport.

Examining the impact of the Respect in Sport Parent Program on the psychosocial experiences of minor hockey athletes.

Models of positive youth development suggest that athletes may be influenced by parent education programmes; however, there is little research examining the impact of such programmes on athlete outcomes. This study examined the impact of the Respect in Sport Parent Program on athlete outcomes among minor hockey players over three years. This study consisted of cross-sectional and longitudinal online surveys measuring athletes' positive and negative developmental experiences, prosocial and antisocial behaviours, parental support and pressure, and sport enjoyment and commitment. Athletes completed at least one online survey during the study period (N = 366; 84.2% males; 14-19 years of age; M = 15.4 years), and 83 athletes completed multiple surveys for longitudinal analyses. Cross-sectional results comparing athletes in leagues adopting the programme at different time points indicated significant differences in prosocial behaviours towards teammates. Multilevel longitudinal analyses revealed improvements in athletes' antisocial behaviours towards opponents, initiative, goal setting, and cognitive skills over time, regardless of whether they were in a league that implemented the programme. However, athletes in leagues that implemented the programme during the study reported greater improvements in antisocial behaviours towards opponents, and there were trends with respect to improved personal and social skills. These findings provide suggestions to improve the delivery and impact of parent education programmes in youth sport.

Providing Social Support to Female Olympic Athletes.

Support providers may experience positive and negative outcomes associated with supporting others. However, there is a lack of research on support provision to elite athletes and the views of athletes' support providers. This study addressed this gap by exploring the experiences of providing and receiving support between female Olympians and their main support providers. Five female Olympians and their main support providers participated in separate semistructured interviews. It appeared that support provision was personally and professionally rewarding, as well as challenging, for support providers, and athletes were generally satisfied with the support they received. Athletes appeared highly dependent on their support providers, but both athletes and support providers felt that high levels of support were necessary for athletic success. Further research is needed to understand how support providers are able to foster their own personally supportive relationships and whether high levels of interpersonal dependence are required to achieve athletic success.

A qualitative examination of body image threats using Social Self-Preservation Theory.

This study sought to identify and describe comfortable and uncomfortable body-related situations of young women, as well as describe their responses to such situations and strategies they used to cope with body-related threats, using Social Self-Preservation Theory (SSPT) as a guiding framework. Interviews were conducted with college women (N=23). A theoretical thematic analysis approach was taken to identify, code, and report themes. In general, participants found it difficult to identify specific comfortable situations and responses in those situations. Comfortable situations were characterized by the presence of supportive others and feelings of general calmness and lowered body awareness or self-presentational concerns. Findings regarding uncomfortable body-related situations indicated that the context (e.g., presence of others, body exposure), responses (e.g., embarrassment, inadequacy, awareness of others' evaluations, faster heart rate), and coping strategies (e.g., avoidance, concealing behaviors) described by participants were consistent with SSPT.

Drive for thinness score is a proxy indicator of energy deficiency in exercising women.

The purpose of this study was to determine the association between drive for thinness (DT) and adaptations to energy deficiency in exercising women. This observational study evaluated psychometric and metabolic factors in sedentary (n=9, 27.9+/-2.0 yr) and exercising women (n=43, 24.0+/-1.1 yr). Volunteers were retrospectively grouped according to exercise status (sedentary or exercising) and a DT score of normal (sedentary or exercising) or high (exercising only). Resting energy expenditure (REE) and metabolic hormones (triiodothyronine, (TT3), ghrelin, leptin, insulin) were measured repeatedly over a 2-3 month period. The DT subscale successfully discriminated the groups based on energy status. Although the groups did not differ in body weight, the high DT group exhibited adaptations to chronic energy deficiency, including a REE below 90% of their predicted REE (86+/-3.0%), significantly lower TT3 levels and significantly higher ghrelin levels than the normal DT groups. Since energy deficiency plays a causal role in the Female Athlete Triad, DT may serve as a proxy indicator of underlying energy deficiency and may be useful for identifying individuals at risk for Triad disorders prior to the development of serious clinical sequelae.

The career planning, athletic identity, and student role identity of intercollegiate student athletes.

The purpose of this study was to examine the career planning of university student athletes and relationships between their career planning and athletic and student role identities. Two retrospective in-depth interviews were held with four male and four female university student athletes. Participants entered university with vague or nonexistent career objectives and invested heavily in their athletic roles. In the latter years of their college career, the participants discarded their sport career ambitions and allowed the student role to become more prominent in their identity hierarchies. The current findings support Brown and Hartley's (1998) suggestion that student athletes may invest in both the athlete and student role identities simultaneously and that investing in the latter may permit the exploration of nonsport career options.