ArticleHarm reduction journal2025
The 'selves' in doping and its psychosocial mechanisms: harmonised multi-country evidence from high-performing athletes in the UK, US, and China.
Article in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Annual Banned-Substance Review 18th Edition-Analytical Approaches in Human Sports Drug Testing 2024/2025.Drug testing and analysis · 2026Review
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4 authors.
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Abstract
backgroundDoping remains an ongoing threat to clean competition. To date, global preventive initiatives have not addressed critical psychosocial antecedents of doping thoroughly due to the scarcity of knowledge regarding its psychosocial mechanisms from a harmonised cross-country perspective. We, therefore, conducted a multi-country investigation testing the interplay of two important yet overlooked attributes, namely narcissism and self-compassion, and examined their psychosocial mechanisms underpinning doping.
methodsUsing a sample of 499 high-performing athletes (80% competing at national level or above) from the UK, US, and China, we performed a series of multi-variate multi-group moderation models to test the narcissism × compassion interaction on doping and examined potential psychosocial mechanisms underlying such effects. In all analyses, we applied cluster control to adjust for coach-/team-level confounds and compared fixed vs. random effects models for cross-country comparisons.
resultsWe found an identical interaction across study countries showing self-compassion alleviates narcissism-related doping willingness (especially that vulnerable narcissism drives). Grandiose narcissism's protective effect on vulnerable narcissism-related doping moral disengagement was invariant across countries. Resilient coping appears to be a consistent mechanism across study countries that explains narcissism-related risk and compassion-related protection. Fear of failure manifested varied mechanistic effects in different study countries, inferring potential cross-cultural differences.
conclusionVulnerable narcissism is a critical person-level correlate of doping. Grandiose narcissism, in the presence of self-compassion, can alleviate such risk thanks to enhanced resilient coping. Future education and interventions should tackle these important person-level attributes for anti-doping.
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