Evidence map›Paper›PMID 41014436›Full record

SynthesisSports medicine (Auckland, N.Z.)2025

The Mental Health of Sporting Officials: A Systematic Review and Meta-analysis.

Riki Lindsay, Courtney C Walton, Aden Kittel, Dominic G McNeil, Paul Larkin, Michael Spittle, Suzanne M Cosh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Riki LindsayCollaborative Evaluation and Research Centre, Federation University, Ballarat, Australia. r.lindsay@federation.edu.au.ORCID 0000-0001-8791-9471
Courtney C WaltonMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
Aden KittelCentre for Sport Research, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
Dominic G McNeilCollaborative Evaluation and Research Centre, Federation University, Ballarat, Australia.
Paul LarkinInstitute for Health and Sport, Victoria University, Melbourne, Australia.
Michael SpittleInstitute for Health and Sport, Victoria University, Melbourne, Australia.
Suzanne M CoshSchool of Psychology, University of New England, Armidale, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mental health of participants in sport has attracted increasing focus within research, practice, and policy. While mental health in sports has received increased attention, the mental health of sporting officials-such as judges, referees, and umpires-remains significantly under-researched compared with athletes. To our knowledge, there are no systematic reviews and meta-analyses that have synthesised available prevalence data of mental health symptoms and disorders in sporting officials. In addition, while previous reviews have provided a broad overview of risk and protective factors in relation to overall mental health, links between identified factors and specific mental health and well-being outcomes have not been explored. Therefore, this study aimed to systematically review and analyse the prevalence rates of mental health symptoms and disorders (e.g., depression and anxiety) among sporting officials and identify specific risk and protective factors influencing sporting officials' mental health and/or psychological well-being.

methodsRelevant studies were retrieved from SCOPUS, Web of Science, SPORTDiscus and PsycINFO up until July 2025. Prevalence rates of specific mental health outcomes (i.e. anxiety and depressive symptoms) were meta-analysed.

resultsA total of 26 studies were included. Meta-analyses comprising 2797 sporting officials showed that the pooled proportion of elevated anxiety symptoms was 19.1% (95% CI 13.4-27, I

conclusionsThe results suggest that targeting change at various levels of the sport ecosystem may help foster and promote positive mental health outcomes among sporting officials. The findings of this review suggest that strategies tailored to officials could include age/level of experience-specific support interventions and creating organisational cultures that prioritise mental health outcomes.

Indexed as

AnxietyAthletesDepressionMental HealthSportsHumansPrevalenceRisk Factors

Identifiers

PMID41014436
PMCPMC12628492

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.