ArticleFrontiers in sports and active living2026
The international student-athlete life: risk factors, stressors, and mental health; a brief research report.
Article in Frontiers in sports and active living, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: International Student-Athletes (ISAs) represent a unique population in collegiate sports, facing distinct challenges that may impact their mental health beyond those experienced by domestic athletes. While ISAs contribute significantly to NCAA programs, limited quantitative research exists on their specific risk factors, stressors, and mental health needs. This study examined factors affecting ISAs' wellbeing and their utilization of mental health resources. Methods: A cross-sectional survey was distributed to ISAs at Division I and II universities through athletic directors and coaches. The anonymous online questionnaire assessed demographics, depressive symptoms (PHQ-2), anxiety symptoms (GAD-2), relationship satisfaction with coaches/teammates/staff, life domain satisfaction, homesickness, discrimination experiences, and mental health service utilization. Chi-square analyses examined associations between variables and mental health symptoms. Results: Among 207 participants (87% female and 83% European origin), 18% reported depressive symptoms and 25% reported anxiety in the previous 2 weeks. Mental health service utilization was 41%. Significant associations emerged between mental health symptoms and dissatisfaction with coaches, teammates, staff, diet, sleep, and social life. Homesickness affected 63% and was linked to higher depression and anxiety rates. Twenty percent experienced discrimination and 27% reported food insecurity. Discussion: ISAs face substantial mental health challenges, with relationship quality emerging as a critical factor. The findings highlight the importance of supportive coach-athlete and teammate relationships for ISA wellbeing. Future research should explore cultural and gender variations while institutions should consider specialized mental health support and culturally informed training for athletic staff working with this population.
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