Evidence map›Paper›PMID 42347475›Full record

ReviewSports (Basel, Switzerland)2026

Sustainable Athletes' Career Pathways and Mental Health Support: An Integrative Umbrella Review.

Francesca Di Rocco, Cristian Romagnoli, Simone Ciaccioni, Sabrina Demarie, Mojca Doupona, Laura Capranica, Elvira Padua, Flavia Guidotti

Abstract readReview
In one paragraph

Review in Sports (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Francesca Di RoccoDepartment of Human Sciences and Promotion of Quality of Life, "San Raffaele" Open University of Rome, 00166 Rome, Italy.ORCID 0000-0003-0031-5291
Cristian RomagnoliDepartment of Human Sciences and Promotion of Quality of Life, "San Raffaele" Open University of Rome, 00166 Rome, Italy.ORCID 0000-0003-0904-634X
Simone CiaccioniDepartment of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.ORCID 0000-0001-9533-9178
Sabrina DemarieDepartment of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.ORCID 0000-0003-2390-3192
Mojca DouponaDepartment of Sport Sociology, Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0009-0008-6671-1282
Laura CapranicaDepartment of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.ORCID 0000-0003-3073-7655
Elvira PaduaDepartment of Human Sciences and Promotion of Quality of Life, "San Raffaele" Open University of Rome, 00166 Rome, Italy.ORCID 0000-0001-5227-2567
Flavia GuidottiDepartment of Human Sciences and Promotion of Quality of Life, "San Raffaele" Open University of Rome, 00166 Rome, Italy.ORCID 0000-0003-0390-6214

Funding

Erasmus+ 101184857-ERASMUS-SPORT-2024-SCP
6 · The paper itself

Abstract

The present integrative umbrella review aims to provide a comprehensive overview of the evidence and practices related to mental health and career transitions in elite sport toward the implementation of service provision through digital interventions. Following PRIO guidelines, an extensive search across five databases (2015-2025) identified 52 eligible manuscripts (e.g., conceptual, review, and position studies). Data extraction focused on mental health, dual-career pathways, career transition challenges and needs, and identity-related issues among high-performance athletes. The findings revealed a strong consensus that athlete well-being is shaped by the dynamic interaction of mental health symptoms, sport-specific stressors, identity processes, and structural conditions across the athletic lifespan. Mental health vulnerabilities (e.g., anxiety, depression, disordered eating, and distress) were consistently reported, particularly during injury, deselection, and retirement. Dual-career engagement, diversified identities, and proactive career planning emerged as key protective factors, while stigma, limited literacy, and uneven access to psychological services remained persistent barriers. Five main thematic areas (Matrix 1) operationalized in ten higher-order intervention domains (e.g., Matrix 2, screening, monitoring, literacy, and others) and 14 potential online implementation strategies (Matrix 3) were identified. However, the evidence highlights fragmented implementation and a lack of scalable, cross-national tools to support athletes during and beyond their competitive careers. Therefore, a harmonized, evidence-based, multidimensional framework for the development and implementation of digital support resources has been proposed. This integrative review underscores the need for integrated, culturally sensitive, and digitally enabled support systems to promote sustainable transitions and long-term athlete well-being.

Indexed as

athletic identitycareer transitions in elite sportmental health supportretirement adaptationtransition planning

Identifiers

PMID42347475
PMCPMC13306441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.