The Impact of Minority Stress and Social Polarization on Mental Well-Being and Functioning in the Sporting Environment
DOI:
https://doi.org/10.12775/QS.2026.59.72797Keywords
minority stress, affective polarization, mental health, athlets, sexual and gender minorities, sport, well-beingAbstract
Background: Sport occupies an ambivalent position in mental health scholarship, serving both as a resource for well-being and as a setting in which structural stigma, interpersonal prejudice, and chronic stressors may converge to produce psychological harm. Minority stress theory and emerging work on affective polarization may offer complementary lenses for understanding how social conditions translate into individual outcomes among athletes from sexual, gender, and racial minority backgrounds.
Aim: This narrative review aimed to synthesize the available literature on minority stress, social polarization, and mental well-being and functioning within sporting environments, with attention to conceptual foundations, empirical findings, mediators, and intervention possibilities.
Material and Methods: Peer-reviewed sources spanning minority stress theory, structural stigma, affective polarization, sport psychiatry, and elite sport mental health frameworks were appraised qualitatively for thematic relevance and applicability to sporting contexts.
Results: Minority stressors may be associated with depression, anxiety, disordered eating, sleep disturbance, and altered physiological stress responses among athletes. Social polarization appears to interact with stigma processes, potentially amplifying their effects through cultural climates, online abuse, and contested policy debates. Protective factors such as social support, adaptive coping, mindfulness, self-compassion, and inclusive environments may moderate some of these effects.
Conclusions: Mental health in sport may benefit from an ecologically informed approach attending to individual, interpersonal, organizational, and societal levels. Continued attention to minority stress and polarization seems warranted in research, clinical practice, and sport governance.
References
1. Rice, S. M., Purcell, R., De Silva, S., Mawren, D., McGorry, P. D., & Parker, A. G. (2016). The mental health of elite athletes: A narrative systematic review. Sports Medicine, 46(9), 1333–1353. https://doi.org/10.1007/s40279-016-0492-2
2. Reardon, C. L., Hainline, B., Aron, C. M., Baron, D., Baum, A. L., Bindra, A., Budgett, R., Campriani, N., Castaldelli-Maia, J. M., Currie, A., Derevensky, J. L., Glick, I. D., Gorczynski, P., Gouttebarge, V., Grandner, M. A., Han, D. H., McDuff, D., Mountjoy, M., Polat, A., … Engebretsen, L. (2019). Mental health in elite athletes: International Olympic Committee consensus statement (2019). British Journal of Sports Medicine, 53(11), 667–699. https://doi.org/10.1136/bjsports-2019-100715
3. Purcell, R., Pilkington, V., Carberry, S., Reid, D., Gwyther, K., Hall, K., Deacon, A., Manon, R., Walton, C. C., & Rice, S. (2022). An evidence-informed framework to promote mental wellbeing in elite sport. Frontiers in Psychology, 13, 780359. https://doi.org/10.3389/fpsyg.2022.780359
4. Walton, C. C., Purcell, R., Pilkington, V., Hall, K., Kenttä, G., Vella, S., & Rice, S. M. (2024). Psychological safety for mental health in elite sport: A theoretically informed model. Sports Medicine, 54(3), 557–564. https://doi.org/10.1007/s40279-023-01912-2
5. Claussen, M. C., Currie, A., Koh, E. B. Y., Nishida, M., Martínez, V., Burger, J., Creado, S., Schorb, A., Nicola, R. F., Pattojoshi, A., Menon, R., Glick, I., Whitehead, J., Edwards, C., & Baron, D. (2024). First international consensus statement on sports psychiatry. Scandinavian Journal of Medicine & Science in Sports, 34(4), e14627. https://doi.org/10.1111/sms.14627
6. Jean-Bindley, G., Sauriol-Gauthier, A., Corbin-Berrigan, L. A., & Girard, S. (2025). Mental health in elite sports. A continuum of strategies that athletic trainers can use to support competitive athletes with psychological issues: a scoping review. Frontiers in psychology, 16, 1619802. https://doi.org/10.3389/fpsyg.2025.1619802
7. Henriksen, K., Huang, Z., Bartley, J., Kenttä, G., Purcell, R., Wagstaff, C. R. D., Si, G., Ge, Y., & Schinke, R. (2024). The role of high-performance sport environments in mental health: An International Society of Sport Psychology consensus statement. International Journal of Sport and Exercise Psychology. Advance online publication. https://doi.org/10.1080/1612197X.2024.2437923
8. Stevens, M., Cruwys, T., Olive, L., & Rice, S. (2024). Understanding and improving athlete mental health: A social identity approach. Sports Medicine, 54(4), 837–853. https://doi.org/10.1007/s40279-024-01996-4
9. Juster, R.-P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Reviews, 35(1), 2–16. https://doi.org/10.1016/j.neubiorev.2009.10.002
10. Hackney, A. C. (2006). Stress and the neuroendocrine system: The role of exercise as a stressor and modifier of stress. Expert Review of Endocrinology & Metabolism, 1(6), 783–792. https://doi.org/10.1586/17446651.1.6.783
11. Schwellnus, M., Soligard, T., Alonso, J.-M., Bahr, R., Clarsen, B., Dijkstra, H. P., Gabbett, T. J., Gleeson, M., Hägglund, M., Hutchinson, M. R., Janse Van Rensburg, C., Meeusen, R., Orchard, J. W., Pluim, B. M., Raftery, M., Budgett, R., & Engebretsen, L. (2016). How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. British Journal of Sports Medicine, 50(17), 1043–1052. https://doi.org/10.1136/bjsports-2016-096572
12. Cadegiani, F. A., Silva, P. H. L., Abrao, T. C. P., & Kater, C. E. (2020). Diagnosis of overtraining syndrome: Results of the endocrine and metabolic responses on overtraining syndrome study: EROS-DIAGNOSIS. Journal of Sports Medicine, 2020, 3937819. https://doi.org/10.1155/2020/3937819
13. Walsh, N. P., Halson, S. L., Sargent, C., Roach, G. D., Nédélec, M., Gupta, L., Leeder, J., Fullagar, H. H., Coutts, A. J., Edwards, B. J., Pullinger, S. A., Robertson, C. M., Burniston, J. G., Lastella, M., Le Meur, Y., Hausswirth, C., Bender, A. M., Grandner, M. A., & Samuels, C. H. (2021). Sleep and the athlete: Narrative review and 2021 expert consensus recommendations. British Journal of Sports Medicine, 55(7), 356–368. https://doi.org/10.1136/bjsports-2020-102025
14. Clark, A., & Mach, N. (2016). Exercise-induced stress behavior, gut-microbiota-brain axis and diet: A systematic review for athletes. Journal of the International Society of Sports Nutrition, 13, 43. https://doi.org/10.1186/s12970-016-0155-6
15. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
16. Frost, D. M., & Meyer, I. H. (2023). Minority stress theory: Application, critique, and continued relevance. Current Opinion in Psychology, 51, 101579. https://doi.org/10.1016/j.copsyc.2023.101579
17. Hatzenbuehler, M. L. (2016). Structural stigma and health inequalities: Research evidence and implications for psychological science. American Psychologist, 71(8), 742–751. https://doi.org/10.1037/amp0000068
18. Goldbach, J. T., & Gibbs, J. J. (2017). A developmentally informed adaptation of minority stress for sexual minority adolescents. Journal of Adolescence, 55, 36–50. https://doi.org/10.1016/j.adolescence.2016.12.007
19. Grigoreva, D., & Szaszkó, B. (2024). Minority stress and psychological well-being in queer populations. Scientific Reports, 14, 27084. https://doi.org/10.1038/s41598-024-78545-6
20. van der Star, A. (2024). The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health. Social Science & Medicine, 363, 117484. https://doi.org/10.1016/j.socscimed.2024.117484
21. Flentje, A., Clark, K. D., Cicero, E., Capriotti, M. R., Lubensky, M. E., Sauceda, J., Neilands, T. B., Lunn, M. R., & Obedin-Maliver, J. (2022). Minority Stress, Structural Stigma, and Physical Health Among Sexual and Gender Minority Individuals: Examining the Relative Strength of the Relationships. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 56(6), 573–591. https://doi.org/10.1093/abm/kaab051
22. Ford, J. V., Dodge, B., Clark, K. A., Lattanner, M. R., Shah, A., & Hatzenbuehler, M. L. (2024). (Re)conceptualizing structural stigma: Insights from a qualitative study of sexual minority men in a longitudinal, population-based cohort. Stigma and Health. https://doi.org/10.1037/sah0000571
23. Williams, D. R. (2018). Stress and the mental health of populations of color: Advancing our understanding of race-related stressors. Journal of Health and Social Behavior, 59(4), 466–485. https://doi.org/10.1177/0022146518814251
24. Rovira-Font, M., & Vilanova-Soler, A. (2022). LGTBIQA+, mental health and the sporting context: A systematic review. Apunts Educación Física y Deportes, 147, 1–16. https://doi.org/10.5672/apunts.2014-0983.es.(2022/1).147.01
25. Kavoura, A., & Kokkonen, M. (2021). What do we know about the sporting experiences of gender and sexual minority athletes and coaches? : A scoping review. International Review of Sport and Exercise Psychology, 14(1), 1-https://doi.org/10.1080/1750984X.2020.1723123
26. Xiang, M., Soh, K. G., Xu, Y., Ahrari, S., & Zakaria, N. S. (2023). Experiences of LGBTQ student-athletes in college sports: A meta-ethnography. Heliyon, 9(7), e16832. https://doi.org/10.1016/j.heliyon.2023.e16832
27. Xiang, M., Soh, K. G., Xu, Y., Ahrari, S., & Zakaria, N. S. (2025). Experiences and minority stress of sexual minority student athletes in Chinese collegiate sports. Archives of Sexual Behavior, 54, 1391–1407. https://doi.org/10.1007/s10508-025-03107-4
28. Xiang, M., Soh, K. G., Xu, Y., Ahrari, S., & Zakaria, N. S. (2024). Navigating sexual minority identity in sport: A qualitative exploration of sexual minority student-athletes in China. BMC Public Health, 24, 2304. https://doi.org/10.1186/s12889-024-19824-9
29. Jones, B. A., Arcelus, J., Bouman, W. P., & Haycraft, E. (2017). Sport and transgender people: A systematic review of the literature relating to sport participation and competitive sport policies. Sports Medicine, 47(4), 701–716. https://doi.org/10.1007/s40279-016-0621-y
30. Chan, A. S. W., Choong, A., Phang, K. C., Leung, L. M., Tang, P. M. K., & Yan, E. (2024). Societal discrimination and mental health among transgender athletes: A systematic review and meta-analysis. BMC Psychology, 12, 24. https://doi.org/10.1186/s40359-023-01493-9
31. Bailey, S., Trevitt, B., Zwickl, S., Newell, B., Staples, E., Storr, R., & Cheung, A. S. (2024). Participation, barriers, facilitators and bullying experiences of trans people in sport and fitness: Findings from a national community survey of trans people in Australia. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2023-107852
32. Lundberg, T. R., Tucker, R., McGawley, K., Williams, A. G., Millet, G. P., Sandbakk, Ø., Howatson, G., Brown, G. A., Carlson, L. A., Chantler, S., Chen, M. A., Heffernan, S. M., Heron, N., Kirk, C., Murphy, M. H., Pollock, N., Pringle, J., Richardson, A., Santos-Concejero, J., … Hilton, E. N. (2024). The International Olympic Committee framework on fairness, inclusion and non-discrimination on the basis of gender identity and sex variations does not protect fairness for female athletes. Scandinavian Journal of Medicine & Science in Sports, 34(3), e14581. https://doi.org/10.1111/sms.14581
33. Bakker, B. N., & Lelkes, Y. (2024). Putting the affect into affective polarisation. Cognition and Emotion, 38(4), 418–436. https://doi.org/10.1080/02699931.2024.2362366
34. Fraser, T., Aldrich, D. P., Panagopoulos, C., Hummel, D., & Kim, D. (2022). The harmful effects of partisan polarization on health. PNAS Nexus, 1(1), pgac011. https://doi.org/10.1093/pnasnexus/pgac011
35. McMurtrie, B., Roemer, A., Philipp, M., Hebden, R., & Williams, M. (2025). Political polarization and wellbeing: Investigating potential intrapersonal harm from affective polarization. International Review of Social Psychology, 38(1), 15. https://doi.org/10.5334/irsp.1052
36. Ipekci, A. M., Filsinger, M., Buitrago-Garcia, D., Kobler Betancourt, C. I., Frahsa, A., & Low, N. (2024). Polarization and health-related behaviours and outcomes during the COVID-19 pandemic: A systematic review protocol. F1000Research, 13, 488. https://doi.org/10.12688/f1000research.145852.1
37. Kędra, K., Michalik, I., Zarańska, J., Aab, A., & Bielak, M. (2023). Impact of COVID-19 outbreak on the mental health in sport and among society. Journal of Education, Health and Sport, 35(1), 125–146. https://doi.org/10.12775/JEHS.2023.35.01.010
38. World Athletics, & Signify Group (Threat Matrix). (2024). Online abuse in athletics: A 4-year comparative insight analysis into online abuse of athletes during major sporting championships [Research report]. World Athletics.
39. National Collegiate Athletic Association & Signify Group (Threat Matrix). (2025). Online abuse in NCAA championships: NCAA analysis report 2024/25 [Research report]. NCAA Sport Science Institute.
40. Mountjoy, M., Brackenridge, C., Arrington, M., Blauwet, C., Carska-Sheppard, A., Fasting, K., Kirby, S., Leahy, T., Marks, S., Martin, K., Starr, K., Tiivas, A., & Budgett, R. (2016). International Olympic Committee consensus statement: Harassment and abuse (non-accidental violence) in sport. British Journal of Sports Medicine, 50(17), 1019–1029. https://doi.org/10.1136/bjsports-2016-096121
41. Flentje, A., Sunder, G., & Tebbe, E. (2025). Minority stress in relation to biological outcomes among sexual and gender minority people: A systematic review and update. Journal of Behavioral Medicine, 48(1), 22–42. https://doi.org/10.1007/s10865-024-00539-6
42. Dosanjh, L. H., Franklin, C., Castro, Y., Goosby, B., Conway, F. N., Champagne, F. A., Parra, L. A., Goldbach, J. T., & Kipke, M. D. (2025). Inflammation and minority stress: A moderated mediation model of childhood adversity and mental health in young men who have sex with men. Social science & medicine (1982), 376, 118119. https://doi.org/10.1016/j.socscimed.2025.118119
43. Valentim, O., & de Sousa, C. (2018). Psychological vulnerability, anxiety and personal well-being in athletes. NURSID 2018 — Novas Perspetivas Da Enfermagem. ROL Novembro–Dezembro, 64.
44. Yamaguchi, S., Kawata, Y., Murofushi, Y., Shibata, N., & Ota, T. (2022). Psychological vulnerability associated with stress coping strategies in Japanese university athletes. Journal of Clinical Sport Psychology. Advance online publication. https://doi.org/10.1123/jcsp.2021-0084
45. Ramesberger, R. (2022). Psychological training in sports. Quality in Sport, 8(2), 33–44. https://doi.org/10.12775/QS.2022.08.02.003
46. Romaniuk, S., Jurczuk, A., Bałdyga, P., Marciniak, K., & Wilczyńska, A. (2025). The role of physical activity in the prevention and management of mental health disorders: A review. Journal of Education, Health and Sport, 81, 66622. https://doi.org/10.12775/JEHS.2025.81.66622
47. Calzo, J. P., Roberts, A. L., Corliss, H. L., Blood, E. A., Kroshus, E., & Austin, S. B. (2014). Physical activity disparities in heterosexual and sexual minority youth ages 12–22 years old: Roles of childhood gender nonconformity and athletic self-esteem. Annals of Behavioral Medicine, 47(1), 17–27. https://doi.org/10.1007/s12160-013-9570-y
48. Voyles, C. H., Cruz Bañares, A. L., Ahedo Rocha, C. I., & Vermandere, H. (2025). Measuring the association between sports and mental health among Mexican LGBTQ people: Psychological distress among athletes, spectators/volunteers, and non-attendees during the 2023 Gay Games. International Journal of Environmental Research and Public Health, 22(9), 1353. https://doi.org/10.3390/ijerph22091353
49. O'Connell, C. S., & Bottino, A. (2024). A systematic review of LGBTQ+ identities and topics in sport leadership. Frontiers in Sports and Active Living, 6, 1414404. https://doi.org/10.3389/fspor.2024.1414404
50. Bedford, C. E., Trotter, A. M., Potter, M., & Schmidt, N. B. (2023). Minority stress and mental health in lesbian, gay, bisexual, transgender, and queer survivors of sexual assault. Journal of Traumatic Stress, 36(6), 1031–1043. https://doi.org/10.1002/jts.22970
51. Hamdan, J. L., Shipper, A. G., Roth, S., & Zisman-Ilani, Y. (2023). Disparities in sport participation of transgender women: A systematic and scoping review protocol. BMJ Open, 13(8), e074054. https://doi.org/10.1136/bmjopen-2023-074054
52. Mereish, E. H., & Poteat, V. P. (2015). A relational model of sexual minority mental and physical health: The negative effects of shame on relationships, loneliness, and health. Journal of Counseling Psychology, 62(3), 425–437. https://doi.org/10.1037/cou0000088
53. Xu, Y., Hall, W. J., Scott, M., Gao, Y., Chiang, P.-C., Williams, D. Y., Srivastava, A., Ramon, M. E., & Englert, A. R. (2024). Strategies for coping with minority stress among queer young adults: Usage frequency, associations with demographics, and mental health. International Journal of Environmental Research and Public Health, 21(8), 1052. https://doi.org/10.3390/ijerph21081052
54. Helminen, E. C., Ducar, D. M., Scheer, J. R., Parke, K. L., Morton, M. L., & Felver, J. C. (2023). Self-Compassion, Minority Stress, and Mental Health in Sexual and Gender Minority Populations: A Meta-Analysis and Systematic Review. Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association, 30(1), 26–39. https://doi.org/10.1037/cps0000104
55. Sun, S., Guy, A. A., Murphy, M. J., Zelaya, D. G., Fernandez, Y., & Operario, D. (2024). Minority Stress, Mental Health, and Mindfulness and Self-Compassion as Moderators among Young Sexual Minority Men: A Moderated Structural Equation Analysis. Journal of contextual behavioral science, 33, 100804. https://doi.org/10.1016/j.jcbs.2024.100804
56. Pereira, H., & Silva, P. (2021). The importance of social support, positive identity, and resilience in the successful aging of older sexual minority men. Geriatrics, 6(4), 98. https://doi.org/10.3390/geriatrics6040098
57. Chaudoir, S. R., Wang, K., & Pachankis, J. E. (2017). What reduces sexual minority stress? A review of the intervention "toolkit." Journal of Social Issues, 73(3), 586–617. https://doi.org/10.1111/josi.12233
58. Gorczynski, P., & Baron, D. (2024). Designing and delivering mental health literacy strategies in elite sport. World Psychiatry, 23(1), 169–170. https://doi.org/10.1002/wps.21180
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