Objectives: First, to map the prevalence of symptoms of positive mental health, anxiety, depression and sleep difficulties, along with the coexistence of these symptoms, among players in the Swedish Women’s Hockey League (SDHL). Second, to investigate relationships between these mental health symptoms and demographic variables (ie, age, injuries, dual careers), social support and psychological flexibility.

Methods: Players from nine teams in SDHL (n=182; mean age 22.3±SD 4.8, range 16–35) participated in this cross-sectional study. An online survey, including validated self-assessment questionnaires, conducted data collection. The questionnaires were distributed just before the play-offs started in the 2022–2023 season. Mental health variables were presented as descriptive statistics, and associations were investigated through multivariate binary logistic regression analyses.

Results: The response rate was 91%. Moderate or severe symptoms were reported among 29.7% for sleep difficulties, 20.9% for anxiety and 18.1% for depression. Nineteen per cent reported comorbidities. Sixty percent reported flourishing mental health. Lower psychological flexibility was associated with lower odds of flourishing mental health and higher odds of symptoms of anxiety, depression and sleep difficulties. Social support was associated with higher odds of flourishing mental health and lower odds of sleep difficulties.

Conclusion: 6 of every 10 players reported not reaching the ideal state of mental health (ie, flourishing mental health without mental illness). Mental health symptoms were statistically significantly associated with psychological flexibility and social support, suggesting that these factors will be beneficial to consider when preventing mental illness and promoting mental health in this population.

Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The € Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)' uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants' contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice. © 2022 BMJ Publishing Group. All rights reserved. © 2022 BMJ Publishing Group. All rights reserved.

In this paper we share how a career assistance program (CAP) was developed, implemented, and evaluated with a Swedish elite handball team. Within this case study the initial version of the CAP’s content was created based on the career-long psychological support services in Swedish handball framework and the first author’s applied experiences. During implementation the head coach terminated unexpectedly and the team appeared in a crisis. This transitional situation led to modification of the CAP to help the players cope with changes. Eighteen players took part in eight workshops dealing with various aspects of their sport and non-sport life (e.g., performance, training, lifestyle, recovery, future planning) with crisis-related issues (e.g., coping with uncertainty) incorporated. Mixed-methods evaluation revealed the players’ perceived increase in personal resources (awareness, skills) and decrease in stress and fatigue. Reflections on working in applied sport psychology from a holistic perspective in a dynamic real-life setting are provided.

During the last decade I have been employed as a sport psychology practitioner for the Swedish men’s handball team (further – the Team). Pinnacles of my work were psychological preparations for three consecutive Olympic Games (2012-2020). In this presentation I will share my narratives about the psychological preparations for these Games and lessons learned. Major interventions were carried out during the pre-Olympic camps about one month before the related Games. The content was adapted to match the request from the coach and my assessment of players’ needs. Below I organize my experiences in three narratives. The first is “The Team is in crisis, and I struggled to show competence and earn players’ trust”. The players gathered after a heartbreaking defeat in a qualifying match for a future World Championship. The Team were torn, and the 2012 Olympics was approaching fast. The coach highlighted the need for team building to mend the pieces and be able to perform as a unit. I answered the call by conducting group workshops and work with individual athletes clarifying roles and goals. The Team performed over expectations and won a silver medal. I for my part, won trust. The second narrative is entitled “Rio had a sweet melody, but we danced to a different tune”. Preparing for Rio 2016, the coach asked for a copy-paste story to repeat the prior success. The Team felt in harmony, and everything went (too) smooth, few players wanted to prepare for possible adversity. I worked with team dynamics and chose to mainly focus the individual work on potential stressors and coping. Soon I realized I was dancing on my own. Sweden ended last in their group, only winning one match. At the time I am writing this abstract, I plan for the pre-camp for Tokyo 2020 and my narrative so far is “It’s possible to be big in Japan but I’m the worrying kind”. There has been a rejuvenation of the Team and a new coaching staff focuses on the Team values requesting my mainly individual level work. I think we mix apples and oranges by talking about values but not about behaviors and not preparing enough for potential stressors. Here are the lessons learned to share: professional philosophy is dynamic and changes with experiences, the situation in the Team is a key for planning the applied work, and coaches’ requests may bring changes in the practitioner’s approach.

The authors of this paper share how they developed and validated an applied framework termed the career-long psychological support services in Swedish handball (CPS-H). The CPS-H is grounded in career research within Swedish handball and examples of efficient career assistance practice complemented by applied experiences of the first author. The authors used a heuristic approach to sketch the CPS-H initial version, which later was validated in three focus groups with end-users (handball players, coaches, and sport psychology practitioners) and transformed into the validated CPS-H. Promoting a combination of the proactive, educational, whole career, whole environment, and whole person approaches, the framework is structured as having interrelated parts addressing questions: where (changes in the contexts), when (ages, career stages), what (athletes’ needs and potential working issues), who (support providers), why (philosophy shared by the stakeholders), and how (forms of services) of psychological support. The authors further reflect on the CPS-H and its implementation and provide general and stage-specific recommendations for support providers. Although the CPS-H is contextualized in a specific sport and culture, some lessons can be applicable across countries and sport boarders. © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC

This PhD Project with a specialization in sport psychology is inspired by the cultural praxis of athletes’ careers paradigm. This implies that the Project blends theory, research, and practice within the context of Swedish handball, by investigating career pathways of professional players providing empirically based, and context specific, implications. The overarching aim of the Project is twofold: (a) to examine the career experiences of Swedish professional handball players and consolidate them into the empirical career model of Swedish professional handball players (ECM-H), and (b) based on the ECM-H, to develop, validate, and test an applied framework promoting career-long psychological support services in Swedish handball (CPS-H). The first aim is covered by Study I and II, and the second aim is met in Study III and IV. The dissertation is designed as a collection of four articles with one article per study. Study I focused on a qualitative exploration of career experiences from 18 Swedish professional handball players including major career stages and transitions in their athletic and non-athletic development. The players’ accounts were consolidated into the ECM-H describing the context-specific features and pathways throughout the handball career. When developing the ECM-H, gender-specific issues appeared of interest for further investigation. Gender issues were addressed in Study II by re-analyzing the data from Study I. Two composite vignettes were created describing the career pathways of nine male and nine female players. Study III initiated a move from research to practice. Based on the ECM-H, applied sport psychology literature and experiences of the research team led by the first author, the applied framework CPS-H was heuristically developed and validated in three focus groups with end users; professional players, coaches, and sport psychology practitioners. The validated version of the CPS-H is presented with general and career stage-specific recommendations for its implementation among support providers (i.e., where, when, what, who, why, and how of psychological support service). Study IV was designed as an instrumental case study for testing a part of the CPS-H framework. More specifically, the mastery career stage. A career assistance program (CAP) named Life as a professional handball player was developed for, implemented with, and evaluated by Swedish League team. The program included eight workshops dealing with various aspects of the players’ athletic and non-athletic life (e.g., performance, training, lifestyle, recovery, future planning), together with crisis-related issues (e.g., coping with uncertainty). These workshops were delivered by the first author during 12 weeks of a competitive season. The mixed-methods evaluation revealed a perceived improvement in players’ personal coping resources (e.g., increased awareness) and a decrease in their fatigue and stress. This Project contributes to the athlete career sport psychology discourse and the emerging athlete mental health discourse by presenting the ECM-H and CPS-H frameworks, and the CAP Life as a professional handball player, grounded in the cultural context of Swedish handball. The frameworks and CAP can serve as inspiration for future research and practice, informed by a cultural praxis. The Project shows the usefulness of working as a scientist-practitioner and establishing theory-researchpractice-context links for the promotion of culturally informed implications, and supports the work of facilitating a holistic understanding of athletes’ striving for healthy, successful, and long-lasting careers in sport and life.

The aim of this study was to describe gender-specific career paths of Swedish professional handball players. A reanalysis of Ekengren et al. (2018) career interviews with nine male and nine female players led to creating two composite vignettes using the athletes’ own words, accounted for typical features in the male and female players’ career paths. Seven themes were identified in the analysis of the men’s transcripts and eight themes derived from the women’s transcripts. Further, the themes of both vignettes were aligned with career stages described in our previous study (Ekengren et al. 2018). The male players’ vignette is interpreted as a performance narrative congruent with elite handball culture that promotes performance success and profitable professional contracts. The female players’ vignette is more holistic, embracing handball, studies, motherhood, and how they ought to be as Swedish women. Recommendations for future research are provided. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

The study was aimed at developing the empirical career model of Swedish professional handball players by means of exploring their career experiences in athletic and non-athletic developments through the lens of the holistic athletic career model. Eighteen Swedish professional handball players (nine men and nine women), who had recently terminated or were finishing their careers took part in semi-structured interviews about their careers from the beginning to the end with an interest in both athletic and non-athletic developments. Thematic analysis initially focused on identifying the handball career structure (i.e. stages and sub-stages). Then, the interviews were analysed inductively to identify shared themes in the players’ experiences relevant to each career stage. These themes were incorporated in the relevant stages, and the empirical career model of Swedish professional handball players (further – the empirical model) was finalised. The empirical model describes careers of Swedish handball players as having four athletic stages – initiation, development (with three sub-stages), mastery (with four sub-stages), and discontinuation – complemented by players’ psychological, psychosocial, academic/vocational, and financial developments. Each stage is also aligned with age markers and contains themes describing players’ career experiences from the holistic perspective. The empirical model contributes to contextualised career research and serves as a basis for developing career-long psychological support services in Swedish handball including player/coach/parent education organised by the Swedish Handball Federation.© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group