"I think the best athletes use it": Masculinities and self-compassion among men varsity athletes.

We examined how men varsity athletes' embodiments of masculinities shaped their perceptions and experiences of self-compassion to manage sport-related challenges. Two semi-structured interviews were conducted with 11 men varsity athletes (20 interviews total). Vignettes depiciting athletes low and high in self-compassion were used as talk elicitation tools during interviews. Data were analyzed using reflexive thematic analysis and four themes were identified from the mens' accounts. Participants utilized self-compassion as a coping strategy in sport and other life-domains to maintain well-being. Self-compassion was used to balance self-criticism to support achievement striving efforts. The experience of contrasting masculine ideologies (hegemonic and inclusive) promoted and constrained the men's implementation of self-compassion. Traditional masculine narratives created tensions for participants who at times embodied the (mis)belief that self-compassion promotes complacency in the pursuit of athletic achievement. Findings contribute to understandings of men athletes' experiences of self-compassion and masculinities in relation to sport-related challenges and performance.

Instructor Social Support in the Group Physical Activity Context: Older Participants' Perspectives.

Instructors in organized physical activity classes can be a source of social support through their relationships with participants, influence on participants' interactions with each other, and design of activities. Grounded in interpretive description, the objective of this study was to examine older adults' experiences of and their perspectives on group physical activity instructors' supportive behaviors. Observations of 16 group physical activity classes (N = 295) and focus groups or interviews with N = 38 class participants aged ≥ 55 (n = 29 women) were conducted at four municipal recreation facilities in a Canadian city. Five themes shed light on how instructors provided social support: (a) supporting autonomous engagement, (b) developing caring connections, (c) fostering trust through expert instruction, (d) managing conflict directly and effectively, and (e) creating a climate where people want to go. Instructor training should consider older adults' social support needs and help instructors embody behaviors that support continued physical activity participation, thereby contributing to healthy aging.

'You're part of something bigger': interpersonal relationships and older Canadian men's body image.

OBJECTIVE: We examined older men's body image, with a focus on the role of interpersonal relationships in shaping their psychological adaptation to age-related body changes to appearance, function, and health. DESIGN: Qualitative narrative constructionist study. MAIN OUTCOME MEASURES: We conducted semi-structured interviews with 29 men aged 65-83. Data were analysed using thematic narrative analysis; we identified and interpreted patterns in and across the men's stories about their aging bodies. RESULTS: Narratives of purpose through meaningful engagement and belonging through connection permeated the men's accounts. Participants mitigated body-related changes and challenges through pleasurable physical, leisure, and community activities. They derived purpose from these activities as they kept them physically, cognitively, and socially engaged and thus relevant with advancing age, particularly post retirement. The men derived a sense of belonging through social connections. Relationships with family, friends, and community members shaped their capacity for meaningful engagement and associated psychological adjustment to age-related body changes. CONCLUSION: The findings point to the imperative need to consider how men negotiate their constantly changing, aging bodies within the context of interpersonal relationships, and highlight the role that later life belonging and purpose play in shaping how men experience their bodies as they grow older.

From minding the gap to widening the gap: Paralympic athletes' experiences of wellbeing during the postponement of the Tokyo 2020 games.

In March 2020, it was announced that the Tokyo Games would be postponed for one year due to the COVID-19 pandemic. While athletes commonly face challenges in sport such as injuries, the pandemic and rescheduling of the Games was an unexpected event that had serious potential to challenge the psychological wellbeing of athletes. Furthermore, it was an event that was simultaneously experienced by all athletes preparing for the Games. It provided a novel opportunity to explore how athletes navigated this challenging environment and the subsequent potential impact on their psychological wellbeing. It also provided a unique opportunity to engage para-athletes and explore how they experienced the pandemic and postponement. This manuscript draws on a larger qualitative study of 21 Canadian athletes (14 Olympic and seven Paralympic) who were on target to compete at the 2020 Games when the postponement was announced. For this manuscript, we focus on the accounts of seven Paralympic hopefuls and their experiences of adjusting to the postponement, while attending to the unique social identities of athletes with disabilities. Adopting a constructionist lens, semi-structured interviews were conducted at two time points. Through reflexive thematic analysis, we developed three themes. "We are all in the same boat. . . or are we?" describes the Paralympic hopefuls experiences early in the pandemic and how they felt united by the Canadian response to withdraw from the Games. It then discusses how, over time, they started to understand athletes with disabilities were being inequitably impacted by the pandemic and related public health measures. "Maybe it means more to them than us" examines how their perceptions changed as they acknowledged that although all athletes were facing a disruption to their sport careers, the implications were not the same for all. "Vulnerability and the Paralympic athlete" addresses how Paralympic athletes engaged with societal narratives about risk, vulnerability and disability and what this meant for the Paralympic Movement's response to the pandemic. "Honestly, I've experienced it before" examines how the Paralympic hopefuls drew on past experiences of injury to navigate the pandemic and the protective impact on their psychological wellbeing. Findings shed light on how systemic ableism interacted with the pandemic to magnify feelings of inferiority and further marginalization but also how para-athletes drew on past experiences to navigate challenges to their psychological wellbeing.

Emotion profiles among adolescent female athletes: Associations with flourishing.

Many girls who participate in sport struggle to negotiate the complex relationship between their desired appearance and maintaining a physique that facilitates performance. As a result, these athletes experience a range of emotions about their bodies that impact their psychological well-being. We examined appearance- and fitness-related emotions using latent profile analysis among 507 adolescent girls involved in organized sport and examined differences in flourishing across the resulting profiles. Four emotion profiles were identified: (i) Frequent Pride, (ii) Occasional Fitness Pride, (iii) Occasional Pride, Rare Guilt/Shame, and (iv) Occasional Emotions. Participants in the Occasional Emotions profile reported the lowest flourishing scores compared to every other profile while those in the Frequent Pride profile reported the highest levels of flourishing. There were no differences in flourishing between those in the Occasional Fitness Pride profile and those in the Occasional Pride, Rare Guilt/Shame profile. Our results demonstrate how subsets of athletes may characteristically experience distinct combinations of emotions that are differentially associated with flourishing. Increasing experiences of body-related pride while mitigating experiences of guilt and shame appear to be important contributors to flourishing. However, experiences of pride may do little to buffer against reductions in flourishing when guilt and shame are experienced.

Experiences With Social Participation in Group Physical Activity Programs for Older Adults.

Little is known about how social participation can be facilitated among older adults in group physical activity and its psychosocial benefits that contribute to successful aging. This study aimed to understand older adults' experiences with social participation in group physical activity programs. Using interpretive description methodology, 16 observations, eight focus groups, and two interviews with participants unable to attend focus groups were conducted with adults 55 years and older attending programs across four recreation facilities. Group programs were found to influence social participation through (a) a meaningful context for connecting and (b) instructors' expectations of social interaction. Social participation in these programs addressed psychosocial needs by (c) increasing social contact and interaction, (d) fostering social relationships and belonging, and (e) promoting regular engagement. Training for instructors should include balancing the physical aspects of program delivery with the social, while also considering older adults' diverse needs and preferences for social interaction.

Conditioned pain modulation in elite athletes: a systematic review and meta-analysis.

Background and aims Elite athletes reportedly have superior pain tolerances, but it is unclear if results extend to conditioned pain modulation (CPM). The aim of our study was to synthesize existing literature in order to determine whether CPM is increased in elite athletes compared to healthy controls. Methods A systematic review and random-effects meta-analysis was conducted. Cochrane Central Register of Controlled Trials, SPORTDiscus, PsycINFO, CINAHL, Web of Science, and PubMed were searched for English-language studies that examined CPM in adult elite athlete populations. Results Seven studies were identified; all were of poor to fair methodological quality. There was no overall difference in CPM between elite athletes and controls (Hedges g = 0.37, CI95 -0.03-0.76; p = 0.07). There was heterogeneity between studies, including one that reported significantly less CPM in elite athletes compared to controls. An exploratory meta-regression indicated that a greater number of hours trained per week was associated with higher CPM. Conclusions The overall number and quality of studies was low. Despite nominally favoring higher CPM in elite athletes, aggregate results indicate no significant difference compared to healthy controls. A possible factor explaining the high degree of variability between studies is the number of hours elite athletes spent training. Implications Based on available evidence, athletes do not have remarkable endogenous pain modulation compared to controls. High quality experimental studies are needed to address the effect of hours trained per week on CPM in athletes.

An examination of older men's body image: How men 65 years and older perceive, experience, and cope with their aging bodies.

We examined how older men perceived, experienced, and coped with age-related changes to their appearance, body function, and health. Data from semi-structured interviews with 28 men aged 65-83 living in a large urban Canadian city and diverse in ethnocultural background (European, East Asian, and South Asian) and sexual orientation (heterosexual and gay) were analyzed through a reflexive thematic analysis. Four overarching themes were constructed from the participants' accounts. Participants were ambivalent about their aging bodies; they were concerned about certain changes to their bodies, yet concurrently grateful for their retained health and body function. The men stressed the need to accept age-related body changes through pragmatism, awareness of challenging body-related cognitions and emotions without overidentification or suppression, and adjustments to expectations and activities. Participants engaged in upward and downward social comparisons to assess their aging bodies in relation to others and to their younger selves. Weight concerns were prominent. The men worried about their weight, with particular attention to their stomach, and were physically active and ate a healthy diet to manage their weight. This study contributes to body image theorizing by including older diverse men and can inform interventions aiming to enhance men's later life psychological adjustment.

Tracking and Comparing Self-Determined Motivation in Elite Youth Soccer: Influence of Developmental Activities, Age, and Skill.

Purpose: Our aim was to determine if self-determined motivation (SDM) in elite, men's soccer changes over time and differs as a function of age, skill-grouping, and engagement in soccer play and practice. We tested predictions from the Developmental Model of Sport Participation (DMSP) regarding relations between practice and play and SDM among both elite and non-elite samples. Methods: Elite youth soccer players in the United Kingdom (n = 31; from the Under 13/U13 and U15 years age groups) completed practice history and motivation questionnaires at time 1 (T1) and ∼2 years later (T2: now U15 and U17 years). Non-elite players (n = 32; from U15 and U17 years) completed the same questionnaires at T2 only. Results: For the elite groups, global SDM decreased over time for the current U17 group (from U15), but no change was seen for the current U15 group (from U13). Age group differences at T2 mirrored these data, with U17 players showing lower global SDM and higher controlled motivation than U15 elites. The non-elite players did not show age group differences, but elites scored higher for global SDM and autonomous motivation than non-elites. The recent hours accumulated in practice negatively correlated with global SDM in elite and non-elite groups, but play was unrelated to measures of motivation. Conclusion: Differences in SDM as a function of age and skill point toward the dynamic nature of these motivations over time, likely a result of proximity to external rewards related to professional status. Although high volumes of practice are related to lower global SDM in both skill groups, the absence of any relations between SDM and soccer play does not support a key prediction related to the DMSP.

Locating the binding domains in a highly selective mixed matrix membrane via synchrotron IR microspectroscopy.

The binding domains within a mixed matrix membrane (MMM) that is selective for CO2 comprising MFM-300(Al) and the polymer 6FDA-Durene-DABA have been established via in situ synchrotron IR microspectroscopy. The MOF crystals are fully accessible and play a critical role in the binding of CO2, creating a selective pathway to promote permeation of CO2 within and through the MMM. This study reveals directly the molecular mechanism for the overall enhanced performance of this MMM in terms of permeability, solubility and selectivity for CO2.

UK consensus statement on the use of plerixafor to facilitate autologous peripheral blood stem cell collection to support high-dose chemoradiotherapy for patients with malignancy.

Plerixafor is a CXC chemokine receptor (CXCR4) antagonist that mobilizes stem cells in the peripheral blood. It is indicated (in combination with granulocyte-colony stimulating factor [G-CSF]) to enhance the harvest of adequate quantities of cluster differentiation (CD) 34+ cells for autologous transplantation in patients with lymphoma or multiple myeloma whose cells mobilize poorly. Strategies for use include delayed re-mobilization after a failed mobilization attempt with G-CSF, and rescue or pre-emptive mobilization in patients in whom mobilization with G-CSF is likely to fail. Pre-emptive use has the advantage that it avoids the need to re-schedule the transplant procedure, with its attendant inconvenience, quality-of-life issues for the patient and cost of additional admissions to the transplant unit. UK experience from 2 major centers suggests that pre-emptive plerixafor is associated with an incremental drug cost of less than £2000 when averaged over all patients undergoing peripheral blood stem cell (PBSC) transplant. A CD34+ cell count of <15 µl-1 at the time of recovery after chemomobilization or after four days of G-CSF treatment, or an apheresis yield of <1 × 106 CD34+ cells/kg on the first day of apheresis, could be used to predict the need for pre-emptive plerixafor.

Affective mental contrasting to enhance physical activity: A randomized controlled trial.

OBJECTIVE: Transition to university is a vulnerable period for discontinuing regular physical activity that can have implications for students' physical and psychological health. Accordingly, it is imperative to find and implement cost and time-effective interventions to mitigate the consequences of this transition. Intervention research has shown mental contrasting is an effective means of promoting various health-enhancing behaviors including physical activity. However, the efficacy of this intervention approach may be bolstered by targeting affective judgments (e.g., enjoyable-unenjoyable), which exert greater influence on physical activity behaviors compared to health-related instrumental judgments (e.g., useful-useless). The purpose of this study was to compare the relative efficacy of a mental contrasting intervention that targeted affective judgments associated with physical activity, in relation to a mental contrasting intervention that targeted instrumental judgments, and a "standard" mental contrasting intervention (with no modifications). METHOD: Using a 3-arm parallel randomized controlled trial design (ClinicalTrials.gov Number NCT02615821), 110 insufficiently active, female, university students were randomly assigned to an affective, instrumental, or standard mental contrasting intervention following simple randomization procedures. Assessments were conducted at baseline and 4 weeks postintervention. RESULTS: Participants in the affective mental contrasting condition displayed higher levels of moderate-to-vigorous physical activity than those in the instrumental or standard comparison conditions, F(2, 90) = 3.14, p < .05, ηp2 = 0.065. CONCLUSION: Overall, affective mental contrasting has the potential to represent a low-cost and time-efficient intervention that may help insufficiently active, female students increase activity or attenuate declining levels of moderate-to-vigorous physical activity that occurs during university. (PsycINFO Database Record

"I'll do anything to maintain my health": How women aged 65-94 perceive, experience, and cope with their aging bodies.

We explored how physically active women perceived, experienced, and coped with their aging bodies, and examined their perceptions of the utility of self-compassion to manage aging body-related changes. Findings from a thematic analysis of interviews with 21 women aged 65-94 revealed that they were appreciative of how their bodies worked and accepting of their physical limitations, yet concurrently critical of their body's functionality and appearance. Participants engaged in physical activity and healthy eating to maintain their health and body functionality, yet also used diet, hair styling, anti-aging creams, makeup, physical activity, and clothing to manage their appearances. To assess their bodies (in)adequacies, they engaged in upward or downward social comparisons with others their age. Participants perceived self-compassion for the aging body to be idealistic and contextual. Findings highlight the importance of health and body functionality in influencing the cognitive, emotional, and behavioral management of the aging body.

Interpersonal Emotion Regulation Among Adolescent Athletes: A Bayesian Multilevel Model Predicting Sport Enjoyment and Commitment.

Efforts to regulate emotions can influence others, and interpersonal emotion regulation within teams may affect athletes' own affective and motivational outcomes. We examined adolescent athletes' (N = 451, N teams = 38) self- and interpersonal emotion regulation, as well as associations with peer climate, sport enjoyment, and sport commitment within a multilevel model of emotion regulation in teams. Results of multilevel Bayesian structural equation modeling showed that athletes' self-worsening emotion regulation strategies were negatively associated with enjoyment while other-improving emotion regulation strategies were positively associated enjoyment and commitment. The team-level interpersonal emotion regulation climate and peer motivational climates were also associated with enjoyment and commitment. Team-level factors moderated some of the relationships between athletes' emotion regulation with enjoyment and commitment. These findings extend previous research by examining interpersonal emotion regulation within teams using a multilevel approach, and they demonstrate the importance of person- and team-level factors for athletes' enjoyment and commitment.

Effects of Variety Support on Exercise-Related Well-Being.

BACKGROUND: The purpose of this study was to experimentally examine the extent to which variety support in a resistance exercise program influences exercise-related well-being among inactive adults. METHODS: A sample of 121 inactive university students were randomly assigned and participated in either a high or low variety support 6-week exercise program. Measures of exercise-related perceived variety, positive affect, negative affect, and subjective vitality were completed at baseline, after 3 weeks, and after 6 weeks (i.e. post-test). RESULTS: Through use of structural equation modelling, the results showed that for those who completed measures at post-test (i.e. n = 55), and for all participants who received variety support (i.e. a modified intention-to-treat analysis; N = 121), exercise-related variety support indirectly explained higher levels of exercise-related positive affect, and subjective vitality, and lower levels of negative affect, through the mediating role of perceived variety. CONCLUSIONS: The provision of variety support in a resistance exercise program influences exercise-related well-being through perceptions of variety. Results are discussed in relation to the potential utility of providing variety support to promote exercise-related well-being in people who are physically inactive.

Intrapersonal characteristics of body-related guilt, shame, pride, and envy in Canadian adults.

This study examined differences in body-related shame, guilt, pride, and envy based on intrapersonal characteristics of sex, age, and weight status in 527 Canadian adults. Compared to men, women reported significantly higher shame and guilt contextualized to the body. No sex differences were observed for envy or pride. Middle-aged adults reported higher shame and lower pride compared with young adults, whereas no age differences were observed with body-related guilt. Meanwhile, shame and guilt were highest for individuals who had overweight or obese weight status, and pride was highest in individuals with average weight status. Overall, effect sizes were small and there were no significant interaction effects between sex, age, and weight status across body-related emotions. Further research is needed to capture similarities and differences of body-related self-conscious emotions between intrapersonal characteristics, to aid the development of intervention strategies to manage this important dimension of body image.

Variety support and exercise adherence behavior: experimental and mediating effects.

The purpose of this study was to examine the extent to which the provision of variety (i.e., variety support) is related to exercise behavior among physically inactive adults and the extent to which the 'experience of variety' mediates those effects. One hundred and twenty one inactive university students were randomly assigned to follow a high or low variety support exercise program for 6 weeks. Assessments were conducted at baseline, 3- and 6-weeks. Participants in the high variety support condition displayed higher levels of adherence to the exercise program than those in the low variety support condition [F(1, 116) = 5.55, p = .02, η(p)(2) = .05] and the relationship between variety support and adherence was mediated by perceived variety (ß = .16, p < .01). Exercise-related variety support holds potential to be an efficacious method for facilitating greater exercise adherence behaviors of previously inactive people by fostering perceptions of variety.

Peri-operative massive pulmonary embolism management: is veno-arterial ECMO a therapeutic option?

Pulmonary embolism remains an important clinical problem with a high mortality rate. The potential for sudden and fatal hemodynamic deterioration highlights the need for a prompt diagnosis and appropriate intervention. The purpose of the present case report is to describe a successful peri-operative veno-arterial extra corporeal membrane oxygenation (VA-ECMO) implantation for assumed massive pulmonary embolism associated with high hemodynamic instability and severe hypoxemia. A 52-year-old female victim of a motorcycle accident had been operated on for unstable fractures that required optimal repair. Despite subcutaneous administration of 40 mg enoxaparin on day 0 and day 1, the patient developed a massive pulmonary embolism leading to peri-operative pulseless activity. As intravenous thrombolysis was strictly contraindicated, a VA-ECMO was successfully implanted and permitted to stabilize the patient's hemodynamics. The hemodynamic and respiratory status improved by day 3, and the ECMO was removed. A vena cava filter was implanted before successful and definitive stabilization of the femoral fracture and the L2 fracture on days 4 and 5. The patient was able to be mobilized 2 days after the surgery and was transferred to a rehabilitation ward on day 15. At that time, her cognitive functions had fully recovered. ECMO can provide lifesaving hemodynamic and respiratory support in patients with massive pulmonary embolism who are too unstable to tolerate other interventions, who have failed other therapies or for whom other therapies are contraindicated.

Development and validation of the Body and Appearance Self-Conscious Emotions Scale (BASES).

The purpose of these studies was to develop a psychometrically sound measure of shame, guilt, authentic pride, and hubristic pride for use in body and appearance contexts. In Study 1, 41 potential items were developed and assessed for item quality and comprehension. In Study 2, a panel of experts (N=8; M=11, SD=6.5 years of experience) reviewed the scale and items for evidence of content validity. Participants in Study 3 (n=135 males, n=300 females) completed the BASES and various body image, personality, and emotion scales. A separate sample (n=155; 35.5% male) in Study 3 completed the BASES twice using a two-week time interval. The BASES subscale scores demonstrated evidence for internal consistency, item-total correlations, concurrent, convergent, incremental, and discriminant validity, and 2-week test-retest reliability. The 4-factor solution was a good fit in confirmatory factor analysis, reflecting body-related shame, guilt, authentic and hubristic pride subscales of the BASES. The development and validation of the BASES may help advance body image and self-conscious emotion research by providing a foundation to examine the unique antecedents and outcomes of these specific emotional experiences.