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Sport-related activities may facilitate post-disaster mental health recovery through physiological regulation, psychological empowerment, and social reconnection.

This narrative review of 11 studies proposes that sport-related activities (participatory and spectator-based) can aid mental health recovery after natural disasters by modulating the HPA axis, restoring self-efficacy, and rebuilding social networks. The evidence is observational and heterogeneous, so causal effects cannot be established.

Last updated: Jul 28, 2026โ€ข0 RCTsโ€ข๐Ÿ“– Read as article โ†’

Evidence Score

Evidence Score32/100
Human RCTโ˜†โ˜†โ˜†โ˜†โ˜†
Meta-analysisโ˜†โ˜†โ˜†โ˜†โ˜†
Mechanismโ˜…โ˜…โ˜…โ˜…โ˜…
Safetyโ˜…โ˜…โ˜…โ˜…โ˜†
Confidencelow

Study Evidence

Study 1. Sport-related activities as a psychosocial strategy for mental health recovery following natural disasters: a narrative review.

observational

Zhou J, Wei J ยท Frontiers in public health (2026)

Participants: 11
Duration: N/A
Intervention: Sport-related activities (participatory exercise/structured sport and spectator-based team identification/media narratives)
Outcome: Post-disaster psychological distress (PTSD, depression, anxiety, social dysfunction, somatic symptoms including sleep disturbances)
Effect Size: N/A
Population: Populations affected by natural disasters (earthquakes, floods, tsunamis, wildfires, storms)

Result: This narrative review of 11 studies proposes that sport-related activities (participatory and spectator-based) can aid mental health recovery after natural disasters by modulating the HPA axis, restoring self-efficacy, and rebuilding social networks. The evidence is observational and heterogeneous, so causal effects cannot be established.

Mechanism Graph

Physiological regulation: modulation of HPA axis, reduction of cortisol reactivity, enhancement of neuroplasticity
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Psychological empowerment: restoration of self-efficacy, meaning-making through narrative reconstruction, cognitive reframing of traumatic memories
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Social reconnection: rebuilding peer support networks, fostering collective identity, strengthening community resilience
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Result: Reduction in trauma-specific disorders, affective disorders, social dysfunction, and somatic symptoms

Limitations

  • โš Methodological heterogeneity and observational nature of the included evidence precludes causal inference
  • โš Small number of studies (11) and lack of rigorous systematic review methodology

Frequently Asked Questions

What types of sport-related activities are considered in this review?โ–ผ

The review distinguishes between 'participatory' activities (e.g., exercise, structured sport) and 'spectator-based' activities (e.g., team identification, media narratives).

What mental health outcomes are addressed?โ–ผ

The review identifies four dimensions: trauma-specific disorders (PTSD, peritraumatic reactions), affective disorders (depression, anxiety), social dysfunction (isolation, loss of community cohesion), and somatic symptoms (sleep disturbances, pain, fatigue).

Can sport-related activities replace traditional mental health services after disasters?โ–ผ

No, the review concludes they represent a promising, low-cost adjunctive strategy, not a replacement, especially in under-resourced settings.

What are the proposed mechanisms for recovery?โ–ผ

Three mechanisms are proposed: physiological regulation (HPA axis modulation), psychological empowerment (self-efficacy, meaning-making), and social reconnection (peer support, community resilience).

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References

  1. 1.Zhou J, Wei J. "Sport-related activities as a psychosocial strategy for mental health recovery following natural disasters: a narrative review.." Frontiers in public health, 2026. PMID: 42494892 DOI: 10.3389/fpubh.2026.1894225
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.