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Mindfulness-Acceptance-Commitment Intervention Effects on Athletic Performance, Passion, and Psychological Well-being in Competitive Tennis Players: A Randomized Controlled Trial

Wafa Abidi, Estelle Fall, Nasr Chalghaf, Halil İbrahim Ceylan, Raul Ioan Muntean, Ismail Dergaa, Reyhan Candar, Kübra Özdemir, Yunus Emre Çingöz, Cristina Maria Man, Mohamed Jarraya

Balneo and PRM Research Journal July 10, 2026 DOI: 10.12680/balneo.2026.1064 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 44
Population Competitive male tennis players (mean age 18.1 years)
Intervention Mindfulness-Acceptance-Commitment (MAC) protocol
Duration Seven weekly 45-minute sessions
Topics Meditation
Keywords Test biology Psychological intervention Clinical psychology Randomized controlled trial Intervention counseling Affect linguistics Athletes Passion Cognition Protocol science Physical therapy
Key findings The MAC intervention significantly improved tennis serve performance, mindfulness skills, harmonious passion, and subjective well-being, while reducing obsessive passion, compared to a passive control group.

Abstract

While traditional psychological skills training focuses on cognitive control, mindfulness-based approaches emphasize acceptance and present-moment awareness. The Mindfulness-Acceptance-Commitment (MAC) protocol shows promise for enhancing athletic performance; however, limited research has examined its effects on passion and well-being in tennis players. Forty-four competitive male tennis players (M age = 18.1 ± 1.1 years) were randomly assigned to either a MAC intervention group (n = 22) or a passive control group (n = 22). The MAC protocol consisted of seven weekly 45-minute sessions focusing on mindfulness, acceptance, and values-driven behavior. Primary outcomes included tennis serve performance assessed by certified coaches using a standardized 16-serve protocol. Secondary outcomes included mindfulness skills (Mindful Attention Awareness Scale), subjective well-being (Positive and Negative Affect Schedule, Satisfaction with Life Scale), harmonious passion, and obsessive passion (Passion Scale). Intention-to-treat analyses with 44 participants revealed significant improvements in the MAC group compared to controls. Tennis serve performance improved significantly in the MAC group (pre: 13.18 ± 2.19 to post: 15.09 ± 2.45, t(21) = 7.54, p < .001, d = 0.87) but not in the control group (pre: 13.05 ± 2.33 to post: 12.86 ± 2.41, t(21) = 0.78, p = .442, d = 0.08), with a significant between-group difference at post-test (t(42) = 3.71, p = .001, d = 1.12). Mindfulness skills improved substantially in the MAC group (pre: 39.00 ± 4.18 to post: 52.73 ± 3.65, t(21) = 13.76, p < .001, d = 3.28) compared to controls (pre: 43.55 ± 4.75 to post: 44.32 ± 4.12, t(21) = 1.31, p = .203, d = 0.16), with a significant between-group difference (t(42) = 7.16, p < .001, d = 2.16). Harmonious passion increased significantly in the MAC group (pre: 17.27 ± 2.64 to post: 24.05 ± 4.16, t(21) = 6.15, p < .001, d = 2.57) while remaining stable in controls (pre: 17.86 ± 3.75 to post: 16.91 ± 3.61, t(21) = 1.65, p = .114, d = 0.25), with a significant between-group difference (t(42) = 6.40, p < .001, d = 1.93). Obsessive passion decreased in the MAC group (pre: 23.73 ± 3.66 to post: 16.27 ± 2.86, t(21) = 7.54, p < .001, d = 2.04) while remaining unchanged in controls (pre: 18.00 ± 3.85 to post: 18.41 ± 4.04, t(21) = 0.85, p = .406, d = 0.11), with a significant between-group difference (t(42) = -2.02, p = .050, d = -0.61). Subjective well-being improved markedly in the MAC group (pre: 9.00 ± 7.37 to post: 27.09 ± 7.47, t(21) = 8.37, p < .001, d = 2.45) compared to controls (pre: 4.54 ± 5.85 to post: 8.72 ± 6.08, t(21) = 0.65, p = .526, d = 0.71), with a significant between-group difference (t(42) = 6.85, p < .001, d = 2.07). MAC training represents an effective intervention for enhancing tennis performance, psychological well-being, and adaptive passion while reducing maladaptive passion. These findings support the clinical utility of mindfulness-based approaches in tennis psychology and warrant further investigation on a larger scale.

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