The rebalancing act: Injured varsity women athletes’ experiences of global and sport psychological well-being

ObjectivesThe purpose of this study was to explore how seriously injured women athletes perceive and experience global and sport psychological well-being (PWB) during sport injury recovery.MethodAdopting an interpretivist constructionist approach, we conducted one semi-structured interview with twelve participants (12 interviews total), aged 18–23. All participants were currently seriously injured, with a range of six months out of sport. Through a reflexive thematic analysis (Braun & Clarke, 2019) we analyzed patterns within the data related to how injured athletes perceived and experienced global and sport specific PWB during sport injury recovery.ResultsFour overarching themes were developed: (1) my life is chaos and out of control, (2) pressures shaping response to sport injury, (3) maybe I can: adaptation from the disruption of sport injury, and (4) sport injury growth (SIG). Participants experienced an initial disruption of sport PWB and global PWB, however once they were able to adapt, they could rebalance their PWBs. Once rebalanced, participants reappraised the injury experience to be an opportunity for psychological growth and development, leading to the possibility of SIG. Findings suggest that sport injury can initially hinder one’s PWB, however once one can rebalance their PWB sport injury is perceived as a positive event that can lead to SIG.ConclusionThese findings reveal that it is important to consider the role of PWB during sport injury, as it has been identified that there are disruptions to one’s PWB. These findings help further our understanding of injured athletes’ experiences of PWB during sport injury and how athletes could be better supported to protect their PWB and mental health during recovery.     

Toward a psychoeducational curriculum for training sport-injury rehabilitation personnel

Abstract

This paper addresses significant gaps in the wining programs of sport-injury rehabilitation personnel (SIRPs) in the psychology ma. The main aim of the article is to offer for consideration a psychoeducational curriculum that is specifically designed for the training of professionals who work with injured athletes. In addition to describing the applied implications of research on the psychological aspects of sport injuries for professional practitioners. reviews of what SIRPs consider is missing-but-desirable in their professional wining. and the effectiveness of certain psychological strategies, are presented. Finally. an overview of a prototypical three-year curriculum for professional training programs is outlined.     

The role of centrality to self-concept in moderating the associations between injury perceptions and outcomes

Abstract

Objectives: To test the centrality of injury to self-concept as a moderator of the associations between injury perceptions and outcomes.

Methods: Two concurrent studies on samples of injured individuals.

Measures: The centrality of injury to one’s self concept was measured by the degree of self-injury separation (PRISM); injury perceptions were measured by the injury perception questionnaire; and outcomes by standard scales of self-assessed health, physical, emotional and social functioning, vitality, depression, anxiety and somatisation. Regression analyses examined the significance of adding the interactions between injury centrality and injury perceptions to explained outcome variance, beyond their separate contributions.

Results: Both injury centrality and injury perceptions significantly explained variance in patients’ functioning and well-being. Injury centrality moderated the associations between various injury perceptions and outcomes, especially pronounced for emotional representations of the injury. As hypothesised, the effects of injury perceptions on outcomes were stronger among patients for whom the injury was central to their self-concept compared to patients who perceived the injury as peripheral to their self-concept.

Conclusions: ‘Centrality to the self’ is a moderator of the impact of perceptions on outcomes of injuries. The findings suggest ways to tailor interventions to sub-groups of injured patients based on injury centrality to their self-concept.     

An adolescent perspective on injury recovery and the return to sport

ObjectivesThe purpose of this investigation was to examine adolescent athletes' injury recovery and return-to-sport experiences. Given previous research highlighting competence, autonomy, and relatedness concerns among returning athletes (Podlog & Eklund, 2006), we sought to examine the extent to which basic psychological needs theory (BPNT: Ryan & Deci, 2007) could be used as framework for interpreting the research findings.DesignA qualitative design was employed in the present investigation.MethodEleven Australian athletes (M age = 15.3) who had incurred a range of severe injuries (e.g., anterior cruciate ligament tears, shoulder dislocations) were interviewed on 2–3 occasions (n = 27 interviews) spanning an 11-month period.ResultsAnalysis of the data revealed the following four key themes: (a) injury stress, (b) coping strategies, (c) experiences with social support, and (d) recovery outcomes. Injury stress provides insights into a range of stressors and strain responses reported by the adolescents across the recovery phases, while the theme on coping highlights the specific strategies used to maintain motivation, reduce uncertainties associated with the injury experience, and to keep focused on future athletic attainment. The third theme, experiences with social support, considers the transactions the adolescents held with members of their social network throughout their recovery. The final theme, recovery outcomes, describes participant perceptions of a successful/unsuccessful recovery and stress-related growth.ConclusionsResults suggest that competence and relatedness issues highlighted in BPNT may be relevant in exploring adolescent athletes' injury experience. Somewhat less evidence for the autonomy dimension of BPNT was apparent in adolescent comments.     

High-level athletes' perceptions of success in returning to sport following injury

ObjectiveFor many injured athletes, a safe and successful return to sport following injury is the ultimate aim of injury recovery. Little consensus exists however, regarding the meaning of a “successful” return to sport following injury recovery [Evans, L., Mitchell, I., &; Jones, S. (2006). Psychological responses to sport injury: a review of current research. In S. Hanton, &; S. D. Mellalieu (Eds.), Literature reviews in sport psychology (pp. 289–319). New York, NY: Nova Science Publishers]. The purpose of this investigation was to obtain greater insight into this issue by examining high-level athletes' perceptions of a successful return to play following injury.MethodUsing a longitudinal design, 12 elite athletes from Australia and Canada were interviewed on a total of 40 occasions over a six–eight month period.ResultsPerceptions of success centered on (but were not limited to): a return to pre-injury levels and attaining pre-injury goals, staying on the “right” path, creating realistic expectations of post-injury performance, and remaining uninjured.ConclusionsConsistent with previous research [Podlog, L., &; Eklund, R. C. (2007a). Professional coaches perspectives on the return to sport following serious injury. Journal of Applied Sport Psychology, 1, 44–68], findings from this investigation highlight the importance of self-determination theory (SDT) constructs – namely, competence, autonomy and relatedness – in relation to athlete perceptions of a successful return to sport from injury. Such findings support the value of an SDT perspective in guiding future research and intervention efforts aimed at facilitating successful return from injury.     

Examining Hardiness,Coping and Stress-Related Growth Following Sport Injury

This study aimed to explain how injured athletes high in hardiness experienced stress-related growth and why athletes low in hardiness are less likely to derive such benefits. Twenty participants were theoretically sampled into high (n = 10) and low (n = 10) hardiness groups. Semistructured interviews were used for data collection. Findings revealed that athletes high in hardiness experienced stress-related growth from having an emotional outlet, which enabled them to reframe their injury and experience positive affect. In contrast, athletes low in hardiness had no emotional outlet, which led to suboptimal outcomes. These findings have important implications for practitioners working with injured athletes.     

Injury Representations,Coping, Emotions,and Functional Outcomes in Athletes With Sports‐Related Injuries: A Test of Self‐Regulation Theory1

This study examined the influence of injury representations on emotions and outcomes of athletes with sports‐related musculoskeletal injuries using self‐regulation theory. Participants were athletes (N= 220; M age = 23.44 years, SD= 8.42) with a current sports‐related musculoskeletal injury. Participants self‐reported their cognitive and emotional injury representations, emotions coping procedures, physical and sports functioning, attendance at treatment centers, and 3‐week follow‐up attendance. Participants’ negative and positive affect were influenced by emotional representations. Identity, causal attributions, and emotional representations influenced physical functioning; and identity, serious consequences, causal attributions, and emotional representations predicted sports functioning. Injury severity, identity, and personal control predicted attendance at treatment centers, but the effect of personal control was mediated by problem‐focused coping. Problem‐focused coping predicted 3‐week follow‐up attendance. Results support self‐regulation theory for examining injury representations in athletes.     

Psychophysiological responses to sport-specific affective pictures: A study of morality and emotion in athletes

ObjectivesThe link between morality and emotion has received little attention in the sport context. To address this issue, we examined whether moral disengagement, empathy, antisocial behaviour and psychopathy were associated with emotional reactions to unpleasant pictures depicting players being hurt or deliberately fouled in a sport context.DesignA cross-sectional design was employed.MethodTeam sport athletes (N = 66) completed measures of moral disengagement, empathy, antisocial behaviour and psychopathy and then viewed unpleasant, neutral, and pleasant sport pictures while emotional reactions to the pictures were assessed using valence and arousal ratings of the pictures as well as electrocutaneous startle blink, heart rate, skin conductance, and evoked potentials.ResultsMoral disengagement, empathy and psychopathy, but not antisocial behaviour, were associated with emotional reactions to the unpleasant pictures. Specifically, moral disengagement was related to attenuated startle blink responses and higher valence (less unpleasant) ratings, whereas empathy was associated with lower valence (more unpleasant) ratings. Psychopathy was associated with smaller startle blink responses and less heart rate deceleration.ConclusionOur findings provide support for the link between morality and emotion in athletes. Moral variables may be more closely linked with specific measures of emotion, highlighting the utility of taking a multi-measure approach in the assessment of emotion.     

Testing the triple-match principle among Dutch elite athletes: A day-level study on sport demands,detachment and recovery

ObjectivesDetachment, getting a physical, cognitive, and emotional break from the effortful demands of training and competition, is a recovery experience that can buffer the adverse effects of high sport demands on health and well-being. The matching hypothesis states that recovery strategies are most effective when they match particular sport demands. The main aim of this study was to investigate the matching hypothesis with respect to the relation between daily sport demands, detachment, and recovery state among elite athletes.DesignA one-week online daily diary study was conducted. Multilevel regression analyses tested within-subject associations between daily sport demands, detachment, and recovery state at bedtime, while controlling for recovery state in the morning.MethodSixty-eight elite athletes completed a daily diary survey after waking up (T1) and at bedtime (T2) across eight consecutive days.ResultsResults showed that daily physical detachment was positively related to daily physical recovery, whereas daily emotional detachment was positively related to daily cognitive recovery and emotional recovery. Moderating effects of daily detachment on the relation between daily sport demands and daily recovery state occurred more often when there was a match between specific types of sport demands, detachment, and recovery state rather than when there was less match or no match.ConclusionsFindings indicate that physical and emotional detachment are effective recovery strategies for elite athletes. Moreover, it is important that detachment matches the type of effort that has been spent to find the strongest stress-buffering effects.     

Two Kinds of Brain Injury in Sport

Abstract

After years of skepticism and denials regarding the significance of concussions in sport, the issue is now front and center. This is fitting, given that the impact of concussions in sport is profound. Thus, it is with trepidation that one ventures to direct some attention onto brain injuries other than concussions incurred through sport. Given a closer look, however, it may be that considering various kinds of brain injuries, with different causes, will help us better understand the range and seriousness of brain injuries in sport. My focus is on emotional trauma in sport. I argue that severe emotional pathology is evidence of underlying brain injury. Any attempt to minimize the significance of emotional disturbance that results from emotional trauma as ‘merely’ psychological in nature is thus misguided.     

Psychological injury rehabilitation lags behind physical rehabilitation: Elite athletes’ experiences and support within Chinese context

This qualitative study was focused on two objectives: to explore (a) Chinese elite athletes' perceptions of their rehabilitation experiences after severe acute injuries, and (b) support strategies facilitating their return to competition. We interviewed 10 Chinese elite athletes through a semi-structured interview guide consisting of open questions and requests for information about the participants’ injury and rehabilitation experiences. We utilized a reflexive thematic analysis to interpret participants’ accounts. Two themes are presented to reveal the Chinese elite athletes’ perceptions: (a) psychological injury rehabilitation lags behind physical rehabilitation and (b) post-injury psychological support within the CWNS.This study contributes to athlete rehabilitation scholarship by providing a unique Eastern, collective perspective embedded with the Chinese Whole Nation System (CWNS).     

Stress appraisals influence athletic performance and psychophysiological response during 16.1 km cycling time trials

ObjectivesWe examined how stress appraisals were associated with emotions, coping behaviours, as well as subjective and objective measures of performance.DesignProspective field- and laboratory-based studies.MethodsIn Study 1, 192 athletes completed process-oriented psychometrics pertaining to the aforementioned constructs throughout a sporting competition. Study 2 utilised an experimental design to assess the causal influence of stress appraisals on performance, cortisol, and psychological variables. Thirty gender-matched athletes were randomly assigned to either a stress appraisal (e.g., challenge, threat, benefit, or harm/loss) or the control group. Participants completed three 16.1 km cycling time trials (TT) on a cycle ergometer, with their appropriate stress appraisal engendered via falsified performance feedback throughout the final TT. Salivary cortisol samples and psychometrics (e.g., appraisals, emotions, and coping) were collected before and after each TT.ResultsThe results of Study 1 revealed a sequential link between challenge stress appraisals and perceived goal attainment via pleasant emotions and task-oriented coping behaviours. Threat stress appraisals inversely related to goal attainment via unpleasant emotions and both distraction- and disengagement-oriented coping. In Study 2, no significant psychophysiological or performance differences were found across genders. The temporal orientation of stress appraisals influenced objective cycling TT performance. Benefit and harm/loss stress appraisals significantly facilitated or inhibited performance, respectively. Cortisol spikes were observed in the stress appraisal group’s threat, challenge, and benefit, with a decline detected within the harm/loss group. Whilst the process of winning is physiologically stressful, the fear of defeat may be more stressful than losing itself.ConclusionStress appraisals influence subjective and objective performance, as well as neuroendocrine and psychological responses to stress.     

Longitudinal analysis of stressors,stress, coping and coping effectiveness in elite esports athletes

ObjectiveThe current study aimed to longitudinally examine the stressors, stress appraisal, coping, and coping effectiveness experienced by elite esports athletes.DesignSix elite male League of Legends (LoL) athletes, competing in the Oceanic Challenger Series (OCS), completed diaries over the 2020 competitive season (87 days).MethodAthletes completed weekly diaries after three events: solo training, team training, and competitive matches. Each diary collected data on the stressors experienced, stressor intensity and threat/challenge perception (appraisal), coping strategies used, and perceived coping effectiveness.ResultsGeneral performance, outcome, critical moment performance, and teammate mistakes accounted for 55% of the stressors reported. More stressors were reported in competitive diaries than in training diaries. Competitive stressors were rated as being more intense than training stressors. There were no differences in overall challenge and threat perception, but performance stressors were more likely to be perceived as a challenge, and teammate stressors were more likely to be perceived as a threat. Problem-focused coping (PFC) was the most frequently employed coping strategy. PFC and emotion-focused coping (EFC) strategies were perceived as more effective at reducing stress than avoidance coping (AC).ConclusionsElite LoL athletes experienced a small number of reoccurring stressors over an 87-day competitive period. Athletes reported more stressors around competitive matches and perceived competitive stressors as more intense than team and solo training stressors. Similarly to traditional sports athletes, PFC strategies were the most frequently employed and, PFC and EFC were rated as being more effective than AC.     

An examination of post-traumatic growth in Canadian and American ParaSport athletes with acquired spinal cord injury

ObjectivesThe study was guided by two research questions: (1) Does participation in ParaSport following acquired spinal cord injury (SCI) influence people's perceptions of post traumatic growth (PTG)? (2) What specific dimensions of PTG, if any, do ParaSport athletes report experiencing?DesignA phenomenological approach was adopted to understand ParaSport athletes' perceptions and experiences of PTG and sport participation following acquired SCI.MethodTwelve participants with acquired SCI who integrated, reintegrated, or attempted to integrate into sport completed a survey and participated in a semi-structured interview to assess their perceptions of acquired SCI, involvement in ParaSport, and PTG.ResultsFive general dimensions of growth emerged from the data including: (a) injury relevant processing; (b) appreciation for life; (c) reactive behavior as a result of attempted integration into ParaSport; (d) relating to others and (e) health and well-being. Participants reported increased physical functioning and independence related to their involvement in sport. Emotional and psychological gains were also associated with ParaSport including re-establishment of self-identity, improved clarity and perception of life, changed priorities, greater confidence, and enhanced social relationships.ConclusionsParticipation in ParaSport following acquired SCI may provide physical, emotional, and psychological health benefits, which should be considered in the development and implementation of sport related interventions to encourage PTG. Clinicians and rehabilitation specialists may use information from the present study to help individuals improve their identity, build relationships, and develop an appreciation for life after incurring a SCI.     

Validity of the trait emotional intelligence questionnaire in sports and its links with performance satisfaction

ObjectiveThis research project consisted of two studies aimed at validating the trait emotional intelligence questionnaire (TEIQue) in a sports sample.DesignStudy 1 used a confirmatory factor analysis (CFA) to investigate if the original 4-factor structure of the TEIQue could be replicated in a sample of athletes. In addition, we explored the relationship between trait emotional intelligence (trait EI) and the demographic variables age, sex, type of sport (individual vs. team), expertise, and years of training. Study 2 used a path analysis approach to explore if trait EI is related to performance satisfaction through stress appraisal and coping behaviors.MethodIn Study 1, 973 athletes completed the TEIQue and a demographic questionnaire. In Study 2, 291 athletes completed the TEIQue. Moreover, with a recent competition in mind, they completed the Coping Inventory for Competitive Sports, as well as items on perceived intensity of stress, perceived controllability of stress, challenge and threat appraisals, coping effectiveness, and performance satisfaction.ResultsStudy 1 showed with a CFA that the original 4-factor structure of the TEIQue could be replicated in a sports sample. Of the demographic variables, only age showed a significant positive relationship with trait EI. Study 2 showed that trait EI was related to performance satisfaction through stress appraisal and coping variables.ConclusionsThis research showed that the TEIQue can be used with athletes and that trait EI is useful for understanding certain aspects of sports performance satisfaction.     

Certified Athletic Trainers’ Understanding and Use of Sport Psychology in Their Practice

Nine certified athletic trainers from one National Collegiate Athletic Association Division I institution participated in semistructured interviews about their understanding of sport psychology and use of psychological strategies in their work with injured athletes. Through Consensual Qualitative Research (Hill, 2012 Hill, C. E. (2012). Consensual qualitative research: A practical resource for investigating social science phenomenon. Washington, DC: American Psychological Association. [Google Scholar]) procedures, three major domains were constructed: (a) recognition of the common psychological challenges of injury rehabilitation, (b) knowledge and understanding of sport psychology, and (c) utilization of sport psychology skills and strategies for rehabilitation. Although athletic trainers utilized basic psychological strategies (e.g., goal setting, reassurance) during injury rehabilitation, findings support the need for an interprofessional team approach to enhancing psychological recovery.     

Development,Implementation, and Evaluation of anAthlete-Informed Mental Skills Training Program for EliteYouth Tennis Players

Informed by athletes’ psychological needs, the current qualitative study developed, implemented, and evaluated a 15-month mental skills training (MST) program for elite youth athletes. The MST was divided into 3 phases that included a 9-month preintervention, a 2-month intervention, and a 4-month evaluation phase. The intervention consisted of 3 interactive workshops that were delivered to 11 competitive British youth tennis players (8–15?years of age) and their coach (age 34). The intervention was informed by data that were collected throughout a 9-month preintervention phase including longitudinal observations, field notes, and semistructured interviews. The intervention was evaluated over 4 months through observations, field notes, athlete-workshop data, and a semistructured interview with the coach. Results reinforced the value of the longitudinal preintervention phase by highlighting that the establishment of rapport between the researcher and athletes enhanced the meaningfulness and content of the MST program. In addition, an increase in athletes’ use and regulation of psychological skills and characteristics (PSCs) was identified as a result of athletes’ improved understanding of psychological skills (i.e., self-talk, imagery, performance routines) and characteristics (i.e., focus, emotional control, PSCs). Finally, the MST program fostered a shared subject-specific language between athletes and their coach, enhancing the openness and frequency with which PSCs were talked about. Practical guidelines for future sport psychology interventions with youth athletes and their coaches are provided.

Lay Summary: A 15-month mental skills training program was conducted with youth tennis players to enhance their ability to regulate their focus and emotional control. Practical guidelines for future interventions with youth athletes and their coaches are provided.     

Toward a grounded theory of self-regulation in mixed martial arts

ObjectivesThe purpose of the current study was to use a grounded theory methodology to better understand the psychological factors involved in training and competition in MMA.DesignA grounded theory methodology underpinned by an interpretivist epistemology was utilized in the current study.MethodsNine MMA athletes participated in formal, recorded interviews with one athlete participating in two recorded interviews. Additionally, observations and field notes from the first author were collected over a one-year period, and aided data collection and analysis. In line with grounded theory methodology (Weed, 2009), an iterative and constant comparison approach to data collection and analysis was employed until saturation was reached.ResultsThroughout data collection and analysis, self-regulation during a training camp emerged as integral to optimal performance. Motivation and ongoing evaluation aided fighters in their ability to self-regulate both external and internal factors related to training and performance. External factors associated with self-regulation consisted of the creation and maintenance of an ascetic routine through environmental regulation, social support, and structured amnesty. Internal factors associated with self-regulation consisted of deliberately induced pain and distress, which facilitated self-efficacy, and produced stress and fatigue.ConclusionsResults of the current study advance the scientific literature in sport psychology by examining the role of self-regulation in the performance of MMA fighters. As the popularity of MMA continues to increase, future research should also examine the role of self-regulation in other aspects of MMA (e.g., injury rehabilitation, life balance).