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Systematic review of stress-related injury vulnerability in athletic and occupational contexts
Affiliation:1. Department of Kinesiology, The Pennsylvania State University, United States;2. Department of Kinesiology, The Pennsylvania State University, Department of Preventive Medicine, Northwestern University, United States;1. University of Aberdeen, Aberdeen Health Psychology Group, Institute of Applied Health Sciences, Foresterhill, AB25 2ZD, Scotland, UK;2. Columbia University, Psychology Dept., 219 Schermerhorn Ext, 1190 Amsterdam Avenue MC: 5501, New York, NY 10027, USA;3. University of Zurich, Department of Psychology, Applied Social and Health Psychology, Binzmuehlestrasse 14/Box 14, CH-8050 Zurich, Switzerland;4. Trauma, Health, and Hazards Center, University of Colorado at Colorado Springs, 1420 Austin Bluffs Parkway, Colorado Springs, CO 80933-7150, USA;5. SWPS University of Social Sciences and Humanities, Department in Wroclaw, 30b Ostrowskiego St, 53-238 Wroclaw, Poland;1. Brunel University London, UK;2. University of Wolverhampton, UK;3. City College Norwich, UK;1. Saint Mary’s Medical Center, 450 Stanyan Street, San Francisco, CA 94117, USA;2. 1501 Trousdale Drive, Suite 115, Burlingame, CA 94010, USA
Abstract:Injury is a pervasive, expensive and, to some extent, preventable problem. Stress is a psychological risk factor for injury but little is known about how stress processes compare in athletic and occupational contexts. This paper reviews research on stress-related injury vulnerability in athletic and occupational contexts to characterize and compare samples, methods, and conclusions from the perspective of an integrated model of stress-related injury vulnerability. A comprehensive search of four major databases identified research in both athletic (n = 34) and occupational contexts (n = 22). Studies were coded to extract characteristics of the samples, research designs, measures, and conclusions about stress-injury relations. Studies used more prospective than cross-sectional or case control research designs. Injury was most frequently defined as missing one subsequent day of training or work (35.7%). Approximately 75% of the identified studies in each context indicated a positive association between stress and injury occurrence. The consistency of findings suggested a robust stress-related injury vulnerability for both exposures and responses, however, caution is warranted due to the diversity of measures and surveillance periods and the lack of experimental designs. New hypotheses are identified to refine models of stress-related injury vulnerability in athletic and occupational contexts.
Keywords:Musculoskeletal  Sport  Worksite  Emotional disturbance
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