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Psychosocial factors associated with sports injury outcomes in competitive athletes: a mixed studies review

Forsdyke, Dale and Smith, Andy and Jones, Michelle and Gledhill, Adam (2015) Psychosocial factors associated with sports injury outcomes in competitive athletes: a mixed studies review. British Journal of Sports Medicine.

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Abstract

Background The prime focus of research on sports injury has been on physical factors. This is despite our understanding that when an athlete sustains an injury it has psychosocial as well as physical impacts. Psychosocial factors have been suggested as prognostic influences on the outcomes of rehabilitation. The aim of this work was to address the question: which psychosocial factors are associated with sports injury rehabilitation outcomes in competitive athletes?

Study Design Mixed Studies Systematic Review (PROSPERO reg.CRD42014008667).

Method Electronic database and bibliographic searching was undertaken from the earliest entry until 1st June 2015. Studies that included injured competitive athletes, psychosocial factors, with a sports injury rehabilitation outcome were reviewed by the authors. A quality appraisal of the studies was undertaken to establish the risk of reporting bias.

Results 25 studies were evaluated, spanning 3 decades, on a total of 942 injured competitive athletes. 20 studies not previously reviewed were appraised and synthesised. The research team adjudged the mean methodological quality of the studies to be 59% (moderate risk of reporting bias). Convergent thematic analysis uncovered three core themes across the studies i) emotion associated with rehabilitation outcomes ii) cognitions associated with rehabilitation outcomes and iii) behaviours associated with rehabilitation outcomes. Injury and performance related fears, anxiety, and confidence were related to rehabilitation outcomes. There is gender, age, and injury related bias in the reviewed literature.

Conclusions
The evidence reviewed indicates that psychosocial factors are associated with a range of sports injury rehabilitation outcomes. Practitioners need to recognise that an injured athlete’s thoughts, feelings, and actions are related to the outcome of rehabilitation.

Item Type: Article
Status: Published
DOI: 10.1136/bjsports-2015-094850
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RZ Other systems of medicine
School/Department: School of Sport
URI: http://ray.yorksj.ac.uk/id/eprint/1016

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