Perceived Social Support, Reinjury Anxiety, and Psychological Readiness to Return to Sport in Soccer Players.

The burden of sports injury in soccer is high, and return to sport outcomes following injury are often poor. This is compounded by a current lack of understanding surrounding the factors that may optimize psychological readiness to return to sport. Consequently, in the present study, we aim to further our understanding of these issues by examining the role of perceived social support in predicting psychological readiness to return to sport. In doing so, we extend previous research by examining whether reinjury anxiety is a mediating factor in this relationship. A sample of 150 previously injured soccer players (mean age = 25.32 y) completed measures of perceived social support, reinjury anxiety during rehabilitation, and psychological readiness to return to sport. Mediation analyses showed that reinjury anxiety partly accounted for the positive relationship between perceived social support and psychological readiness to return to sport. These findings suggest that injured soccer players with higher perceptions of social support will experience less reinjury anxiety during rehabilitation and, as a consequence, will be more psychologically ready upon return to sport.

Psychological interventions used to reduce sports injuries: a systematic review of real-world effectiveness.

OBJECTIVE: To systematically review studies examining the role of psychological interventions in injury prevention. The primary research question was: What is the real-world effectiveness of psychological intervention in preventing sports injuries? DESIGN: Mixed methods systematic review with best evidence synthesis. DATA SOURCES: CINAHL, MEDLINE, PsycARTICLES, PsycINFO, SPORTDiscus, Science Direct and PubMed. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised controlled trials (RCT), non-RCTs that included a comparison group, before and after study designs and qualitative methods. Studies were required to outline specific unimodal or multimodal psychological interventions used in relation to injury prevention in the real-world setting. OUTCOME MEASURE: Studies were independently appraised with the Mixed Methods Appraisal Tool. RESULTS: Thirteen papers (incorporating 14 studies) met the eligibility criteria, of which 93% (13/14) reported a decrease in injury rates (effect size range=0.2-1.21). There was an overall moderate risk of bias in reporting (52%). There is a dominance of stress management-based interventions in literature due to the prominence of the model of stress and athletic injury within the area. SUMMARY/CONCLUSIONS: Psychological interventions demonstrate small (0.2) to large (1.21) effects on sports injury rates. The research area demonstrates a cumulative moderate risk in reporting bias (52%). PROSPERO REGISTRATION NUMBER: CRD42016035879.

Perfectionism predicts injury in junior athletes: Preliminary evidence from a prospective study.

According to the stress-injury model (Williams & Andersen, 1998), personality factors predisposing athletes to elevated levels of stress may increase the risk of injury. As perfectionism has been associated with chronic stress, it may be one such personality factor. So far, however, no study has investigated the relationships between perfectionism and injury utilising a prospective design. Therefore, the present study examined perfectionistic strivings, perfectionistic concerns and injury in 80 junior athletes from team and individual sports (mean age 17.1 years; range 16-19 years) over 10 months of active training. The results of logistic regression analyses showed that perfectionism positively predicted injury, but only perfectionistic concerns emerged as a significant positive predictor. The likelihood of sustaining an injury was increased by over two times for each 1 SD increase in perfectionistic concerns. The findings suggest that perfectionistic concerns may be a possible factor predisposing athletes to an increased risk of injury.

Psychosocial factors associated with outcomes of sports injury rehabilitation in competitive athletes: a mixed studies systematic review.

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: are psychosocial factors 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 1 June 2015. Studies that included injured competitive athletes, psychosocial factors and 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 that included 942 injured competitive athletes were appraised and synthesised. Twenty studies had not been included in previous reviews. The mean methodological quality of the studies was 59% (moderate risk of reporting bias). Convergent thematic analysis uncovered three core themes across the studies: (1) emotion associated with rehabilitation outcomes; (2) cognitions associated with rehabilitation outcomes; and (3) behaviours associated with rehabilitation outcomes. Injury and performance-related fears, anxiety and confidence were associated with rehabilitation outcomes. There is gender-related, age-related and injury-related bias in the reviewed literature. CONCLUSIONS: Psychosocial factors were associated with a range of sports injury rehabilitation outcomes. Practitioners need to recognise that an injured athlete's thoughts, feelings and actions may influence the outcome of rehabilitation.