Covassin Tracey, Crutcher Bryan, Bleecker Alisha, Heiden Erin O, Dailey Alexander, Yang Jingzhen
Michigan State University, East Lansing.
J Athl Train. 2014 Jul-Aug;49(4):462-8. doi: 10.4085/1062-6059-49.2.03. Epub 2014 Mar 27.
When an athlete is injured, the primary focus of the sports medicine team is to treat the physical effects of the injury. However, many injured athletes experience negative psychological responses, including anxiety, regarding their injury.
To compare the anxiety and social support of athletes with concussions and a matched group of athletes with orthopaedic injuries.
Cross-sectional study.
Athletic training room.
A total of 525 injuries among athletes from 2 Big Ten universities were observed. Of these, 63 concussion injuries were matched with 63 orthopaedic injuries for the athlete's sex, sport, and time loss due to injury.
MAIN OUTCOME MEASURE(S): Clinical measures included the State-Trait Anxiety Inventory (which measures both state and trait anxiety) and the modified 6-item Social Support Questionnaire.
The group with concussions relied on their family for social support 89% of the time, followed by friends (78%), teammates (65%), athletic trainers (48%), coaches (47%), and physicians (35%). The group with orthopaedic injuries relied on their family for social support 87% of the time, followed by friends (84%), teammates (65%), athletic trainers (57%), coaches (51%), and physicians (36%). We found no differences for the State-Trait Anxiety Inventory (t = -1.38, P = .193) between the concussed and orthopaedic-injury groups. Social Support Questionnaire scores were significant predictors for postinjury state anxiety. Specifically, increased scores were associated with decreased postinjury state anxiety (β = -4.21, P = .0001).
Both the concussed athletes and those with orthopaedic injuries experienced similar state and trait anxiety and relied on similar sources of social support postinjury. However, athletes with orthopaedic injuries reported greater satisfaction with support from all sources compared with concussed athletes. In contrast, concussed athletes showed more significant predictor models of social support on state anxiety at return to play.
当运动员受伤时，运动医学团队的主要关注点是治疗损伤的身体影响。然而，许多受伤的运动员会对其损伤产生负面心理反应，包括焦虑。
比较脑震荡运动员和一组匹配的骨科损伤运动员的焦虑和社会支持情况。
横断面研究。
运动训练室。
观察了来自2所十大联盟大学的运动员的525处损伤。其中，63例脑震荡损伤与63例骨科损伤在运动员的性别、运动项目和损伤导致的失能时间方面进行了匹配。
临床测量包括状态-特质焦虑量表（测量状态焦虑和特质焦虑）和修改后的6项社会支持问卷。
脑震荡组89%的时间依赖家人提供社会支持，其次是朋友（78%）、队友（65%）、运动训练师（48%）、教练（47%）和医生（35%）。骨科损伤组87%的时间依赖家人提供社会支持，其次是朋友（84%）、队友（65%）、运动训练师（57%）、教练（51%）和医生（36%）。我们发现脑震荡组和骨科损伤组之间的状态-特质焦虑量表得分无差异（t = -1.38，P = 0.193）。社会支持问卷得分是伤后状态焦虑的显著预测因素。具体而言，得分增加与伤后状态焦虑降低相关（β = -4.21，P = 0.0001）。
脑震荡运动员和骨科损伤运动员在状态和特质焦虑方面相似，伤后依赖的社会支持来源也相似。然而，与脑震荡运动员相比，骨科损伤运动员对来自所有来源的支持满意度更高。相比之下，脑震荡运动员在恢复比赛时，社会支持对状态焦虑的预测模型更显著。
