Clement Damien, Arvinen-Barrow Monna, Fetty Tera
College of Physical Activity and Sport Sciences, West Virginia University, Morgantown;
J Athl Train. 2015 Jan;50(1):95-104. doi: 10.4085/1062-6050-49.3.52. Epub 2014 Oct 16.
Athletic trainers have traditionally conceptualized rehabilitation programs in terms of 3 distinct physiologic phases; however, these phases appear to neglect athletes' psychosocial responses to their injuries.
To document injured athletes' psychosocial responses during the different phases of injury rehabilitation.
Qualitative study.
National Collegiate Athletic Association Division II university in the mid-Atlantic region of the United States.
A total of 8 previously injured athletes (4 men and 4 women) participated in the study.
We collected participant data by using semistructured interviews, transcribed verbatim and analyzed by directed content analysis. Established themes were triangulated to determine trustworthiness.
Initially, athletes' cognitive appraisals were predominantly negative in nature, leading to negative emotions. These appraisals changed after diagnosis and when moving to the reaction-to-rehabilitation phase and the reaction-to-sport phase. During the reaction-to-rehabilitation phase, athletes reported mixed cognitive appraisals and identified frustration as the main emotional response. When returning to sport, athletes reflected on the lessons learned, yet they expressed some doubts related to their ability to return to play. These cognitive appraisals served as a precursor to the resulting emotional responses of nervousness and reinjury anxiety, as well as excitement. Throughout the various phases of rehabilitation, athletes reported seeking out social support: initially from significant others and then from their athletic trainers during the reaction-to-rehabilitation phase.
The results appear to support the use of the integrated model of psychological response to sport injury and the rehabilitation process and the 3 phases of rehabilitation as a framework for understanding how physical and psychosocial factors may interact during sport-injury rehabilitation. Understanding this interaction may help athletic trainers provide better care to their injured athletes.
传统上，运动训练师根据三个不同的生理阶段来制定康复计划；然而，这些阶段似乎忽视了运动员对其伤病的心理社会反应。
记录受伤运动员在损伤康复不同阶段的心理社会反应。
定性研究。
美国大西洋中部地区的一所美国国家大学体育协会二级大学。
共有8名曾受伤的运动员（4名男性和4名女性）参与了该研究。
我们通过半结构化访谈收集参与者数据，逐字转录并通过定向内容分析进行分析。对已确立的主题进行三角验证以确定可信度。
最初，运动员的认知评估主要为负面性质，导致负面情绪。这些评估在诊断后以及进入康复反应阶段和运动反应阶段时发生了变化。在康复反应阶段，运动员报告了混合的认知评估，并将挫折感确定为主要的情绪反应。当重返运动时，运动员反思了所学到的经验教训，但他们对自己重返比赛的能力表示了一些怀疑。这些认知评估是紧张、再次受伤焦虑以及兴奋等情绪反应的先兆。在康复的各个阶段，运动员报告说他们寻求社会支持：最初来自重要他人，然后在康复反应阶段来自他们的运动训练师。
研究结果似乎支持将运动损伤心理反应与康复过程的综合模型以及康复的三个阶段作为一个框架，以理解身体和心理社会因素在运动损伤康复过程中可能如何相互作用。理解这种相互作用可能有助于运动训练师为受伤运动员提供更好的护理。
