运动训练师提供的社会支持与重返赛场时的抑郁和焦虑症状。
Social support from the athletic trainer and symptoms of depression and anxiety at return to play.
作者信息
Yang Jingzhen, Schaefer Julie T, Zhang Ni, Covassin Tracey, Ding Kele, Heiden Erin
机构信息
The Research Institute at Nationwide Children's Hospital, Department of Pediatrics, College of Medicine, Ohio State University, Columbus;
出版信息
J Athl Train. 2014 Nov-Dec;49(6):773-9. doi: 10.4085/1062-6050-49.3.65.
CONTEXT
Few empirical studies have examined social support from athletic trainers (ATs) and its buffering effect during injury recovery.
OBJECTIVE
To examine the effect of social support received from ATs during injury recovery on reported symptoms of depression and anxiety at return to play among a cohort of collegiate athletes.
DESIGN
Cohort study.
SETTING
Two Big 10 Conference universities.
PATIENTS OR OTHER PARTICIPANTS
A total of 594 injuries sustained by 387 collegiate athletes (397 injuries by 256 males, 197 injuries by 131 females) on 9 sports teams.
MAIN OUTCOME MEASURE(S): Data were collected during the 2007-2011 seasons. Social support was measured using the 6-item Social Support Questionnaire. Symptoms of depression were assessed using the Center for Epidemiological Studies Depression Scale. Anxiety was measured by the State-Trait Anxiety Inventory. We used generalized estimation equation regression models to examine the effect of the social support from ATs on the odds of symptoms of depression and anxiety at return to play.
RESULTS
In 84.3% (n = 501) of injury events, injured athletes received social support from ATs during their recovery. Of these, 264 (53.1%) athletes reported being very satisfied with this social support. Whether or not athletes received social support from ATs during recovery did not affect the symptoms of depression or anxiety experienced at return to play. However, compared with athletes who were dissatisfied with the social support received from ATs, athletes who were very satisfied or satisfied with this social support were 87% (95% confidence interval = 0.06, 0.30) and 70% (95% confidence interval = 0.13, 0.70) less likely to report symptoms of depression at return to play, respectively. Similar results were observed for anxiety.
CONCLUSIONS
Our findings support the buffering effect of social support from ATs and have important implications for successful recovery in both the physical and psychological aspects for injured athletes.
背景
很少有实证研究考察运动训练师（ATs）提供的社会支持及其在损伤恢复过程中的缓冲作用。
目的
考察损伤恢复期间从运动训练师处获得的社会支持对一组大学生运动员恢复比赛时报告的抑郁和焦虑症状的影响。
设计
队列研究。
地点
两所十大联盟大学。
患者或其他参与者
9支运动队的387名大学生运动员共发生594起损伤（256名男性发生397起损伤，131名女性发生197起损伤）。
主要结局指标
数据收集于2007 - 至2011赛季。使用6项社会支持问卷测量社会支持。使用流行病学研究中心抑郁量表评估抑郁症状。用状态 - 特质焦虑量表测量焦虑。我们使用广义估计方程回归模型来考察运动训练师提供的社会支持对恢复比赛时抑郁和焦虑症状发生几率的影响。
结果
在84.3%（n = 501）的损伤事件中，受伤运动员在恢复期间从运动训练师处获得了社会支持。其中，264名（53.1%）运动员报告对这种社会支持非常满意。运动员在恢复期间是否从运动训练师处获得社会支持并不影响恢复比赛时经历的抑郁或焦虑症状。然而，与对从运动训练师处获得的社会支持不满意的运动员相比，对这种社会支持非常满意或满意的运动员在恢复比赛时报告抑郁症状的可能性分别低87%（95%置信区间 = 0.06，0.30）和70%（95%置信区间 = 0.13，0.70）。焦虑方面也观察到类似结果。
结论
我们的研究结果支持运动训练师提供的社会支持的缓冲作用，对受伤运动员在身体和心理方面的成功恢复具有重要意义。
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