Ivarsson Andreas, Tranaeus Ulrika, Johnson Urban, Stenling Andreas
Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, Halmstad.
Performance and Training Unit, The Swedish School of Sport and Health Sciences (GIH); Musculoskeletal & Sports Injury Epidemiology Center, IMM, Karolinska Institutet, Stockholm.
Open Access J Sports Med. 2017 Mar 9;8:27-32. doi: 10.2147/OAJSM.S112688. eCollection 2017.
Previous research offers evidence that psychological factors influence an injured athlete during the rehabilitation process. Our first objective was to conduct a systematic review and meta-analysis of the results from all published studies that examined the relationships among negative affective responses after sport injuries, rehabilitation adherence, and return to play (RTP). The second objective was to use a meta-analytic path analysis to investigate whether an indirect effect existed between negative affective responses and RTP through rehabilitation adherence. This literature review resulted in seven studies providing 14 effect sizes. The results from the meta-analysis showed that negative affective responses had a negative effect on successful RTP, whereas rehabilitation adherence had a positive effect on RTP. The results from the meta-analytic path analysis showed a weak and nonsignificant indirect effect of negative affective responses on RTP via rehabilitation adherence. These results underline the importance of providing supportive environments for injured athletes to increase the chances of successful RTP via a decrease in negative affective responses and increase in rehabilitation adherence.
先前的研究提供了证据，表明心理因素在康复过程中会影响受伤的运动员。我们的首要目标是对所有已发表的研究结果进行系统综述和荟萃分析，这些研究考察了运动损伤后的负面情绪反应、康复依从性和重返赛场（RTP）之间的关系。第二个目标是使用荟萃分析路径分析来研究负面情绪反应与RTP之间是否存在通过康复依从性产生的间接效应。这篇文献综述产生了7项研究，提供了14个效应量。荟萃分析的结果表明，负面情绪反应对成功重返赛场有负面影响，而康复依从性对重返赛场有正面影响。荟萃分析路径分析的结果表明，负面情绪反应通过康复依从性对重返赛场产生的间接效应微弱且不显著。这些结果强调了为受伤运动员提供支持性环境的重要性，以通过减少负面情绪反应和提高康复依从性来增加成功重返赛场的机会。
