Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
School of Sport, York St John University, York, UK.
Br J Sports Med. 2018 Aug;52(15):967-971. doi: 10.1136/bjsports-2017-097694. Epub 2018 Feb 20.
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?
Mixed methods systematic review with best evidence synthesis.
CINAHL, MEDLINE, PsycARTICLES, PsycINFO, SPORTDiscus, Science Direct and PubMed.
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.
Studies were independently appraised with the Mixed Methods Appraisal Tool.
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%).
CRD42016035879.
系统回顾研究心理干预在预防损伤中的作用。主要研究问题是：心理干预在预防运动损伤方面的真实世界效果如何？
混合方法系统综述和最佳证据综合。
CINAHL、MEDLINE、PsycARTICLES、PsycINFO、SPORTDiscus、Science Direct 和 PubMed。
随机对照试验（RCT）、非随机对照试验（包括对照组）、前后研究设计和定性方法。研究必须概述在真实环境中针对损伤预防使用的具体单一或多模式心理干预措施。
研究使用混合方法评估工具进行独立评估。
有 13 篇论文（包含 14 项研究）符合入选标准，其中 93%（13/14）报告了损伤率的降低（效应大小范围为 0.2-1.21）。报告的总体偏倚风险为中度（52%）。由于该领域内应激与运动损伤模型的突出地位，基于应激管理的干预措施在文献中占据主导地位。
总结/结论：心理干预对运动损伤率有较小（0.2）到较大（1.21）的影响。该研究领域在报告偏倚方面存在中度累积风险（52%）。
PROSPERO 注册号：CRD42016035879。
