Centre for Injury Prevention and Performance, School of Health and Human Performance, Dublin City University, Dublin, Ireland.
Insight SFI Research Centre for Data Analytics, Dublin City University, Dublin, Ireland.
J Sports Sci. 2022 Sep;40(17):1973-1980. doi: 10.1080/02640414.2022.2123519. Epub 2022 Sep 13.
Fear avoidance and low confidence in their ability to return to sport can impede athletes' subsequent recovery and return to sport. This study aimed to identify fear avoidance and confidence in readiness to return to sport following injury in Irish collegiate athletes. Male (416) and female (256) athletes from 24 field-sport teams at one university were prospectively followed for one season. The Athlete Fear Avoidance Questionnaire (AFAQ) and pain on the Visual Analogue Scale was completed following a time-loss injury. Prior to return to sport, participants completed the AFAQ and the Injury Psychological Readiness to Return to Sport (I-PRRS). We recorded 179 injuries. Fear avoidance was evident post-injury (21.8 ± 6.7), and the mean total I-PRRS score was 48.4 ± 8.9. Those with severe injuries presented with higher fear avoidance and lower confidence. Higher pain was associated with greater fear avoidance following injury (r = 0.32, p < 0.0001), prior to return to sport (r = 0.38, p < 0.0001), and with lower confidence (r = -0.27, p < 0.0001). Low confidence and fear avoidance was identified, particularly in those with a severe injury or high pain levels. Identifying, and providing psychosocial support to athletes experiencing, these issues is recommended.
受伤后对运动重返的恐惧和信心不足可能会阻碍运动员的后续康复和重返运动。本研究旨在确定爱尔兰大学生运动员受伤后对运动重返的恐惧和信心。对一所大学 24 个运动团队的 416 名男性和 256 名女性运动员进行了一个赛季的前瞻性随访。在发生伤停后，运动员们完成了运动员恐惧回避问卷（AFAQ）和疼痛的视觉模拟评分。在重返运动之前，参与者完成了 AFAQ 和损伤心理准备重返运动量表（I-PRRS）。我们记录了 179 次损伤。受伤后出现了恐惧回避（21.8 ± 6.7），平均总分 I-PRRS 为 48.4 ± 8.9。严重受伤的运动员表现出更高的恐惧回避和更低的信心。较高的疼痛与受伤后（r = 0.32，p < 0.0001）、重返运动前（r = 0.38，p < 0.0001）和信心降低（r = -0.27，p < 0.0001）的恐惧回避相关。确定了信心不足和恐惧回避，尤其是在那些受伤严重或疼痛水平较高的运动员中。建议识别并为有这些问题的运动员提供社会心理支持。
