Location of Repository

The Experiences of Athletes Rehabilitating From Season Ending Injuries and Their Perceived Value of Psychological Interventions: Three Case Studies

By Trevor A Hale

Abstract

Research has shown that athletes who sustain injury often experience negative emotions such as anger, anxiety, and depressed mood, and that a negative psychological state can have a detrimental effect on injury rehabilitation and return to sport. For the most part, researchers have focused on athletes who have experienced short to moderate term injuries. Few have addressed long-term injury rehabilitation (LTIR). This thesis focuses on athletes who had experienced season ending injuries. Each athlete (3) was interviewed (four times) and invited to participate in psychological interventions (e.g., psycho-educational and cognitive behavioural) throughout LTIR lasting at least nine months. Athletes’ experiences are reported as long, narrative case studies. While the case studies explore four broad themes (affect, coping, social support, and psychological interventions) the overall narratives articulate the coherence and discord among athletes’ LTIR experiences (e.g., the positive and negative consequences of social support, life stress, pain, affect; the value of psychological interventions; the therapeutic aspect of ‘just’ talking to someone; etc.). The intimate issues identified and lived by each participant are examined and discussed in relation to the pre-existing athletic injury literature. Complex and dynamic relationships among the variables (e.g., emotional and behavioural responses, social factors, and physiological aspects) proposed in integrated models of injury rehabilitation (e.g., biopsychosocial) emerged in these narratives. These integrated models outline the dynamic and interrelated responses athletes have in response to injury and are the maps that practitioners treating these athletes may use. The athletes’ stories presented here, therefore, express some of the common ground injured athletes travel and are also rich and full of unique personal experiences. In both senses, though, they depict the actual, dynamic, rough, and often lonely process of LTIR—they are the real-life territory that those maps only partially describe

Topics: 380000 Behavioural and Cognitive Sciences, School of Social Sciences and Psychology, athletes, injury rehabilitation, psychological interventions, case studies
Year: 2008
OAI identifier: oai:eprints.vu.edu.au:1988
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://vuir.vu.edu.au/1988/1/T... (external link)
  • http://vuir.vu.edu.au/1988/ (external link)
  • Suggested articles

    Preview

    Citations

    1. (1995). A comparison between injured and uninjured football players on selected psychosocial variables. The Academic Athletic Journal,
    2. (1992). A little pain never hurt anyone: Athletic career socialization and the normalization of sports injury.
    3. (1995). A model of psychologic response to athletic injury and rehabilitation. Athletic Training: Sports Health Care Perspectives,
    4. (1988). A model of stress and athletic injury: Prediction and prevention.
    5. (2002). A pooled data analysis of injury incidence in rugby league football.
    6. (1999). A prospective epidemiological study of injuries in four English professional football clubs.
    7. (2002). A prospective study of injuries to elite Australian rugby union players.
    8. (1997). A three-year follow-up of long-term injured competitive athletes: Influence of psychological risk factors on rehabilitation.
    9. (1998). Adherence to sport injury rehabilitation programs.
    10. (1990). Adherence to sports injury rehabilitation programmes.
    11. (1988). Adherence to sports related rehabilitation programs.
    12. (1990). Affective response patterns of the injured athlete: An exploratory analysis.
    13. (1996). After the fall: Reflections of injured classical ballet dancers.
    14. (1998). An integrated model of response to sport injury: Psychological and sociological dynamics.
    15. (2000). Anxiety and depression after spinal cord injury: A longitudinal analysis.
    16. (1998). Athletic Identity: An Achilles’ heel to the survival of self.
    17. (1994). Athletic injury and self diminution.
    18. (1993). Athletic trainers’ attitudes and judgements of injured athletes’ rehabilitation adherence.
    19. (1996). Attributions for recovery and adherence to sport injury rehabilitation.
    20. (1998). Australian Bureau of Statistics.
    21. (1994). Body talk: Male athletes reflect on sport, injury, and pain.
    22. (2003). Cognitive appraisals, stress, and coping: Preinjury and postinjury factors influencing psychological adjustment to sport injury.
    23. (2005). Coming Full Circle: From Practice to Research. In
    24. (1993). Competitive athletes: Preinjury and postinjury mood state and self-esteem. Mayo Clinic Proceedings,
    25. (2001). Conceptual considerations for social support research in sport and exercise settings: The case of sport injury.
    26. (1990). Conjunctive moderator variables in vulnerability and resiliency research: Life stress, social support and coping skills, and adolescent sport injuries.
    27. (1993). Coping skills, competitive trait anxiety, and playing status: Moderating effects on life stress-injury relationship.
    28. (1993). Coping strategies used by U.S. Olympic wrestlers. Research Quarterly for Exercise and Sport,
    29. (1999). Coping with sport injury: Resource loss and the role of social support.
    30. (1985). Differences in perceptions of seriousness and disrupting effects of athletic injury as viewed by athletes and their trainer.
    31. (1997). Down but not out: Athlete responses to season-ending injuries.
    32. (1992). Emotional effects of sports injuries: Implications for physiotherapists.
    33. (1990). Emotional reactions of athletes to knee rehabilitation. Paper presented at the annual meeting of the Australian Sports Medicine Federation,
    34. (1990). Emotional responses of athletes to injury. Mayo Clinic Proceedings,
    35. (1997). Examining psychological factors during injury rehabilitation.
    36. (1988). Fall). Sport psychology and the injured athlete.
    37. (1993). Guidelines for using sport psychology in rehabilitation. Athletic Therapy Today,
    38. (1983). Hypnosis and the immune system: A review with implications for cancer and the psychology of healing.
    39. (1996). Identity foreclosure, athletic identity, and career maturity in intercollegiate athletes.
    40. (1985). If it changes it must be a process: Study of coping and emotion during three stages of a college examination.
    41. (1988). Incidence, nature, and causes of ice hockey injuries: A three-year prospective study of a Swedish elite ice hockey team.
    42. (1993). Injured athletes’ attitudes and judgements toward rehabilitation adherence.
    43. (1988). Injuries in international ice hockey: A prospective comparative study of injury incidence d injury types in international and Swedish elite ice hockey.
    44. (2000). Injuries to athletes with disabilities: Identifying injury patterns.
    45. (2004). Injury prevention in Sweden: Helping soccer players at risk.
    46. (2003). Injury rates and profiles in female ice hockey players.
    47. (2002). Injury rehabilitation: A qualitative follow-up study.
    48. (1998). Integrating sport psychology and sport medicine in research: The Dilemmas.
    49. (2000). Introducing narrative psychology: Self, trauma and the construction of meaning.
    50. (1983). Life stress and athletic injury: Examination of positive versus negative events and three moderator variables.
    51. (1995). Medical hypnosis and orthopaedic hand surgery: Pain perception, post-operative recovery, and adherence.
    52. (1991). Mental links to enhanced healing: An exploratory study.
    53. (2003). Narrative practice and its potential contribution to sport psychology: The example of flow.
    54. (1979). Neurotic illness in fitness fanatics.
    55. (2004). New Initiatives to Prevent Injury During Sport and Physical Activity.
    56. (2008). Overtraining athletes: Personal journeys in sport.
    57. (1997). People helping people: Examining the social ties of athletes coping with burnout and injury stress.
    58. (1994). Perceptions of psychological interventions in the context of sport injury rehabilitation.
    59. (1999). Personality correlates of psychological processes during injury rehabilitation. In
    60. (1991). Positive deviance among athletes: The implications of over conformity to the sport ethic.
    61. (1989). Predictors of adherence in the rehabilitation of athletic injuries: An application of personal investment theory.
    62. (1997). Predictors of injury in ice hockey players: A multivariate, multidisciplinary approach.
    63. (2000). Predictors of recovery time.
    64. (1995). Prevalence of psychological distress among patients at a physical therapy clinic specializing in sports medicine. Sports Medicine Training and Rehabilitation,
    65. (1997). Professional practice: Inquiry, innovations, and dissemination.
    66. (2001). Protection motivation theory and adherence to sport injury rehabilitation revisited.
    67. (1993). Providing social support for injured athletes: The perspective of elite coaches. Sports Coach,
    68. (1990). Psycho-physical rehabilitation from a serious sport injury: Case study of an elite fast bowler.
    69. (1999). Psychological and emotional responses to athletic injury: Measurement issues. In
    70. (1998). Psychological antecedents of sport injury: Review and critique of the stress and injury model.
    71. (2002). Psychological aspects of sport injury rehabilitation: Toward a biopsychosocial approach.
    72. (1991). Psychological aspects of the recovery process form sport injury: The perspective of sport physiotherapists.
    73. (1994). Psychological consequences of athletic injury among high-level competitors. Research Quarterly for Exercise and Sport,
    74. (1988). Psychological effects of running loss on consistent runners.
    75. (1975). Psychological factors in athletic injuries: Development and application of the Social and Athletic Readjustment Rating Scale (SARRS).
    76. (1996). Psychological impact of injuries in athletes.
    77. (1998). Psychological influences on surgical recovery: Perspectives from psychoneuroimmunology.
    78. (2003). Psychological processes associated with athletic injuries.
    79. (1987). Psychological rehabilitation and physical injury: Implications for the sports medicine team.
    80. (1985). Psychological responses to traumatic physical disability. Social Work in Health Care,
    81. (2001). Psychological skills and adherence to rehabilitation after reconstruction of the anterior cruciate ligament.
    82. (1993). Psychology of injury and injury rehabilitation. In
    83. (1993). Psychology of Sport Injury.
    84. (1977). Psychology of the exceptional theory, cancer patient: A description of patients who outlive predicted life.
    85. (1986). Psychology of the injured athlete.
    86. (1998). Psychosocial factors as predictors of ballet injuries: Interactive effects of life stress and social support.
    87. (1994). Qualitative data analysis. Thousand Oaks,
    88. (2001). Qualitative Research. In
    89. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis.
    90. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review.
    91. (1994). Review and critique of models of psychological adjustment to athletic injury.
    92. (1991). Role of the sport psychologist in treating injured athletes: A survey of sports medicine providers.
    93. (2002). Schopenhauer’s porcupines: Intimacy and its’ dilemmas, five stories of psychotherapy.
    94. (1999). Seeing helps believing: Modelling in injury rehabilitation. In
    95. (2000). Short-term psychological intervention: A study of long-term-injured competitive athletes.
    96. (1995). Situational correlated of emotional adjustment athletic injury.
    97. (1991). Social risk and the meaning of sport.
    98. (1993). Social support and athletic injury: The perspective of sport physiotherapists.
    99. (2001). Social support and recovery form sport injury: Elite skiers share their experiences.
    100. (1998). Solution-focused therapy.
    101. (1995). Sport injury and grief responses: A review.
    102. (1988). Sport psychology and athletic injury: A cognitive-behavioural approach to injury response and rehabilitation.
    103. (1991). Sport psychology in the training room: A survey of athletic trainers.
    104. (2000). Sport, age, and sex specific incidence of sports injuries in Western Australia.
    105. (1997). Stress sources encountered when rehabilitating from season-ending ski injuries.
    106. (1984). Stress, Appraisal, and Coping.
    107. (2002). Telling Tales in Sport and Physical Activity: A Qualitative Journey. South Australia: Human Kinetics.
    108. (1995). The art of case study research.
    109. (2007). The art of thinking narratively: Implications for coaching psychology and practice.
    110. (1969). The athlete’s neurosis–A deprivation crisis.
    111. (1996). The effect of personal goals, self-efficacy, and self-satisfaction on injury rehabilitation.
    112. (1993). The effects of psychological factors in sports medicine rehabilitation adherence.
    113. (1996). The efficacy of guided imagery for recovery from anterior cruciate ligament (ACL) replacement.
    114. (2003). The emotional response to the injury and rehabilitation process.
    115. (1998). The Experiences of Athletes 182 Durso-Cupal,
    116. (1983). The importance of psychotherapy for athletic related orthopaedic injuries among adults.
    117. (2003). The influence of social support on the lived experiences of spinal cord injured sportsmen.
    118. (1997). The interviews will follow a similar outline to that of
    119. (1990). The psychological effects of sports injuries:
    120. (1983). The relationship between stress and college football injuries.
    121. (2003). The role experimentation of intercollegiate student athletes.
    122. (2005). The role of coping in rehabilitation from sport injury: The application of an integrated approach. Unpublished doctoral dissertation,
    123. (1967). The Social Readjustment Rating Scale.
    124. (2000). The televised sports manhood formula.
    125. (2000). The use of imagery by athletes during injury rehabilitation.
    126. (1996). Threat and coping appraisal as determinants of compliance with sport injury rehabilitation: An application of protection motivation theory.
    127. (1995). Timing of surgery in acute anterior cruciate ligament tears on the return of quadriceps muscle strength after reconstruction using an autogenous patellar graft.
    128. (1993). Violence, risk, and liability in male sports culture.
    129. (1986). Winter). The grief response and injury: A special challenge for athletes and athletic trainers. Athletic Training,

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.