Psychological predictors and consequences of injuries in sport settings.

Wiese‐Bjornstal, Diane M.

doi:10.1037/0000123-035

Cited by 11 publications

(7 citation statements)

References 116 publications

(212 reference statements)

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“…Besides physical demands, mental aspects also play an important role in sports performance such as running. These psychological factors affect both injury incidence [33] and injury rehabilitation [34].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and etiology of lower limb injuries in Iranian recreational runners

Mousavi

Hijmans

Minoonejad

et al. 2019

Preprint

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Background Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to tailor an effective RRI prevention program. We aimed to investigate the prevalence and etiology of RRIs in Iranian recreational runners.Methods An internet-based self-developed questionnaire was sent to recreational runners recruited through social media. The questionnaire asked about personal and training characteristics, psychological factors (passion, BERQ-2, RAND-36), SQUASH, sleep, foot type and RRIs over the last six months. Data were analyzed descriptively and using logistic regression.Results Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. The male-to-female proportion was 57.5:42.5. 54% of runners reported at least one RRI. Patellofemoral pain syndrome was the most-reported injury (19.8%), followed by medial tibial stress syndrome (16.9%). Knee was the most-affected location (44.6%), followed by lower leg (19.2%). The variables associated with RRIs were: overweight (odds ratio (OR):1.77), pes planus (OR:1.81), running over 20 km/week (OR:1.62), hard-surface running (OR:1.38), running company (OR:1.74), following a training program (OR:1.50), obsessive passionate attitude (OR:1.05), RAND-36 (OR:0.96), and sleep quality (OR:1.46). Associated factors for all different RRI types were analyzed too.Conclusions Overweight, running over 20 km/week, hard-surface running, having pes planus or cavus, higher obsessive passion, lower RAND-36, and poor sleep quality were the most predictive risk factors for RRIs types. This study highlighted the importance of psychological factors besides abnormal foot arch and some training-related risk factors for RRIs in Iranian runners. These results may be useful for runners and coaches to tailor effective training programs and to design RRI prevention programs that may help clinicians when managing RRIs.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and etiology of lower limb injuries in Iranian recreational runners

Mousavi

Hijmans

Minoonejad

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…In other words, runners with a more obsessively passionate attitude are more likely to report RRIs. Previous studies concluded that mental aspects such as harmonious and obsessive passionate attitude and mental detachment affect injury incidence (Balk et al, 2019;De Jonge et al, 2020;Wiese-Bjornstal, 2019) and injury rehabilitation (Ardern et al, 2013). Mental aspects influence training variables such as the training loads that a runner can tolerate before incurring an injury (Vallerand, 2010).…”

Section: Mental Aspects and Sleepmentioning

confidence: 99%

Factors Associated With Lower Limb Injuries in Recreational Runners: A Cross-Sectional Survey Including Mental Aspects and Sleep Quality

Mousavi¹,

Hijmans²,

Minoonejad³

et al. 2021

jsportscimed

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Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to design effective RRI prevention programs. Mental aspects and sleep quality seem to be important potential risk factors, yet their association with RRIs needs to be elucidated. The aims of this study are to investigate the epidemiology of RRIs in recreational runners and the association of mental aspects, sleep, and other potential factors with RRIs. An internet-based questionnaire was sent to recreational runners recruited through social media, asking for personal and training characteristics, mental aspects (obsessive passion, motivation to exercise), sleep quality, perceived health, quality of life, foot arch type, and RRIs over the past six months. Data were analyzed descriptively and using logistic regression. Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. 54% of runners reported at least one RRI. The knee was the most-affected location (45%), followed by the lower leg (19%). Patellofemoral pain syndrome was the most-reported injury (20%), followed by medial tibial stress syndrome (17%). Obsessive passionate attitude (odds ratio (OR):1.35; 95% confidence interval (CI):1.18-1.54), motivation to exercise (OR:1.09; CI:1.03-1.15), and sleep quality (OR:1.23; CI:1.15-1.31) were associated with RRIs, as were perceived health (OR:0.96; CI:0.94-0.97), running over 20 km/week (OR:1.58; CI:1.04-2.42), overweight (OR:2.17; CI:1.41-3.34), pes planus (OR:1.80; CI:1.12-2.88), hard-surface running (OR:1.37; CI:1.17-1.59), running company (OR:1.65; CI:1.16-2.35), and following a training program (OR:1.51; CI:1.09-2.10). These factors together explained 30% of the variance in RRIs. A separate regression analysis showed that mental aspects and sleep quality explain 15% of the variance in RRIs. The association of mental aspects and sleep quality with RRIs adds new insights into the multifactorial etiology of RRIs. We therefore recommend that besides common risk factors for RRI, mental aspects and sleep be incorporated into the advice on prevention and management of RRIs.

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“…In this context, high intensity training can promote 1) increased sleep drive contributing to improved sleep ( Romdhani et al, 2022b ) and 2) activation of endogenous opioid release (inside the brain) resulting in mood elevation and stress reduction ( Saanijoki et al, 2018 ). Unfortunately, mental distress and the athletes’ inability to maintain athletic routines have also been associated with an increased injury risk ( Wiese-Bjornstal, 2019 ; Rampinini et al, 2021b ). Uncertainty around the resumption of competitions while in lockdown situation, may worsen mood, reduce motivation, and amplify eventual mental health issues ( Facer-Childs et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Athlete level, sport-type, and gender influences on training, mental health, and sleep during the early COVID-19 lockdown in Malaysia

Washif¹,

Kok

James

et al. 2023

Front. Physiol.

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Purpose: We evaluated the extent of changes in training practices, recovery, mental health, and sleep patterns of athletes during the early COVID-19 lockdown in a single country-cohort.Methods: A total of 686 athletes (59% male, 41% female; 9% World Class, 28% International, 29% National, 26% State, 8% Recreational) from 50 sports (45% individual, 55% team) in Malaysia completed an online, survey-based questionnaire study. The questions were related to training practices (including recovery and injury), mental health, and sleep patterns.Results: Relative to pre-lockdown, training intensity (−34%), frequency (−20%, except World-Class), and duration (−24%–59%, especially International/World-Class) were compromised, by the mandated lockdown. During the lockdown, more space/access (69%) and equipment (69%) were available for cardiorespiratory training, than technical and strength; and these resources favoured World-Class athletes. Most athletes trained for general strength/health (88%) and muscular endurance (71%); and some used innovative/digital training tools (World-Class 48% vs. lower classification-levels ≤34%). More World-Class, International, and National athletes performed strength training, plyometrics, and sport-specific technical skills with proper equipment, than State/Recreational athletes. More females (42%) sourced training materials from social media than males (29%). Some athletes (38%) performed injury prevention exercises; 18% had mild injuries (knees 29%, ankles 26%), and 18% received a medical diagnosis (International 31%). Lower-level athletes (e.g., State 44%) disclosed that they were mentally more vulnerable; and felt more anxious (36% vs. higher-levels 14%–21%). Sleep quality and quantity were “normal” (49% for both), “improved” (35% and 27%), and only 16% and 14% (respectively) stated “worsened” sleep.Conclusion: Lockdown compromised training-related practices, especially in lower-level athletes. Athletes are in need of assistance with training, and tools to cope with anxiety that should be tailored to individual country requirements during lockdown situations. In particular, goal-driven (even if it is at home) fitness training, psychological, financial, and lifestyle support can be provided to reduce the difficulties associated with lockdowns. Policies and guidelines that facilitate athletes (of all levels) to train regularly during the lockdown should be developed.

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Psychological predictors and consequences of injuries in sport settings.

Cited by 11 publications

References 116 publications

Epidemiology and etiology of lower limb injuries in Iranian recreational runners

Epidemiology and etiology of lower limb injuries in Iranian recreational runners

Factors Associated With Lower Limb Injuries in Recreational Runners: A Cross-Sectional Survey Including Mental Aspects and Sleep Quality

Athlete level, sport-type, and gender influences on training, mental health, and sleep during the early COVID-19 lockdown in Malaysia

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