The Role of Optimism and Psychosocial Factors in Athletes Recovery From ACL Injury: A Longitudinal Study.

Autor: Williams T; School of Health, Sport and Professional Practice, University of South Wales, Pontypridd, United Kingdom., Evans L; School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom., Robertson A; Cardiff Sports Orthopaedics LLP, Spire Cardiff Hospital, Cardiff, United Kingdom., Hardy L; School of Sport, Health and Exercise Sciences, Bangor University, Gwynedd, United Kingdom., Roy S; Cardiff Sports Orthopaedics LLP, Spire Cardiff Hospital, Cardiff, United Kingdom., Lewis D; Cardiff Sports Orthopaedics LLP, Spire Cardiff Hospital, Cardiff, United Kingdom., Glendinning F; School of Sport, Health and Exercise Sciences, Bangor University, Gwynedd, United Kingdom.
Jazyk: angličtina
Zdroj: Frontiers in sports and active living [Front Sports Act Living] 2020 Oct 02; Vol. 2, pp. 116. Date of Electronic Publication: 2020 Oct 02 (Print Publication: 2020).
DOI: 10.3389/fspor.2020.00116
Abstrakt: Despite a growing interest into the role of psychosocial factors during the recovery period following sports injuries, there remains a paucity of longitudinal studies examining the indirect relationships between psychosocial factors, psychological responses, and recovery outcomes. The purpose of this study was to construct and test a conceptual model which examined the indirect relationships between optimism, psychosocial factors, rehabilitation adherence, and perceived knee function up to 12 months post anterior cruciate ligament (ACL) surgery. A prospective, longitudinal, and repeated measures design was employed, wherein 81 injured athletes ( M age 26.89, SD = 7.52) completed measures of optimism, psychosocial factors, rehabilitation adherence, and perceived knee function on seven occasions (pre-surgery to 1 year post-surgery). Bayesian structural equation modeling evaluated the hypothesized indirect relationships proposed within the conceptual model. The main findings from this study was empirical support for a time-ordered, conceptual model which demonstrated that pre-surgery optimism had a significant overall indirect effect on perceived knee function at 12 months post-surgery ( sum of indirect ; αβ = 0.08, post. SD = 0.05, CI [0.01, 0.04]), as well as a specific indirect effect through secondary appraisal at 1 month post-surgery, efficacy at 2 months post-surgery, and rehabilitation adherence at 6 months post-surgery (αβ = 0.03, post. SD = 0.03, CI [0.00, 0.10]). Collectively, this study provides support for a number of previously hypothesized, but not empirically examined, indirect relationships between optimism, psychosocial factors and recovery outcomes. In doing so, we provide a conceptual model which has the potential to help guide individualized treatment recommendations, as well as identify individuals at risk of compromised recovery outcomes following ACL surgery.
(Copyright © 2020 Williams, Evans, Robertson, Hardy, Roy, Lewis and Glendinning.)
Databáze: MEDLINE
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