The Role of Optimism and Psychosocial Factors in Athletes Recovery From ACL Injury: A Longitudinal Study
Autor: | Stuart Roy, Lynne Evans, Angus Robertson, Freya Glendinning, Tom Williams, Lew Hardy, Daniel Lewis |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Longitudinal study media_common.quotation_subject medicine.medical_treatment Structural equation modeling lcsh:GV557-1198.995 Optimism Medicine perceived knee function psychosocial factors Original Research media_common Bayesian structural equation modeling lcsh:Sports Rehabilitation biology business.industry Athletes ACL Repeated measures design biology.organism_classification medicine.disease ACL injury optimism Sports and Active Living Physical therapy business rehabilitation adherence Psychosocial |
Zdroj: | Frontiers in Sports and Active Living, Vol 2 (2020) Frontiers in Sports and Active Living |
ISSN: | 2624-9367 |
DOI: | 10.3389/fspor.2020.00116/full |
Popis: | 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. |
Databáze: | OpenAIRE |
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