Psychological intervention program for injured university athletes
DOI:
https://doi.org/10.24310/riccafd.13.3.2024.20169Keywords:
psychological response, sports injuries, psychological accompaniment, moods state, adherenceAbstract
The objetive was to know the effect of a psychological intervention program based on CBT to improve the psychological response to the injury and the patient's mood during the rehabilitation process, as well as to identify the perspective of the patient and the rehabilitator in the rehabilitation process. Mixed methodology was used, 7 university athletes with lower extremity injuries participated, a semi-structured interview and a battery of questionnaires were applied; the intervention program consisted of 8 sessions, 60-minutes each one. The results showed that negative emotions were present in the first rehabilitation sessions, with depression, sadness and stress being the most present and as the psychological sessions progressed, the emotional changes were reflected, especially from session 5 onwards. Regarding adherence to therapy, there was a discrepancy in the perception of the athletes and the rehabilitator. These results highlight the importance of investigating psychosocial aspects more deeply for adequate adherence to treatment and prompt return to sport.
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Weiß, M., Büttner, M., Richlan, F. The Role of Sport Psychology in Injury Prevention and Rehabilitation in Junior Athletes. Behavioral Sciences. [internet], 2024. [Citado abril 2024]. 14, 254. Disponible de: https://www.mdpi.com/2076-328X/14/3/254
Berengüí R, Pelegrín A. Problemas asociados a la práctica deportiva. En: Berengüí R y López-Walle J, editores. Introducción a la Psicología del Deporte. España: EOS Editorial; 2018. p. 451-488.
Brewer B W, Redmond C J. Psychology of Sport Injury. En: Human Kinetics. 2017.
Brewer B W. Psychological responses to sport injury. In Oxford research encyclopedia of psychology. Oxford University Press [internet]. 2017. [Citado abril 2024]; Disponible de: https://oxfordre.com/psychology/display/10.1093/acrefore/9780190236557.001.0001/acrefore-9780190236557-e-172
Rizeanu, R., & Bratu, M. (2018). Correlations between depression, anxiety and the level of pain perception in athletes who suffered injuries. Discobolul, XIV(3), 3–80.
Yang, J., Schaefer, J. T., Zhang, N., Covassin, T., Ding, K., & Heiden, E. (2014). Social support from the athletic trainer and symptoms of depression and anxiety at return to play. Journal of Athletic Training, 49(6), 773–779. https://doi.org/10.4085/1062-6050-49.3.65
Mitchell I, Evans L, Rees T, Hardy L. Stressors, social support, and tests of the buffering hypothesis: Effects on psychological responses of injured athletes. British Journal of Health Psychology [internet]. 2014 [citado abril 2024]; 19, p. 486-508. Disponible de: https://www.researchgate.net/publication/247205143_Stressors_social_support_and_psychological_responses_to_sport_injury_in_high-_and_low-performance_standard_participants
Abenza L. Olmedilla A. Ortega E. Esparza F. Estados de ánimo y adherencia a la rehabilitación de deportistas lesionados. Apunts Sport Medicine [internet]. 2009 [citado abril 2024]; p.161.29-37. Disponible de: https://www.apunts.org/es-estados-animo-adherencia-rehabilitacion-deportistas-articulo-X0213371709353873
Burland, J., Toonstra, J., y Howard, J. Psychosocial barriers after anterior cruciate ligament reconstruction: A clinical Review of factors influencing postoperative success. Sports Health: A multidisciplinary approach [internet]. 2019 [citado abril 2024]; 11(6), p. 528-534. Disponible de:
https://doi.org/10.1177/1941738119869333
Biswas, A. y Biswas, A. Psychological interventions of injury in athletes a review. International Journal of Research Padagogy and Tecnology in Education and Movement Sciences [internet]. 2023 [citado abril 2024]; 12(01), p. 80-87. Disponible de: https://ijems.net/index.php/ijem/article/view/248
Moo J C, Góngora E A. Impacto de una intervención en resiliencia en deportistas universitarios lesionados. Journal of Behavior, Health & Social Issues [internet]. 2020 [citado abril 2024]; 12 (1), p. 47-57. Disponible de. http://dx.doi.org/10.22201/fesi.20070780.2020.12.1.75655
Olmedilla A, Ortega E, Gómez J. M. Influencia de la lesión deportiva en los cambios del estado de ánimo y de la ansiedad precompetitive en futbolistas. Cuadernos de Psicología del Deporte [internet]. 2013 [citado abril 2024]; 14(1), p. 55-62. Disponible de: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1578-84232014000100007
Podlog L, Banham SM, Wadey R, Hannon J. Psychological readiness to return to competitive sport following injury: A qualitative study. Sport Psychologist. 2015, 29(1) p. 1-14. http://dx.doi.org/10.1123/tsp.2014-0063
Schwab L., Pittsinger R. Yang J. Effectiveness of psychological intervention following sport injury. Journal of Sport and Health Science [internet]. 2012 [citado abril 2024]; 1, p. 71-79. Disponible de: http://dx.doi.org/10.1016/j.jshs.2012.06.003
Frank A, Oscar G. Psychological Factors Influencing Injury Rehabilitation and Return to Sport: A Systematic Review. Journal of Sport Psychology [internet]. 2023 [citado abril 2024]; 32(2), p. 67–75. Disponible de: https://www.rpd-online.com/index.php/rpd/article/view/1266
Gennarelli SM, Brown, SM, Mulcahey, MK. Psychosocial interventions help facilitate recovery following musculoskeletal sports injuries: A systematic review. The Physician and Sportsmedicine [internet]. 2020 [citado abril 2024]; 48(4), p.370-377. Disponible de: https://doi.org/10.1080/00913847.2020.1744486
Gledhill A, Forsdyke D, Murray E. Psychological interventions used to reduce sports injuries: a systematic review of realworld effectiveness. British Journal of Sports Medicine [internet]. 2018 [citado abril 2024]; 52(15), p. 967-971. Disponible de: http://dx.doi.org/10.1136/bjsports-2017-097694
Zhang A, Borheimer LA, Weaver A, Franklin C, Hai AH, Guz S, Shen L. Cognitive behavioral therapy for primary care depression and anxiety: A secondary meta-analytic review using robust variance estimation in meta-regression. Journal of Behavioral Medicine [internet]. 2019 [citado abril 2024]; 42(6), p.1117–1141. Disponible de: https://doi.org/10.1007/s10865-019-00046-z
McGinn LK, Sanderson WC. (2001). What allows cognitive behavioral therapy to be brief: Overview, efficacy, and crucial factors facilitating brief treatment. Clinical Psychology: Science and Practice [internet]. 2001 [citado abril 2024]; 8(1), p. 23–37. Disponible de: doi:10.1093/clipsy.8.1.2
Alzate R, Ramirez A, Lazaro I. The effect of psychological response on recovery of sport injury. Research in Sports Medicine [internet]. 2004 [citado abril 2024]; 12(1), p. 15–31. Disponible de: doi:10.1080/15438620490280567
Catalá P, Peñacoba C, Pocinho R, Margarido C. Efects of a psychological and physiotherapeutic intervention on the ocurrence of injuries. Cultura, Ciencia y Deporte [internet]. 2020 [citado abril 2024]; 16 (48).p. 225-234.Disponible de: http://dx.doi.org/10.12800/ccd.v16i48.1715
Evans L, Hardy L. Injury rehabilitation: a goal-setting ntervention study. Research Quarterly for Exercise and sport [internet]. 2002 [citado abril 2024]; 73(3) p. 310-319. Disponible de: https://www.researchgate.net/publication/11160316_Injury_Rehabilitation_A_Goal-Setting_Intervention_Study
Moreno-Tenas A. Intervención psicológica sobre un ciclista de élite con un proceso lesivo recidivante. e-Motion. Revista de Educación, Motricidad e Investigación [internet]. 2018 [citado abril 2024]; 10, p. 66-79. Disponible de: https://dialnet.unirioja.es/servlet/articulo?codigo=6564416
Gómez-Espejo, V., García-Más, A., Ortega, E., & Olmedilla, A. (2021). Programas de intervención psicológica en porcesos de rehabiltiación de lesiones deportivas. Archivos de Medicina del Deporte, 39(1), 26-33. https://doi.org/10.18176/archmeddeporte.00071
Podlog, L., Heil, J., Burns, R., Bergeson, S., Iriye, T., Fawver, B., & Williams, M. (2020). A cognitive behavioral Intervention for college athletes with injuries. The Sport Psychologist, 34(2), 1-11. https://doi.org/10.1123/tsp.2019-0112
Wadey R, Evans L, Evans K, Mitchell I. Perceived benefits following sport injury: A qualitative examination of their antecedents and underlying mechanisms. Journal of applied sport psychology [internet]. 2011 [citado abril 2024]; 23, p. 142-158. Disponible de: https://doi.org/10.1080/10413200.2010.543119
Clement D, Granquist M D, Arvinen-Barrow M M. Psychosocial Aspects of Athletic Injuries as perceived by Athletic trainers. Journal of Athletic training [internet]. 2013 [citado abril 2024]; 48 (4); p. 512-521. Disponible de: doi: http://dx.doi.org/10.4085/1062-6050-48.3.21
Wilgen CP, Verhagen EALM. A qualitative study on overuse injuries: The beliefs of athletes and coaches. Journal of Science and Medicine in Sport [internet]. 2012 [citado abril 2024];15, p. 116-121.Disponible de: https://www.researchgate.net/publication/51905759_A_qualitative_study_on_overuse_injuries_The_beliefs_of_athletes_and_coaches
Berengüí R. Personalidad, características psicológicas y lesiones en el deporte de competición: Análisis de relaciones e incidencia en jóvenes deportistas. [Tesis de Doctorado de Repositorio Institucional]. España: Universidad de Murcia, 2011 [citado abril 2024], Repositorio Institucional - Universidad de Murcia.
Coddington, R.D. y Troxell, J.R. (1980). The effect of emotional factors on football injury rates - A pilot study. Journal of Human Stress. [internet]. 2011 [citado abril 2024]; 6(4), 3-5.
Petrie, T.A. Psychosocial antecedents of athletic injury: The effects of life-stress and social support on female collegiate gymnasts. Behavioral Medicine [internet]. 1992 [citado abril 2024];18, p. 127-138. Disponible de: https://pubmed.ncbi.nlm.nih.gov/1421746/
Schneider, J.C. Emotional Sequelae of Sports-Related Injuries: Concussive and Orthopedic Injuries. [Tesis de Doctorado] Estados Unidos: Drexel University, 2006 [citado abril 2024], Repositorio Institucional – Drexel University.
De la Vega R, Ruiz R, Borges PJ, Tejero-González CM. Una nueva medida tridimensional del estado de ánimo deportivo: el POMS-VIC. Cuadernos de Psicología del Deporte [internet]. 2014 [citado abril 2024]; 14(2), p.37-46. Disponible de: https://doi.org/10.4321/s1578-84232014000200005
Evans L, Hardy L, Mitchell I, Rees T. The development of a measure of psychological responses to injury. Journal of Sport Rehabilitation [internet]. 2008 [citado abril 2024]; 16, p. 21-37. Disponible de: https://doi.org/10.1123/jsr.17.1.21
(33)Ruiz F J, García-Martín M B, Suárez-Falcón J C, Odriozola-González P. The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale - 21. International Journal of Psychology and Psychological Therapy [internet]. 2017 [citado abril 2024];17, p. 97-105. Disponible de: https://blogs.konradlorenz.edu.co/files/ruiz-f.-j.-garc%C3%ADa-mart%C3%ADn-m.-b.-su%C3%A1rez-falc%C3%B3n-j.-c.-odriozola-gonz%C3%A1lez-p.-2017-1.pdf
Salcido-Otáñez YE, López-Walle JM, Cantú-Berrueto A, Tomás I. Validación del POM-VIC y PRSII-19 en deportistas lesionados al contexto mexicano Universitario. Revista Iberoamericana de Diagnóstico y Evaluación, (en revisión).
Abenza L, Olmedilla A, Ortega E, Esparza F. Construcción de un registro de conductas de adherencia a la rehabilitación de lesiones deportivas. Revista de Psicología del Deporte [internet]. 2011 [citado abril 2024]; 20(2), p. 455-476. Disponible de: https://www.redalyc.org/pdf/2351/235122167015.pdf
Podlog L, Heil J. (2020) A cognitive behavioral intervention for college athletes with injuries. The Sport Psychologist [internet]. 2020 [citado abril 2024]; (ahead of print). Disponible de: https://doi.org/10.1123/tsp.2019-0112
Alvarado V, Ruiz B, Rodríguez M C. Lesiones musculoesqueléticas en mujeres adultas sedentarias que ingresan a un programa de ejercicio físico. Enfermería Universitaria [internet]. 2018 [citado abril 2024]; 8(1), p. 33–40. Disponible de: https://doi.org/10.22201/eneo.23958421e.2011.1.271
Castro M, Chacón R, Zurita F, Espejo T. Niveles de resiliencia en base a modalidad, nivel y lesiones deportivas. Retos [internet]. 2016 [citado abril 2024]; 2041(29), p. 162–165.Disponible de: https://www.redalyc.org/pdf/3457/345743464033.pdf
Fariña F, Isorna M, Soidán J L, Vázquez M J. Estilos de afrontamiento y recuperación de las lesiones deportivas en kayakistas de élite. Revista de Psicología Del Deporte [internet]. 2016 [citado abril 2024]; 25(1), p. 43–50. Disponible de: https://www.redalyc.org/pdf/2351/235143645006.pdf
Latorre P Á, Pantoja A. (2013). Diseño y validación de un cuestionario de propensión al accidente deportivo (PAD-22). Cuadernos de Psicología Del Deporte. [internet]. 2013 [citado abril 2024]; 13(1), 51–62. Disponible de: https://doi.org/10.4321/S1578-84232013000100006
Sancho D, Villarmín M. Incidencia de lesiones traumáticas y psicológicas en el taekwondo. Enfermería Integral: Revista Científica Del Colegio Oficial de Enfermería de Valencia [internet]. 2016 [citado abril 2024]; Disponible de: ISSN 0214-0128, 112, 27–30.
Berengüí R, Ríos-Garit J. Psicología en las lesiones deportivas. En E León y EJ Garcés de Los Fayos (Eds.), Fundamentos de psicología del deporte. 2023. p. 211-220. Editorial Médica-Panamericana.
Tjong V, Devitt B, Murnaghan L, Ogilvie-Harris D, Theodoropoulos J A. Qualitative investigation of return to sport after arthroscopic bankart repair. Beyond Stability. The American Journal of Sport Medicine [internet]. 2015 [citado abril 2024]; 43 (8) p. 2005-2011. Disponible de: DOI: 10.1177/0363546515590222
Murphy G, Sheehan R. A qualitative investigation into the individual injury burden of amateur rugby players. Physical Therapy in Sport [internet]. 2021 [citado abril 2024]; 50, p. 74-81. Disponible de: https://doi.org/10.1016/j.ptsp.2021.04.003
Niven A, Nevill A, Sayers F, Cullen M. Predictors of rehabilitation intention and behavior following anterior cruciate ligament surgery: An application of the theory of planned behavior. Scandinavian Journal of Medicine & Science in Sports [Internet]. 2012;22:316-322. Disponible en: https://doi.org/10.1111/j.1600-0838.2010.01236.x
Prieto J, Palmeira A, Olmedilla A. Ansiedad competitiva, competitividad y vulnerabilidad a la lesión deportiva: Perfiles de riesgo. Revista Iberoamericana de Psicología del Ejercicio y el Deporte [internet]. 2015 [citado abril 2024]; 10 (2), p. 293-300. Disponible de: https://www.redalyc.org/pdf/3111/311137747015.pdf
Hildingsson M, Fitzgerald U, Alricsson M. Perceived motivational factors for female football play during rehabilitation after sport injury- a qualitative interview study. Journal of Exercise Rehabilitation [internet]. 2018 [citado abril 2024]; 14(2), p. 199-206. Disponible de: https://doi.org/10.12965/jer.1836030.015
Johnson U, Ivarsson A, Karlsson J, Hägglund M, Waldén M, Börjesson M. (2016) Rehablitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors. BMC Sports Science, Medicine and Rehabilitation [internet]. 2016 [citado abril 2024]; 8:20. Disponible de: https://doi.org/10.1186/s13102-016-0046-9
Piussi R, Krupic F, Sundemo D, Svantesson E, Ivarsson A, Johnson U, Samuelsson K, Senorski E.H. (2022) ´I was young, I wanted to return to sport, and re-ruptured my ACL´- young active female patients´ voices on the experience of sustaining an AC re-rupture, a qualitative study. BMC Musculoseletal Disorders [internet]. 2022 [citado abril 2024]; 23:760. Disponible de: https://doi.org/10.1186/s12891-022-05708-9
Ríos-Garit J, Pérez-Surita Y, Berengüí R, Soris Y, Montoya CA. Psychological analysis of injuries in a first category softball national championship in Cuba. Apunts Sports Medicine [internet]. 2023 [citado abril 2024]; 58, 100402. Disponible de: https://doi.org/10.1016/j.apunsm.2023.100402
Berengüí R, Brewer BW., Garcés de Los Fayos EJ. Aspectos psicológicos en las lesiones deportivas. En F. Arbinaga y E. Cantón (Eds.), Psicología del Deporte y la Salud: Una relación compleja; 2013. p. 197-243. EOS Editorial.
Schonfeld I S., Mazzola J J. Strengths and limitations of qualitative approaches to research in occupational health psychology. In R. R. Sinclair, M. Wang, & L. E. Tetrick (Eds.), Research methods in occupational health psychology: Measurement, design, and data analysis; 2013. p. 268–289. Routledge/Taylor & Francis Group.
Johnson K.L, Cormier DL, Kowalski KC, Mosewich AD. Exploring the Relationship Between Mental Toughness and Self-Compassion in the Context of Sport Injury. Journal of Sport Rehabilitation [internet]. 2023 [citado abril 2024]; 32(3), p. 256-264. Disponible en: https://doi.org/10.1123/jsr.2022-0100.
Goddard, Keith, Claire Roberts, James Byron-Daniel and Lindsay Woodford. “Psychological factors involved in adherence to sport injury rehabilitation: a systematic review.” International Review of Sport and Exercise Psychology 14 (2020): 51 - 73. Disponible en: https://doi.org/10.1080/1750984X.2020.1744179
Berengüí R, Castejón MA, Martínez-Alvarado JR. Goal setting in sport injury rehabilitation: a systematic review. Journal of Physical Education and Sport [Internet]. 2021; 21(6):3569-76. Disponible en: https://doi.org/10.7752/jpes.2021.06482
Santi G, Pietrantoni L. Psychology of sport injury rehabilitation: a review of models and interventions. Journal of Human Sport and Exercise [Internet]. 2013;8(4), p. 1029-44. Disponible en: https://doi.org/10.4100/jhse.2013.84.13
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