Effectiveness of psychological intervention following sport injury

(整期优先)网络出版时间:2012-02-12
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<正>Withincreasingattentiongiventothedevelopmentandimplementationofpsychologicalinterventionsduringthesportinjuryrehabilitationprocess,thereisaneedtodocumenttheeffectivenessoftheseinterventions.Thepurposeofthisreviewwastosummarizetheempiricalfindingsoftheeffectsofpsychologicalinterventionsinreducingpost-injurypsychologicalconsequencesandimprovingpsychologicalcopingduringtheinjuryrehabilitationprocessamongcompetitiveandrecreationalathletes.InFebruary2012,utilizingacomprehensivesearchstrategy,weconductedelectronicsearchesofmultipleelectronicdatabasesforrandomizedandnonrandomizedcontroltrialsthatevaluatedinterventionstargetingpopulationsofinjuredcompetitiveandrecreationalathletesage17yearsandolder.Weincludedinterventionsthatdirectlyinterveneoninjuredathletes’psychologicaloutcomes(e.g.,psychologicalconsequences,psychologicalcopingandre-injuryanxiety)andutilizedpsychologicalstrategiesincludingimagery,goal-setting,relaxation,andothercommontechniquesduringthepost-injuryrehabilitationperiod.Sixstudies,describedinsevenpeer-reviewedpublishedarticles,metstudyinclusioncriteriaandwereincludedinthisreview.Ofthosestudies,twoincludedrandomizedcontroltrials,twousedbeforeandafterstudydesignsandtwowerecasestudydesigns.Twointerventionsutilizedguidedimageryandrelaxation,twointerventionsutilizedgoal-settingandoneeachutilizedmicrocounseling,writtendisclosure,andacceptanceandcommitmenttherapy.Guidedimagery/relaxationwasshowntobeassociatedwithimprovedpsychologicalcopingandreducedre-injuryanxiety.Goalsetting,however,wasnotdirectlyassociatedwiththereductionofnegativepsychologicalconsequences.Otherpsychologicaltechniquessuchasmicrocounselingskills,acceptanceandcommitmenttherapy,andwrittendisclosurehavedemonstratedeffectivenessinreducingnegativepsychologicalconsequences,improvingpsychologicalcoping,andreducing