STRESS, COPING AND ATHLETIC INJURIES

压力、应对和运动损伤

• 批准号: 2203188
• 负责人: Polly Ellen Bijur
• 金额: $ 29.4万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-05-01 至 1997-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2203188
• 关键词: adolescence (12-20); anxiety; arousal; attention; coping; disease /disorder proneness /risk; emotional adjustment; human subject; injury /disease stressor; injury prevention; interview; medical outreach /case finding; muscle tension; occupational health /safety; performance; questionnaires; self concept; sleep; social psychology; social support network; sports injury; adolescence (12-20); anxiety; arousal; attention; coping; disease /disorder proneness /risk; emotional adjustment; human subject; injury /disease stressor; injury prevention; interview; medical outreach /case finding; muscle tension; occupational health /safety; performance; questionnaires; self concept; sleep; social psychology; social support network; sports injury

The purpose of the proposed study is to: 1) advance understanding about the relationship between stress, coping and athletic injuries, and 2) identify subsets of individuals at increased risk of injury because of psychosocial characteristics which interfere with optimal and safe performance. We aim to assess whether: 1) stressors exert their influence over long or relatively short periods of time, 2) the appraisal of sports related events as stressful is more salient that other types of events, 3) the stress-injury relationship is moderated by different coping strategies, sensation seeking, varying emotional response to the appraisal of stressful situations, social support, 4) injured cadets are more likely than uninjured to experience high competitive anxiety, disrupted concentration and attention, increased muscle tension and disruption of sleep. We propose to carry out this study at the United States Military Academy (USMA). USMA offers a unique opportunity to study these issues because of a highly controlled and uniform environment, the centralized provision and recording of health care, a high frequency of injuries, the ability to collect self-report data directly through terminals at each cadet's desk, and the deep interest the military has in injury prevention. We also propose to carry out one aspect of this study at the University of Florida (U.FL) utilizing varsity football players as a comparison group. The design of the proposed project has four components: 1) a prospective study of stressors and background characteristics in two periods of time: upon entry to USMA, and at the beginning of the sophomore year, and injuries in the subsequent semesters; 2) a case-control study of injured cadets matched on athletic exposure to uninjured cadets; 3) a prospective study of perceived stress and response to stress measured on a daily basis over one three week period of time each semester at USMA; and 4) a prospective study of stressors and background characteristics of the U.F1 athletes and injuries in the 1994 football season. If we are able to demonstrate a clear relationship between stress and injuries, delineate time periods of greatest risk, identify mechanisms that link stress to injuries, identify individuals at highest risk and indicate that the findings are replicable in several settings, we could make a substantial contribution to knowledge about the injury process and to reducing morbidity from athletic activities.

拟议的研究的目的是：1）提前了解 压力，应对和运动伤害之间的关系，以及2） 确定由于有伤害风险增加的个体的子集 会干扰最佳和安全的社会心理特征 表现。 我们的目的是评估：1）压力源长期发挥影响力 或相对较短的时间，2）评估与体育有关的评估 事件像其他类型的事件更重要，3） 不同的应对策略可以调节压力伤害的关系， 寻求感觉，对评估的情感反应有所不同 压力很大的情况，社会支持，4）受伤的学员更有可能 比未受伤的人会感到高度竞争性焦虑，被干扰 集中和注意力，肌肉张力增加和破坏 睡觉。 我们建议在美国军事学院进行这项研究 （USMA）。 USMA提供了研究这些问题的独特机会，因为 在高度控制和统一的环境中，集中规定 记录医疗保健，高频率受伤，能力 通过每个学员的终端直接收集自我报告数据 桌子，以及军方对预防伤害的深刻兴趣。 我们 还建议在大学进行本研究的一个方面 佛罗里达州（U.FL）利用大学足球运动员作为比较小组。 拟议项目的设计有四个组成部分：1） 在两个时期内的压力源和背景特征的研究： 进入USMA，大二开始时， 随后的学期受伤； 2）受伤的病例对照研究 学员在运动中与未受伤的学员相匹配； 3）预期 研究每日测量的压力和对压力的反应的研究 每个学期在USMA的三个星期内依据；和4） 对压力源和背景特征的前瞻性研究 在1994年足球赛季的U.F1运动员和受伤。 如果我们能够证明压力与 伤害，划定最大风险的时间段，确定机制 将压力与伤害联系起来，确定风险最高的人 指出这些发现在几种设置中都是可复制的，我们可以 对有关伤害过程的知识做出了重大贡献 从体育活动中降低发病率。