STRESS, COPING AND ATHLETIC INJURIES

压力、应对和运动损伤

• 批准号: 2203189
• 负责人: Polly Ellen Bijur
• 金额: $ 30.28万
• 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/2203189
• 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

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.

拟议研究的目的是：1）增进对 压力、应对方式和运动损伤之间的关系，2) 识别由于以下原因而受伤风险增加的个体子集 干扰最佳和安全的心理社会特征 表现。 我们的目标是评估：1）压力源是否会长期产生影响 或相对较短的时间，2）体育相关的评价 压力事件比其他类型的事件更显着，3） 压力与伤害的关系通过不同的应对策略来调节， 感觉寻求，对评价的不同情绪反应 压力大的情况、社会支持、4) 学员更有可能受伤 比未受伤的人更容易经历高度的竞争焦虑、混乱 集中注意力和注意力，增加肌肉紧张和破坏 睡觉。 我们建议在美国军事学院进行这项研究 （美国农业协会）。 USMA 提供了研究这些问题的独特机会，因为 高度控制和统一的环境，集中提供 和记录医疗保健、高受伤频率、能力 直接通过每个学员的终端收集自我报告数据 办公桌，以及军队对伤害预防的浓厚兴趣。 我们 还建议在大学开展这项研究的一个方面 佛罗里达州（U.FL）利用大学橄榄球运动员作为对照组。 拟议项目的设计有四个组成部分：1）前瞻性 研究两个时间段的压力源和背景特征： 进入 USMA 后以及大二年初，以及 随后学期受伤； 2）受伤者的病例对照研究 学员与未受伤的学员进行运动训练相匹配； 3）有前景的 研究每天测量的感知压力和对压力的反应 每学期在 USMA 学习超过三周的时间；和 4) 压力源和背景特征的前瞻性研究 1994 年足球赛季的 U.F1 运动员和受伤情况。 如果我们能够证明压力和压力之间存在明确的关系 伤害、划定风险最大的时间段、确定机制 将压力与伤害联系起来，识别风险最高的个人， 表明研究结果可以在多种情况下复制，我们可以 对伤害过程的知识做出重大贡献，并且 减少体育活动的发病率。