Can preinjury adversity affect postinjury responses? A 5-year prospective, multi-study analysis

Wadey, R, Evans, L, Hanton, S, Sarkar, M ORCID: https://orcid.org/0000-0002-8338-8500 and Oliver, H, 2019. Can preinjury adversity affect postinjury responses? A 5-year prospective, multi-study analysis. Frontiers in Psychology, 10: 1411. ISSN 1664-1078

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Abstract

Informed by and drawing on both the integrated model of response to sport injury (Wiese-Bjornstal et al., 1998) and the biopsychosocial model of challenge and threat states (Blascovich, 2008), this multi-study paper examined whether preinjury adversity affected postinjury responses over a 5-year time period. Study 1 employed a prospective, repeated measures methodological design. Non-injured participants (N = 846) from multiple sites and sports completed a measure of adversity (Petrie, 1992); 143 subsequently became injured and completed a measure of coping (Carver et al., 1989) and psychological responses (Evans et al., 2008) at injury onset, rehabilitation, and return to sport. MANOVAs identified significant differences between groups categorized as low, moderate, and high preinjury adversity at each time phase. Specifically, in contrast to low or high preinjury adversity groups, injured athletes with moderate preinjury adversity experienced less negative psychological responses and used more problem- and emotion-focused coping strategies. Study 2 aimed to provide an in-depth understanding of why groups differed in their responses over time, and how preinjury adversity affected these responses. A purposeful sample of injured athletes from each of the three groups were identified and interviewed (N = 18). Using thematic analysis, nine themes were identified that illustrated that injured athletes with moderate preinjury adversity responded more positively to injury over time in comparison to other groups. Those with high preinjury adversities were excessively overwhelmed to the point that they were unable to cope with injury, while those with low preinjury adversities had not developed the coping abilities and resources needed to cope postinjury. Practical implications and future research directions are discussed.

Item Type:	Journal article
Publication Title:	Frontiers in Psychology
Creators:	Wadey, R., Evans, L., Hanton, S., Sarkar, M. and Oliver, H.
Publisher:	Frontiers Media S.A.
Date:	21 June 2019
Volume:	10
ISSN:	1664-1078
Identifiers:	Number Type 10.3389/fpsyg.2019.01411 DOI
Rights:	Copyright © 2019 Wadey, Evans, Hanton, Sarkar and Oliver. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Divisions:	Schools > School of Science and Technology
Record created by:	Jill Tomkinson
Date Added:	02 Jul 2019 10:47
Last Modified:	02 Jul 2019 10:47
URI:	https://irep.ntu.ac.uk/id/eprint/37001

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