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Military and sport have attracted increased research interest separately as two distinctly demanding performance- and leadership-driven contexts. However, cross-contextual psychological research in leadership is lacking. Such research has potential to expose unique cross-fertilising insights into resemblances in leadership challenges among military and sport leaders, transferable to a broader range of contexts. Thus, the current study simultaneously explored high-level military and sport leaders’ real-life experiences of similarities in demanding conditions and their psychological manifestations. Sixteen participants - eight Swedish high-level military leaders and eight Swedish high-level sport leaders, participated in the study. Using a qualitative inductive cross-contextual design enabled in-depth knowledge and transferability. A reflexive thematic analysis (RTA) of sixteen interview transcripts generated four common themes of demanding conditions: (1) Developing organisations: Leading under an extensive workload and responsibility, (2) Managing destructive superiors and subordinates: Standing up for oneself, (3) Taking care of the minds and moods of others: Leading deliberated difficult conversations, and (4) Periods of extreme concentration: Leading critical coordination, decisions, and timing. The findings tie high-level military and sports leaders together into a high-stress and high-stakes leader role invoked to manoeuvre a complex buildup of demanding conditions. Implications are presented. Keywords: High-level leaders, military, sport, demanding conditions.

Background: The purpose was to investigate if participation in a three-month electronic tracking outdoor physical activity and a motivational interviewing (MI) intervention led to positive behavioural, psychological, and physiological outcomes. Methods: Based on a two-group pre-post design, 12 middle-aged women and 6 men were randomly assign to an experimental and a control group. Physical activity data were collected by wrist-worn activity sensors, and pre-post data were collected on the GHQ-12, the BREQ-2, body mass, body fat mass and total body muscle. Measures of cardiovascular fitness were taken pre to post. The experimental group was supported through individual MI coaching sessions and resistance-training for use in an outdoor gym. Magnitude based inferences (MBI) were calculated based on the disposition of the confidence limits for the mean differences to the smallest worthwhile changes. Results: The experimental group had a beneficial increase in its physical activity behaviour (steps). The control group had a medium decrease in identified regulation, the experimental group maintained the same level at the post-measure. Conclusion: Few studies have investigated how the combination of MI and the use of activity-tracking devices effect physical and mental health. This study investigates the use of both MI and activity-tracking devices on psychological well-being, motivation, and physical health in an outdoor context. Future research recommendations are given.

In recent years an increased drop-out rate in adolescents’ soccer participation has been observed. Given the potentially adverse consequences of drop-out from soccer, more information about risk factors for drop-out is warranted. In the current study, Classification and Regression Tree (CRT) analysis was used to investigate demographic and motivational factors associated with an increased risk of drop-out from adolescent soccer. The results of this study indicate that older age, experiencing less autonomy support from the coach, less intrinsic motivation, being female, and lower socioeconomic status are factors associated with an increased risk of drop-out. An interpretation of the results of this study is that coaches play a central part in creating a sports context that facilitates motivation and continued soccer participation. Based on the findings of the current study we propose that soccer clubs implement theoretically informed coach education programs to help coaches adopt autonomy-supportive coaching strategies. Psychosocial Predictors of Drop-Out from Organised Sport: A Prospective Study in Adolescent Soccer

(1) Background: The aim was to explore the impact of adaptive responses (resilience factors) on student-athletes’ behaviors during a stressful period of life during the SARS-CoV-2-pandemic of 2020 and 2021. (2) Methods: A constructivist-based grounded theory (CGT) was used guided by a biopsychosocial approach. Based on purposeful sampling, 22 male and female student-athletes were divided into four focus group interviews (FGI) seven months after the outbreak of the SARS-CoV-2-pandemic (October 2020) and 18 of these were followed up by FGI seven months later (May 2021). The mean age was 17.65 and they represented golf and handball. (3) Results: The CGT contained four main categories seven months after the SARS-CoV-2-pandemic outbreak: Social support, Self-discipline, Physical practice and recovery and Management of everyday life. Fourteen months after the SARS-CoV-2-pandemic outbreak, four additional main categories emerged: More extensive social support, Belief in the future, Self-awareness and Responsibility and problem-solving. (4) Conclusions: The CTG suggests that student-athletes’ favorable adaptations to the stressful SARS-CoV-2-pandemic period 2020–2021 are based on a gradually developed ability to take responsibility for one’s own actions, insight into the importance of deepened social interaction, belief in a positive post-COVID future and increased awareness of physical activity and its relation to perceived health.

(1) Background: The aim was to explore the impact of adaptive responses (resilience factors) on student-athletes' behaviors during a stressful period of life during the SARS-CoV-2-pandemic of 2020 and 2021. (2) Methods: A constructivist-based grounded theory (CGT) was used guided by a biopsychosocial approach. Based on purposeful sampling, 22 male and female student-athletes were divided into four focus group interviews (FGI) seven months after the outbreak of the SARS-CoV-2-pandemic (October 2020) and 18 of these were followed up by FGI seven months later (May 2021). The mean age was 17.65 and they represented golf and handball. (3) Results: The CGT contained four main categories seven months after the SARS-CoV-2-pandemic outbreak: Social support, Self-discipline, Physical practice and recovery and Management of everyday life. Fourteen months after the SARS-CoV-2-pandemic outbreak, four additional main categories emerged: More extensive social support, Belief in the future, Self-awareness and Responsibility and problem-solving. (4) Conclusions: The CTG suggests that student-athletes' favorable adaptations to the stressful SARS-CoV-2-pandemic period 2020-2021 are based on a gradually developed ability to take responsibility for one's own actions, insight into the importance of deepened social interaction, belief in a positive post-COVID future and increased awareness of physical activity and its relation to perceived health.

Psychological impairments can follow an anterior cruciate ligament (ACL) injury and can impact the rehabilitation process. Our aim was to investigate experiences of sports physical therapists (PTs) in addressing psychological impairments in patients after ACL injury. We conducted four focus group interviews with fourteen sports PTs. The PTs' experiences of working with psychological impairments after ACL injury were summarized in four main categories: (1) "Calling for a guiding light", where PTs stated that the most common method of acquiring knowledge on addressing psychological impairments was through discussions with colleagues, and, at the same time, PTs expressed an insufficient knowledge of how to address psychological impairments; (2) "Meeting the burden of psychological impairments" where PTs stated that psychological impairments are greater than physical; (3) "Trying to balance physical and psychological aspects" where patient education and assessments were reported to be important in order to understand psychological impairments during rehabilitation; and (4) "Goal setting: a helpful challenge" where sports PTs expressed a need for specific knowledge of the rehabilitation of psychological impairments following ACL injury. To help provide the current best practice, we encourage researchers to develop psychologically centered interventions for rehabilitation after an ACL injury, and PTs to stay up-to-date with the literature published on the subject, including to implement eventual interventions.

Injury is a serious setback for athletes and might jeopardize mental health. The aim of this study is to investigate if a mindfulness- and acceptance-based intervention can improve mindfulness (nonreactivity and acting with awareness), acceptance, and well-being, and decrease the level of symptoms of anxiety and depression. A single-case design with multiple, staggered, and nonconcurrent baselines was used. Six seriously injured athletes took part in an 8-week intervention and repeatedly completed questionnaires on all variables for the duration of the study. The results showed that, on average, there were significant clinical changes between phases in nonreactivity, well-being, and acceptance. No effect was seen in the two remaining scales. On an individual level, two participants showed effects in all scales, two participants in some of the scales, and two participants in the scale nonreactivity. Results are discussed in light of existing research, and implications for practitioners’ clinical methods are presented.

The authors of this paper share how they developed and validated an applied framework termed the career-long psychological support services in Swedish handball (CPS-H). The CPS-H is grounded in career research within Swedish handball and examples of efficient career assistance practice complemented by applied experiences of the first author. The authors used a heuristic approach to sketch the CPS-H initial version, which later was validated in three focus groups with end-users (handball players, coaches, and sport psychology practitioners) and transformed into the validated CPS-H. Promoting a combination of the proactive, educational, whole career, whole environment, and whole person approaches, the framework is structured as having interrelated parts addressing questions: where (changes in the contexts), when (ages, career stages), what (athletes’ needs and potential working issues), who (support providers), why (philosophy shared by the stakeholders), and how (forms of services) of psychological support. The authors further reflect on the CPS-H and its implementation and provide general and stage-specific recommendations for support providers. Although the CPS-H is contextualized in a specific sport and culture, some lessons can be applicable across countries and sport boarders. © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC Additional funding: The Swedish Handball Federation

The first purpose of this study was to longitudinally examine achievement goals in youth sport. The second purpose was to examine the within-person effects of perceived motivational climates by coaches, peers, and parents on achievement goal orientation. Participants were 78 young student-athletes, representing a variety of sports. The student-athletes completed a multi-section questionnaire, six times over a three-year period, assessing the study variables. Multilevel modelling analysis revealed that both task orientation and ego orientation decreased for this age group over the three-year period. Furthermore, perceived task-involving peer climate was significantly and positively related to task orientation, and perceived ego-involving coach climate was significantly and positively related to ego orientation. The results from this study provides insights regarding developmental changes in achievement goals and the importance of certain social agents in that specific developmental stage.

Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The 'Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)' uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants' contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice.

Objectives We examined the manner in which age, participation in other sports, socioeconomic status, perceived sport competence, achievement goal orientations, and perceived motivational climate may interact to predict the risk of dropout among adolescent female soccer players. Methods Self-reported data from 519 female soccer players between 10 and 19 years of age (M = 13.41, SD = 1.77) were analysed using a person-centred approach to uncover the interactions among risk factors and their relative predictability of dropout. Results Perceived motivational climate was identified as the main predictor, where relatively lower levels of mastery climate were associated with a higher dropout tendency (absolute risk reduction [ARR] = 12.2% ±6.1% [95% CL]). If combined with relatively lower levels of mastery climate, then relatively lower levels of perceived sport competence were related to higher dropout risks (ARR = 16.5% ±9.5%), whereas, in combination with relatively higher levels of mastery climate, then relatively lower levels of ego-orientated achievement goals were associated with higher dropout rates (ARR = 10.8% ±12.6%) Conclusions Our findings afford novel insights into the interactions between, and the relative importance of, various risk factors for dropout in adolescent female soccer. This knowledge may be useful for soccer associations, clubs, and coaches when developing guidelines and strategies that aim to foster young females’ sustained participation in organised soccer. Paid Open Access

Background Despite ACL re-ruptures being common, research on patient experiences after knee trauma has primarily focused on the time after primary ACL reconstruction. Integrating qualitative research and patient experiences can facilitate researchers and clinicians in understanding the burden of an ACL re-rupture. The aim of the study was to explore the experiences of an ACL re-rupture journey in young active females aiming to return to knee-strenuous sports after primary ACL reconstruction. Method A two-stage partially mixed sequential dominant status design was used. Fifteen young (19.1[range 16-23] years old) female who suffered an ACL re-rupture were interviewed. Qualitative content analysis using deductive approach based on Wiese-Bjornstal’s ‘integrated model of psychological response to injury’ was used. Results The results are presented in two timelines 1) from first ACL injury to ACL re-rupture, and 2) from ACL re-rupture to present day, and further stratified according to the domains of the ‘integrated model of psychological response to injury’. Results in the first timeline are summarised into seven categories: Finding hope for the journey; Accepting my ACL injury; I succeeded; What matters now? Who am I?; Where will this end? What is going to happen? In the second timeline, eight categories were identified: Fighting spirit; A helping hand; Working hard; I am a new me; I am destroyed; Loneliness; Painful changes; and, I could have made it to the pro´s. Conclusion Young females who suffered an ACL re-rupture did not express any positive experience following their first ACL injury, however, in contrast, expressed positive experiences and personal growth after going through the ACL re-rupture journey, characterized by a lot of struggling, and ultimately lead to the experience of becoming a new, stronger person.

The creation of risk profiles using the model of stress and athletic injury (J Appl Sport Psychol. 1998;10(1):5) represents a proposed shift from the reductionism paradigm to the complex sport approach in an attempt to formulate prevention strategies to combat the increasing number of injuries being reported in sporting populations. As a result, the primary purpose of this study was to: (a) identify different risk profiles based on psychosocial factors associated with the Williams and Andersen's model of stress and athletic injury model; and (b) examine potential differences in the frequency of injuries across these risk profiles. A prospective research design was utilized with a sample of 117 competitive soccer players (81 males and 36 females) from Sweden and the United States of America. Data was collected at two time points over the course of three months. At time 1 (beginning of the season) - a demographic information sheet, the Life Event Survey for Collegiate Athletes (LESCA), Sport Competitive Anxiety Test (SCAT), and Brief Cope were administered. At time two (T2), three months after the initial data collection, participants’ traumatic injuries were recorded. Latent profile analysis (LPA) showed that 3 profiles solution showed best fit to data. Players in profile 1 and 2 reported fewer injuries compared to players in profile 3. However, whereas individuals in profile 1 had a lower predictive risk of sustaining an injury when compared to those in profile 3, both profiles had similar anxiety levels and use of coping strategies with differing stress levels. These findings suggest that the interaction between different proposed risk factors might influence injury risk.

The motivational influence of wearable fitness technology (WFT) on increasing physical activity (PA) is unclear, and improvements in PA have been shown to be driven by both intrinsic and extrinsic motivation. In the current study, PA (daily number of steps), moderate to vigorous intensity physical activity, and muscular strength training were measured over 6 months on, originally, 16 randomly selected sedentary community workers (mean age = 51 years). Moreover, self-determined motivation (Behavioral Regulation in Exercise Questionnaire-2) was measured before, midway, and after a 6-month intervention program that included motivational interviewing, as well as the use of WFT and a structured outdoor gym program. Our findings showed WFT, in combination with motivational interviewing, initially helped the participants meet recommended guidelines for PA in terms of at least 10,000 steps per day, and at least 150 min of moderate aerobic activity per week. There was a large decrease in participants’ PA and increase in introjected motivation between the first half (3 months) and the second half of the intervention (6 months). The increase in introjected motivation suggests that toward the end of the 6-month intervention, participants engaged in PA to satisfy external demands or avoid guilt, which may lead to less-persistent behavior change.

The motivational influence of wearable fitness technology (WFT) on increasing physical activity (PA) is unclear, and improvements in PA have been shown to be driven by both intrinsic and extrinsic motivation. In the current study, PA (daily number of steps), moderate to vigorous intensity physical activity, and muscular strength training were measured over 6 months on, originally, 16 randomly selected sedentary community workers (mean age = 51 years). Moreover, self-determined motivation (Behavioral Regulation in Exercise Questionnaire-2) was measured before, midway, and after a 6-month intervention program that included motivational interviewing, as well as the use of WFT and a structured outdoor gym program. Our findings showed WFT, in combination with motivational interviewing, initially helped the participants meet recommended guidelines for PA in terms of at least 10,000 steps per day, and at least 150 min of moderate aerobic activity per week. There was a large decrease in participants’ PA and increase in introjected motivation between the first half (3 months) and the second half of the intervention (6 months). The increase in introjected motivation suggests that toward the end of the 6-month intervention, participants engaged in PA to satisfy external demands or avoid guilt, which may lead to less-persistent behavior change.

The aim of this study was to describe gender-specific career paths of Swedish professional handball players. A reanalysis of Ekengren et al. (2018) career interviews with nine male and nine female players led to creating two composite vignettes using the athletes’ own words, accounted for typical features in the male and female players’ career paths. Seven themes were identified in the analysis of the men’s transcripts and eight themes derived from the women’s transcripts. Further, the themes of both vignettes were aligned with career stages described in our previous study (Ekengren et al. 2018). The male players’ vignette is interpreted as a performance narrative congruent with elite handball culture that promotes performance success and profitable professional contracts. The female players’ vignette is more holistic, embracing handball, studies, motherhood, and how they ought to be as Swedish women. Recommendations for future research are provided. peerReviewed

Th is study aimed to explore whether a six-week intervention, based on participation in outdoor exercise, including activity-tracking devices and combined with individual consulting sessions, can both increase physical activity and yield positive changes in physiological and psychological health measures. A total of six participants, with a mean age of 41.2 (range 33-50 years), completed the ten-week study and the six-week intervention. Th e full study consisted of a four-week control/baseline and a six-week intervention period in which each participant acted as their own controls. Continuous measures of physical activity data were collected using a wrist-worn activity sensor during the ten-week study, along with pre- and post-measures of cardiovascular fi tness, upper-body strength, BMI, general health, and motivation to exercise. Th e intervention consisted of a resistance-training programme for an outdoor gym and three motivational interviewing sessions. Eff ect sizes (percentage) for changes pre- to post-training were calculated. Th e results, because of the small sample size, are presented as individual cases, but the group, as a whole, showed average increases from baseline (pre-) to post-measures in strength (maximum row; 15.33%), time to exhaustion (3.58%), number of steps per day (4%), and autonomous motivation (12%) and average decreases in body weight (-1.08%), fat percentage (-7.58%), strength (chest; -2.5%), and stress symptoms (-2.17%). Th e six-week intervention programme showed promising results regarding physical activity changes. Th is study contributes to the limited evidence of the impact of resistance training programmes using outdoor gyms, electronic tracker, and motivational interviewing on physical activity outcomes.

The field of sport and exercise psychology (SEP) has experienced a steady growth, and the professional practice and training of students has evolved over that time. Based on 2 past studies, the pur...

Participation in competitive sports is associated with high physiological, biomechanical and psychological demands. Difficulties in coping with these types of demand are related to increased risks of becoming injured. Sport injuries are ubiquitous and represent substantial economic, health, personal and community costs. In Europe approximately 4.5 million athletes are annually treated for sport injuries. Severe sport injuries are related to negative emotional responses, such as sadness, anger and depression, and decreased psychological and physiological well-being. Moreover, recent research has conceptualized some sport injuries as career-changing events that can have substantial impact on athletes' careers and trajectories. With the high rates of injury within sport, together with the negative consequences that may follow, it seems warranted, as a first step, to identify psychosocial risk factors that might increase the risk of becoming injured, but also to suggest applied strategies to decrease injury risk in sport. This chapter will (1) present some models focusing on psychological risk factors in sports injury, (2) review some of the more characteristic psychosocial risk factors for sport injury, (3) provide applied recommendations and future research directions and (4) present an applied case study.

In this paper we share how a career assistance program (CAP) was developed, implemented, and evaluated with a Swedish elite handball team. Within this case study the initial version of the CAP’s content was created based on the career-long psychological support services in Swedish handball framework and the first author’s applied experiences. During implementation the head coach terminated unexpectedly and the team appeared in a crisis. This transitional situation led to modification of the CAP to help the players cope with changes. Eighteen players took part in eight workshops dealing with various aspects of their sport and non-sport life (e.g., performance, training, lifestyle, recovery, future planning) with crisis-related issues (e.g., coping with uncertainty) incorporated. Mixed-methods evaluation revealed the players’ perceived increase in personal resources (awareness, skills) and decrease in stress and fatigue. Reflections on working in applied sport psychology from a holistic perspective in a dynamic real-life setting are provided. Som manuskript i avhandling / As manuscipt in thesisAdditional funding: The Swedish Handball Federation

Football is a popular sport among adolescent females. Given the rate of injuries in female footballers, identifying factors that can predict injuries are important. These injuries are often caused by complex reasons. The aim of this study was to investigate if the combination of demographic (age, number of training and match play hours/week), psychosocial (perceived stress, adaptive coping strategies) and physiological factors (functional performance) can predict a traumatic injury in adolescent female footballers. A cohort consisting of 419 female football players aged 13–16 years was established. Baseline questionnaires covered potential risk factors for sport injuries, and measurements included football-related functional performance tests. Data were collected prospectively with a weekly online questionnaire for 52 weeks covering, e.g., injuries, training, and match play hours/week. A total of 62% of the players reported at least one traumatic injury during the 52 weeks. The coping strategy “positive reframing” had the strongest association with the risk of traumatic injuries. The combination of more frequent use of the coping strategy, positive reframing, and high levels of physical performance capacity may prevent a traumatic injury in adolescent female footballers. Coaches are encouraged to adopt both physiological and psychological factors when preventing injuries in young female footballers.

The study was aimed at developing the empirical career model of Swedish professional handball players by means of exploring their career experiences in athletic and non-athletic developments throug...

Research has shown that high levels of stress and stress responsivity can increase the risk of injuries. However, most of the research that has supported this notion has focused on between-person relationships, ignoring the relationships at the within-person level. As a result, the objective of this study was to investigate if within-person changes in perceived stress symptoms over a 1-month time period could predict injury rates during the subsequent 3 months. A prospective design with two measurement points (Time 1-at the beginning of the season and Time 2-1 month into the season) was utilized. A total of 121 competitive soccer players (85 males and 36 females; M

This study examined (a) the developmental trajectories of student-athlete burnout perceptions and (b) the within-person relationship between achievement goals and burnout perceptions. A three-year ...

Aims Self-determined motivation has been found to be an important predictor of exercise behavior. Findings on gender and age differences are however mixed and previous research has called for studies to examine gender and age as potential moderating factors as they might influence how motivation quality affects exercise behavior. Methods Embedded in a controlled trial of a digital intervention aiming to promote exercise motivation, this study examined specific (longitudinal) pathways related to motivation quality, psychological need satisfaction and exercise behavior within the self-determination theory (SDT) process model in a sample of 318 adult employees. The participants completed web-based versions of Basic Psychological Needs in Exercise Scale, Behavioural Regulations in Exercise Questionnaire-2, and Leisure Time Exercise Questionnaire three times during a six weeks period. Results Moderation analyses revealed significant gender and age differences in the associations of motivation quality, basic psychological needs and exercise behavior over time. Several paths in the SDT-process model, linking psychological needs and motivation quality to exercise behavior, were moderated by gender and age. The stipulated mechanisms between exercise, motivation and psychological need satisfaction in the SDT-process model revealed to be stronger for women than for men, and stronger for older adults than for younger and middle-aged adults. The effect of amotivation on exercise was also significantly moderated by age in the full sample, by positively predicting light exercise for younger adults. Conclusions Future recommendations are related to the examination of potential differences in opportunities of autonomy support in the social context based on factors such as gender and age, and also to further examine these factors as potential moderators instead of statistically controlling them as default.

Objective: The primary aim of this study was to determine the prevalence and one-season incidence of symptoms of common mental disorders (CMD; distress, anxiety/depression, sleep disturbance, eating disorders, adverse alcohol use) among European professional football referees. A secondary aim was to explore the view of European professional football referees on consequences, support and needs related to these symptoms. Methods: An observational prospective cohort study with three measurements over a follow-up period of one season (2015-2016) was conducted among central or assistant professional football referees from Belgium, Finland, France, Germany, Norway, Russia, Scotland and Sweden. Using validated questionnaires to assess symptoms of CMD (self-reported and not clinically diagnosed), an electronic questionnaire in English and French was set up and distributed by the eight football federations involved. Results: A total of 391 referees (mean age of 33 years old; mean career duration of 7 years) were enrolled, of which 292 completed the follow-up period. Baseline 4-week prevalence rates were 6% for distress, 12% for anxiety/depression, 9% for sleep disturbance, 19% for eating disorders and 17% for adverse alcohol use. The one-season incidence of symptoms of CMD was 10% for distress, 16% for anxiety/depression, 14% for sleep disturbance, 29% for eating disorders and 8% for adverse alcohol use. Conclusion: While symptoms of CMD occur among professional football referees and can influence negatively refereeing performances, the development of specific support measures for referees are needed in order to manage properly these symptoms of CMD. © 2016 Informa UK Limited, trading as Taylor & Francis Group

The aim of the study was to examine how players perceptions of sociocultural factors and intra- and interpersonal aspects of sporting experiences may have influenced the emotions, cognitions, and behaviours of elite female soccer players prior to the occurrence of ACL injuries. The research questions guiding the study were: (a) how did female elite soccer players perceive that their psychosocial experiences were related to their cognitive, physiological, and emotional states prior to their ACL injuries, and (b) how did the players feel their perceived states influenced their behaviours prior to injury occurrence. The participants consisted of the total population of female players (N = 18) competing in the Swedish womens elite league, who incurred a total ACL tear during the 2012 season. Using a semi-structured interview guide, all players were interviewed post-season. We represented the data using a storytelling approach of aggregated creative nonfiction. The aggregated stories showed sociocultural rules and expectations of overtraining and placing pressure on athletes to play even if they were not physically or psychologically fit. Responding to pressures with potentially risk-increasing behaviours might raise the probability of becoming injured through a number of pathways. Team managers, coaches, and members of the medical team are recommended to develop environments that stimulate the players to engage in adaptive stress-recovery and risk-decreasing behaviours. Funding Agencies|Swedish Football Association

This single-subject case study adopted a narrative approach and focused on two objectives: (a) to explore an athlete’s career development, including the impact of injuries, and (b) to explore that athlete’s injury experiences in detail. The participant was a 26-year-old former elite handball player who had experienced two major anterior cruciate ligament injuries during his career. To guide the research process from the formulation of its objectives to the interpretation of the participant’s narratives, we followed the narrative-oriented inquiry framework. To collect the participant’s stories, a low-structured interview guide consisting of open questions and requests for information about the participant’s handball career and injury experiences was used. The holistic content analysis allowed us to conceptualise injuries as career transition processes embedded in the athlete’s career development. Moreover, the participant’s narratives made it possible to identify four phases of injury transition and the di...

This study is a description of a short-term digital exercise intervention based on the theoretical framework self-determination theory and tested in a controlled trial. The sample consisted of 318 adult women (n = 279) and men (n = 40) aged 23–67 years (M = 46.7; SD = 9.4) participating in a digital step contest provided by their employer. All participants completed study baseline measures via validated web-based versions of the following instruments: Basic Psychological Needs in Exercise Scale, Behavioural Regulations in Exercise Questionnaire-2, and Leisure Time Exercise Questionnaire. These measures were repeated twice, 3 weeks (post-intervention) and 6 weeks (follow-up) after study baseline. The experimental group had access to the intervention platform for three weeks. Data were analysed by analyses of covariance and mediation variable analysis. Results showed the intervention to affect exercise level and intensity as well as basic psychological need satisfaction and behavioural regulations. Intervention effects on amotivation post-intervention were found to mediate total exercise behaviour at follow-up. Moderation analyses showed intervention effects on light exercise to be stronger for those participants engaging in moderate or high levels of light activities at study baseline. Also, the effect on identified regulation was stronger for those with low levels of identified regulation at study baseline. This study adds to the knowledge on exercise motivation based on short-term intervention effects on level and intensity of exercise and physical activity. The use of mediating and moderating analyses uncover processes underlying the main intervention effects. Findings are discussed in relation to self-determination theory and previous research.

Several studies have suggested that psychosocial variables can increase the risk of becoming injured during sport participation.The main objectives of these meta-analyses were to examine (i) the effect sizes of relationships between the psychosocial variables (suggested as injury predictors in the model of stress and athletic injury) and injury rates, and (ii) the effects of psychological interventions aimed at reducing injury occurrence (prevention).Electronic databases as well as specific sport and exercise psychology journals were searched. The literature review resulted in 48 published studies containing 161 effect sizes for injury prediction and seven effect sizes for injury prevention.The results showed that stress responses (r = 0.27, 80 % CI [0.20, 0.33]) and history of stressors (r = 0.13, 80 % CI [0.11, 0.15]) had the strongest associations with injury rates. Also, the results from the path analysis showed that the stress response mediated the relationship between history of stressors and injury rates. For injury prevention studies, all studies included (N = 7) showed decreased injury rates in the treatment groups compared to control groups.The results support the model's suggestion that psychosocial variables, as well as psychologically, based interventions, can influence injury risk among athletes.

ObjectivesThe study aim was to explore the association of physical and psychosocial stressors (severe injuries, surgeries, recent life events, social support) with one-season onset of symptoms of common mental disorders (CMDs) among European professional football referees.MethodsAn observational prospective cohort study over a follow-up period of one season (2015–2016) was conducted among professional football referees from Belgium, Finland, France, Germany, Norway, Russia, Scotland and Sweden. Based on physical and psychosocial stressors as well as symptoms of CMD, an electronic questionnaire in English and French was set up and distributed by eight football federations involved.ResultsThe prevalence of symptoms of CMD ranged from 5.9% for distress to 19.2% for eating disorders. A higher number of severe injuries and a lower degree of satisfaction about social support were significantly related to the occurrence of symptoms of CMD with an OR of 2.63 and an OR of 1.10, respectively.ConclusionA higher number of severe injuries and a lower degree on satisfaction about social support were found to be significantly associated with the onset of symptoms of CMD among European professional football referees. Referees suffering from severe injuries were nearly three times more likely to report symptoms of anxiety and depression. Referees who reported a low satisfaction of social support were significantly more likely to report symptoms of eating disorder.

Summary Objectives The purpose was to conduct a systematic review of published articles aiming to prevent sports injuries based on psychological interventions and to perform a meta-analysis of the effects in such interventions. News Different kinds of sport injury prevention strategies have been accomplished such as neuromuscular and warm-up programs. More recently, psychological intervention studies have been completed with the purpose of preventing sports injuries. The most evident predictor is stress. Consequently, most psychological injury prevention interventions incorporate stress management and other psychological skills training. Prospect and projects The electronic databases and suitable sport psychology journals were searched for published studies. Out of 560 screened articles, 15 were potentially eligible articles. Seven of these articles, with substantial information in the papers or the authors were able to provide us with data after request, were finally included. Conclusion The result, using a random effect model, showed a total Hedges’ g effect size of 0.82 (P

Null hypothesis significance testing (NHST) is like an immortal horse that some researchers have been trying to beat to death for over 50 years but without any success. In this article we discuss the flaws in NHST, the historical background in relation to both Fisher’s and Neyman and Pearson’s statistical ideas, the common misunderstandings of what p < 05 actually means, and the 2010 APA publication manual’s clear, but most often ignored, instructions to report effect sizes and to interpret what they all mean in the real world. In addition, we discuss how Bayesian statistics can be used to overcome some of the problems with NHST. We then analyze quantitative articles published over the past three years (2012–2014) in two top-rated sport and exercise psychology journals to determine whether we have learned what we should have learned decades ago about our use and meaningful interpretations of statistics.

The main purpose of this study was to investigate relationships between self-report measures such as mood state, emotional recovery, and perceived exertion for a runner during a continental run. Se ...

The aim of this study was to examine the extent to which a mindfulness-based program could reduce the number of sport injuries in a sample of soccer players. A total of 41 junior elite soccer players were randomly assigned to the treatment or the attentional control group. The treatment group took part in a 7-session program based on the mindfulness, acceptance, and commitment approach. The attentional control group was offered 7 sessions of sport psychology presentations with a particular focus on soccer. There were no statistically significant differences in injury rates between the two groups, U(39) = 149.50, z = −1.77, p =.077, but there was a medium effect size (adjusted Cohen's d = − 0.59), approx. 80% confidence interval for d [−0.37, −0.74]. Moreover, 67% of the players in the mindfulness group remained injury free in comparison to 40% in the control group. This result implies that an intervention program focusing on strategies for improving attention could decrease injury risk. Recommendations in...

Objective: The objective of this study was to examine the predictive ability of perceived talent development environment (TDE) on the well-being of youth elite football players.Design: A field-base ...

Given the high prevalence of sport injuries in youth sports and the negative consequences of becoming injured it is important to develop strategies for both injury prevention and support during rehabilitation. In this chapter we first review the psychological factors associated with increased risk of sport injuries. Following this, we discuss psychologically based injury prevention strategies and suggest how sport psychology practitioners and coaches may work with young athletes to reduce injury risk. Next, we review literature pertaining to injury rehabilitation in youth sport, particularly drawing on the Integrated Model of Response to Sport Injury. Finally, we conclude by examining strategies to successfully facilitate young athletes’ return to sport.

The aim of the study was twofold, namely (i) to determine the prevalence of symptoms of common mental disorders (CMDs) among current and retired professional football and handball players and (ii) to explore the relationship of psychosocial stressors with the outcome measures under study. A total of 1155 players were enrolled in an observational study based on a cross-sectional design. Questionnaires based on validated scales were set up and distributed among current and retired professional football and handball players by the Danish football and handball players’ union. In professional football, the highest prevalence (4 weeks) of symptoms of CMDs was 18% and 19% for anxiety/depression among current and retired players, respectively. In professional handball, the highest prevalence (4 weeks) of symptoms of CMDs was 26% and 16% for anxiety/depression among current and retired players, respectively. For both the current and retired professional football and handball players, a higher number of severe injuries and recent adverse life events (LE) were related to the presence of symptoms of CMD. Players exposed to severe injuries and/or recent adverse LE were 20–50% times more likely to report symptoms of CMD. The results suggest that it is possible to recognize the population of professional athletes that are more likely to develop symptoms of CMD. This could create the opportunity to intervene preventively on athletes that suffered from severe injury and/or recent adverse LE that could lead to a faster and safer recovery and psychological readiness to return to play. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Andreas Ivarsson,1 Ulrika Tranaeus,2,3 Urban Johnson,1 Andreas Stenling 4 1Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, Halmstad, 2Performance and Training Unit, The Swedish School of Sport and Health Sciences (GIH), 3Musculoskeletal & Sports Injury Epidemiology Center, IMM, Karolinska Institutet, Stockholm, 4Department of Psychology, Umeå University, Umeå, Sweden Abstract: Previous research offers evidence that psychological factors influence an injured athlete during the rehabilitation process. Our first objective was to conduct a systematic review and meta-analysis of the results from all published studies that examined the relationships among negative affective responses after sport injuries, rehabilitation adherence, and return to play (RTP). The second objective was to use a meta-analytic path analysis to investigate whether an indirect effect existed between negative affective responses and RTP through rehabilitation adherence. This literature review resulted in seven studies providing 14 effect sizes. The results from the meta-analysis showed that negative affective responses had a negative effect on successful RTP, whereas rehabilitation adherence had a positive effect on RTP. The results from the meta-analytic path analysis showed a weak and nonsignificant indirect effect of negative affective responses on RTP via rehabilitation adherence. These results underline the importance of providing supportive environments for injured athletes to increase the chances of successful RTP via a decrease in negative affective responses and increase in rehabilitation adherence. Keywords: affective responses, rehabilitation behaviors, return to play, sport injuries