{"title":"Intermediary role of mental toughness beliefs on the relationship between pain self-efficacy and fear avoidance in Elite injured athletes.","authors":"Samah Tawil, Veronica Kassis, Theresa Bassil, Karim Farhat, Elie Hourani, Lara Massoud, Charbel Najem","doi":"10.1186/s13102-025-01171-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Athletes adopt different coping mechanisms with injury. Differences and links between fear avoidance (FA), pain self-efficacy (PSE), and mental toughness (MT) might affect injury outcomes.</p><p><strong>Aim: </strong>To examine the relationship between Fear Avoidance, Pain Self-Efficacy and Mental Toughness in injured elite and competitive athletes in Lebanon.</p><p><strong>Methods: </strong>This is a cross-sectional study that included 172 athletes. Different questionnaires were used to determine the three pre-mentioned concepts. FA, PSE, and MT were measured using AFAQ-Athletic Fear Avoidance Questionnaire, PSEQ-Pain Self-Efficacy Questionnaire, and SMTQ-Sports Mental Toughness Questionnaire respectively. The data was collected and analyzed using IBM SPSS software.</p><p><strong>Results: </strong>Athletes who practiced boxing reported the highest SMTQ score. Age and training hours predicted higher scores in mental toughness while athletes returning to practice within the last month showed higher PSEQ scores. A negative relationship was found between SMTQ and AFAQ (r = -0.47, p < 0.001) as well as between PSEQ and AFAQ (r = -0.44, p < 0.001). However, a positive relationship was seen between SMTQ and PSEQ (r = 0.36, p < 0.001).</p><p><strong>Conclusion: </strong>By incorporating insight into FA, PSE, and MT, sports professionals may enhance their ability to assess both physical and psychological predicaments of injured athletes.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"124"},"PeriodicalIF":2.1000,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079931/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Sports Science Medicine and Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13102-025-01171-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Athletes adopt different coping mechanisms with injury. Differences and links between fear avoidance (FA), pain self-efficacy (PSE), and mental toughness (MT) might affect injury outcomes.
Aim: To examine the relationship between Fear Avoidance, Pain Self-Efficacy and Mental Toughness in injured elite and competitive athletes in Lebanon.
Methods: This is a cross-sectional study that included 172 athletes. Different questionnaires were used to determine the three pre-mentioned concepts. FA, PSE, and MT were measured using AFAQ-Athletic Fear Avoidance Questionnaire, PSEQ-Pain Self-Efficacy Questionnaire, and SMTQ-Sports Mental Toughness Questionnaire respectively. The data was collected and analyzed using IBM SPSS software.
Results: Athletes who practiced boxing reported the highest SMTQ score. Age and training hours predicted higher scores in mental toughness while athletes returning to practice within the last month showed higher PSEQ scores. A negative relationship was found between SMTQ and AFAQ (r = -0.47, p < 0.001) as well as between PSEQ and AFAQ (r = -0.44, p < 0.001). However, a positive relationship was seen between SMTQ and PSEQ (r = 0.36, p < 0.001).
Conclusion: By incorporating insight into FA, PSE, and MT, sports professionals may enhance their ability to assess both physical and psychological predicaments of injured athletes.
期刊介绍:
BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.