影响肢体损伤运动员成功康复的心理因素

L. Malikova, Yu.V. Baikovskiy
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摘要

本文探讨了运动员在受伤情况下的心理健康特点、康复情况以及心理因素对康复过程成功的可能影响。研究分析表明,在评估运动员康复成功与否时,心理因素被考虑的可能性较小,尽管正是由于这些因素,才能确保运动员更快、最优地重返体育活动,并相应地适应变化的条件。对运动员肢体损伤后成功康复的影响因素和心理健康状况的研究,大多是从运动员重返竞技活动模型的角度来探讨这些影响因素。其中最完整的模型是A. Christakou, N.A. Stavrou等人的重复性运动损伤预测模型。在心理因素中,有对反复受伤的恐惧,比赛时的自我怀疑,对自己受伤肢体的感受的注意力增加,对受伤本身的具体情况的关注。此外,作者还注意到诸如个人焦虑增加、自尊心低下、高度运动认同、运动恐惧症等因素,这些因素决定了运动员心理健康的具体情况。对运动员康复成功进行的meta分析研究表明,消极因素中有:失望、焦虑增加、恐惧、动力降低等。适应不良的应对策略也会导致运动员在恢复过程中以及在重返训练和体育活动时遇到困难。缺乏控制感、与医务人员互动产生的消极期望、认为来自亲友的支持不够,也不太可能有助于运动员康复的积极动力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PSYCHOLOGICAL FACTORS OF SUCCESSFUL REHABILITATION IN ATHLETES WITH LIMB INJURIES
The article discusses the specifics of the mental health of athletes in a situation of injury, their rehabilitation and the possible influence of psychological factors on the success of the recovery process. The analysis of studies shows that psychological factors are taken into account less likely when assessing the success of rehabilitation of athletes, although it is due to these factors that a faster and optimal return to sports activity can be ensured, and accordingly the adaptation of an athlete in changed conditions. Most of the reseachers devoted to the analysis of factors of successful rehabilitation and the state of mental health of athletes after a limb injury discuss these factors from the perspective of a model of returning to competitive activity. One of the most complete models is the model for predicting repeated sports injuries by A. Christakou, N.A. Stavrou et al.. Among the psychological factors, there is a fear of repeated injury, self-doubt during the competition, increased concentration on their feelings in the injured limb, the specifics of the injury itself. In addition, the authors note such factors as increased personal anxiety, low self-esteem, high sports identity, kinesiophobia, which determine the specifics of athletes' mental health. Conducted meta-analytical studies on the success of rehabilitation of athletes show that among the negative factors, there are such as: disappointment, increased anxiety, fear, reduced motivation. Maladaptive coping strategies also lead to the fact that an athlete has difficulties during the recovery process and when returning to training and sports activities. The lack of a sense of control, negative expectations from interaction with the medical staff, assessment of support from relatives and friends as insufficient also less likely contributes to the positive dynamics of the athlete's rehabilitation.
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