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1

Ribbe, David Paul. "Chronic psychological and psychophysiological sequelae among adolescents following a traumatic bus crash." Diss., Virginia Tech, 1993. http://hdl.handle.net/10919/40472.

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This study examined chronic psychological and psychophysiological post-traumatic sequelae among eleven adolescent survivors of a fatal bus crash by means of a multimethod strategy. Measures included a structured DSM-m-R post-traumatic stress disorder (PTSD) interview using the Diagnostic Interview for Children and AdolescentsRevised (DICA-R), self-report measures of PTSD symptoms with the Reaction Index, and the Impact of Events Scale. Other measures of stress-related symptomatology included the State-Trait Anxiety Inventory, Fear Survey Schedule-IT, Anxiety Sensitivity Index, Anxiety Frequency Index, and Beck Depression Inventory. In addition, heart rate (HR) reactivity to mental arithmetic (MA), demographic questions, and crash questions was assessed. Survivors were compared to control subjects matched for age, gender, race, and socioeconomic status, among other demographic characteristics. Multivariate analyses of the psychiatric interview data indicated that survivors evidenced significantly higher levels of past PTSD symptoms experienced after the crash, with a significant group by gender interaction, F (3,17) = 5.22, P = .01. Current (past month) levels of PTSD symptoms were also significantly higher among survivors four years after the crash, F (3,17) = 8.82, P < .01, although PTSD symptomatology decreased overall during that time, F (3,17) = 15.52, P < .01. Survivors and controls did not differ significantly on other measures of PTSD and other stress-related symptomatology. Repeated measures analyses of HR response scores revealed greater HR reactivity to questions about the crash among survivors, F (1, 14) = 18.55, P < .01, and by gender, F (1, 14) = 5.21, P = .04. Similar analyses found greater variability in survivors' HR standard deviations (an index of autonomic lability) F (1,14) = 5.21, P = .03 in response to the crash interview. Survivors' HR did not differ from controls' on the MA task. Findings are discussed theoretically and methodologically within the contexts of neurological and conditioning models of PTSD. No relationship between HR reactivity and psychiatric symptomatology was found. Furthermore, this investigation did not fmd support for the neurological kindling theory. Areas of future research using psychophysiological assessment are proposed to more specifically elicit autonomic arousal. Detailed case studies of four individual response patterns are included as a heuristic for further physiological research and for clinical applications with adolescent trauma victims.
Ph. D.
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2

Kivioja, Jouko. "Patient-related aspects on WAD /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-956-0/.

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3

Tse, Yuen-kwan. "Impact of traumatic events on patients with physical injuries." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B29759304.

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4

Webb, Scott A. "Psychological care of the injured athelte [sic]." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1036199.

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This study has examined the aspect of psychological care for the injured athlete at the Division 1A collegiate level. The specific areas examined were those of the mental impact of injury, services available, potential barriers, funding, and referrals. An additional aspect of this study that was examined was differences between conferences in the psychological care practices of the injured athlete. It was found that the largest barrier to successful psychological rehabilitation of the injured athlete was athlete compliance, despite support from others and available services. No significant differences were found to exist between conferences and the psychological care of the injured athlete.
School of Physical Education
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5

Wong, Pui-Ying. "Attention deficits after mild head injury." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B2972661X.

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6

杜明德 and Beng-teck Benedict Taw. "The socio-economic impact of mild head injury in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41650840.

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7

Jackson, Stacy. "Self-Efficacy and Fears of Pain and Injury in Gymnastics and Tumbling: Does a Previous Injury Matter?" Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33172/.

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The purpose of this study was to explore whether a previous gymnastic or tumbling injury influences gymnasts' and tumblers' self-efficacy, motivation, competition anxiety, and fears of pain and injury. Participants (N = 105) completed survey packets during practice which contained demographic questions and questionnaires that measure self-efficacy for physical abilities and exercise, self-motivation, risk of injury, pain catastrophizing, and sport anxiety. Results of a one-way ANOVA indicated that gymnasts and tumblers who experienced a previous injury were significantly different than those who had not experienced an injury on their self-efficacy for physical abilities (p = .007), self-motivation (p = .007), and perceived risk of reinjury (p = .018). Specifically, these findings indicate that gymnasts and tumblers with previous injuries experience higher levels of self-efficacy for physical abilities, self-motivation, and perceived risk of reinjury. Implications for coaches, gymnasts, and tumblers include: creating an open and comfortable environment to discuss pain and injury, developing strategies to break the negative cycle of fear of injury, and fostering a positive rehabilitation process. In the future, researchers should examine the influence that gender and type of competition has on self-efficacy, self-motivation, perceived risk of reinjury, pain perceptions, and competition anxiety of those who have experienced sport-related injuries, as compared to those who have not experienced these types of injuries. Researchers should also examine how the type of injury, whether it is a first time injury versus a reinjury, influences perceptions of pain and fears directly following the injury.
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8

Bergandi, Thomas A. "Attentional style as a predictor of athletic injury." Virtual Press, 1985. http://liblink.bsu.edu/uhtbin/catkey/414555.

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9

Fore, Todd A. "Predicting Workers' Compensation Claims and On-the-Job Injuries Using Four Psychological Measures." Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc278884/.

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This study assessed the predictive validity of four independent factors (Rotter Locus of Control Scale, Safety Locus of Control, Organizational Attribution Style Questionnaire, and Rosenburg Self-Esteem Scale) in the establishment of a measure of safety consciousness in predicting on-the-job injuries and the filing of workers' compensation claims. A 125-item questionnaire was designed and administered to assess participants' disposition on each of the four psychological dimensions, demographic data and on-the-job injury information.
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10

Shapcott, Erin J. B. "Explanatory style and concussed athletes." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83840.

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Those with an optimistic explanatory style have generally been linked with improved mental and physical health across a variety of chronic and serious conditions. The purpose of the current study was to examine the effects of explanatory style on sport related concussions. University varsity athletes (n = 348) from six interdependent team sports at two universities completed both the Attributional Style Questionnaire and the Sport History Questionnaire to examine personality variables and concussion rehabilitation. Overall, the findings indicated that explanatory style did not influence concussion recovery. However, it did effect concussion prevalence, with pessimists experiencing significantly more concussions. Furthermore, various gender differences were demonstrated for concussion prevalence and recovery. The current results help understand the psychology of concussions, as well as concussion prevention efforts and management strategies.
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11

Burkhart, Brian. "The influence of life stress on athletic performance and occurrence of injury among intercollegiate track and field throwing event athletes." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115742.

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The primary purpose of this study was to determine if life stress had any affect on athletic performance and the occurrence of injury. The athletes in this study ranged in age from 17 to 22, and all had the potential and ability to practice and compete at the Division I level in track and field. The goal of the researcher was to collect as much information as possible on each athlete. Each athlete was required to write in a daily journal. A standard set of questions were asked in interviews prior to competition and following competition. Each athlete completed two types of scales prior to competition as well: Everyday Problem Scale (EPS) and Sport Competition Anxiety Test (SCAT). Through this information five common trends emerged: injury with treatment, external distractions, a higher performance was perceived if their family and friends were present at competition, teammate support, and teammate frustration.The researcher believed there was sufficient evidence to dismiss the comparison between the five common trends and the scores of the SCAT and EPS. The SCAT scores were mainly at the moderate level. The average score among all the athletes was approximately "19" or moderate. The EPS dealt with life stress and not athletic stress.The most frequently cited concern by the athletes were financial problems, difficulties with a girlfriend, wanting a relationship with someone, and so forth, but none were consistently cited.The perception of the stressor was an important factor in this study since the athletes perceived each competition either as distressful or eustressful. Depending on how much the athlete perceived each competition as a stressor may have effected his performance. Few stressors were identified but depending on the competition the athlete may have focused so much on the stressor that it became distressful while at another competition the same stressor was not focused on as much so it was viewed as eustressful.
School of Physical Education
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12

陳楚僑 and Chor-kiu Raymond Chan. "Attentional deficits in patients with closed head injury." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31241451.

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13

Finkelstein, Melissa. "The scrum-down on brain damage effects of cumulative mild head injury in rugby: a comparison of group mean scores between national rugby players and non-contact sport controls." Thesis, Rhodes University, 2000. http://hdl.handle.net/10962/d1002485.

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The present study comprises the second phase of a larger and ongoing research study investigating the brain damage effects of cumulative mild head injury in rugby. The purpose of this study was to determine whether cumulative mild head injury sustained in the game of rugby would cause brain injury as evidenced by impaired performance on sensitive neuropsychological tests. Participants were Springbok professional rugby players (n = 26), Under 21 rugby players (n = 19), and a non-contact sport control of national hockey players (n = 21). Comparisons of performance were carried out across a spectrum of neuropsychological tests for the three rugby groups (Total Rugby, Springbok Rugby, and Under 21 Rugby) versus the performance of the non-contact sport control group (Hockey Control), as well as comparisons of performance f9r the subgroups of Rugby Forwards versus Rugby Backs. Comparisons revealed a consistent pattern of poorer performance across all rugby groups relative to the performance of the controls on tests highly sensitive to the effects of diffuse brain damage. Within rugby group comparisons (Forwards versus Backs) showed significantly poorer performance for Total Rugby Forwards and Springbok Rugby Forwards relative to the performance of the respective Total Rugby Backs and Springbok Rugby Backs on sensitive, as well as on somewhat less sensitive, neuropsychological tests. The performance of Under 21 Rugby Forwards relative to Under 21 Rugby Backs demonstrated similar trends. Brain reserve capacity theory was used as a conceptual basis for discussing the implications of these findings.
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14

Roepke, Nancy Jo. "Psychological interventions used by athletic trainers in the rehabilitation of the injured athlete." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186288.

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Recent research suggests that psychological techniques may facilitate injured athletes' rehabilitation, yet little is known about the psychological techniques trainers currently employ and how they view these interventions. In this study, 206 athletic trainers assigned Likert scale ratings to 11 psychological techniques indicating how much they valued a specific technique, how skillfully they employed it, and how often they utilized it. Trainers also responded to an open ended question asking how they would deal with the psychological aspects of an injury described in a short scenario. Results revealed a tentative model for the way trainers view psychological techniques. Categories of techniques included techniques involving the modification of physical and psychological states (goal setting, pain management, relaxation, imagery, and breathing techniques), techniques involving verbal cognitive techniques (communicating openly, changing negative self talk, emotional counseling, and crisis counseling), and non-recommended techniques (encouraging heroism and screening negative information). The study explored trainers' perceptions of each of the 11 psychological techniques in depth and discussed these findings. The study found that although trainers highly value psychological interventions in their work with injured athletes, they assigned low ratings to the techniques they knew little about. However, as exposure to sport psychology information increased, ratings assigned to the techniques that modify physical and psychological states also increased. Similarly, the longer trainers had worked in their field, the more highly they valued the verbal cognitive interventions. In contrast, neither exposure to sport psychology information or athletic training experience proved predictive of ratings assigned to the non-recommended psychological techniques. These findings suggest the importance of introducing skills training for psychological techniques early in the athletic trainers' educational curriculum so that trainers can gain awareness of the efficacy of certain psychological techniques and skill at using these techniques. Moreover, trainers could benefit from course work explaining potential negative consequences of employing harmful or ineffectual psychological interventions.
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15

Marerro, Magaly V. (Magaly Victoria). "Primary Care Screening for Psychological Factors." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc331793/.

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The Behavioral Medicine Questionnare (BMQ) is a 44- item instrument administered via a computer CRT display or pencil and paper. The BMQ was designed to help primary care physicians treating spinal disorders to screen for emotional factors which warrant further psychological evaluation. The test is composed of three scales: Anxiety, Depression, and Somatization. Concurrent validity for each scale was determined through comparisons with subject (n = 133) scores on clinician judgement ratings, pain drawings, and the MMPI. The psychometric properties of the test were supported through statistical analysis. Significant correlations were found between the BMQ, MMPI, and clinician ratings, with the latter showing relationships of lesser strength. The only significant correlation to subject generated pain drawings was to the BMQ depression scale. Analysis indicated the need for seperate norms for males and females. Further research is needed to facilitate measurement and interpretation of the BMQ.
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16

Turner, Andrew P. "The long term physical and psychological consequences of playing professional football." Thesis, Coventry University, 2004. http://curve.coventry.ac.uk/open/items/dd6adddf-0d10-95f4-db68-2a5bd28e578e/1.

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Playing professional football is a high risk occupation. Injury rates among professional footballers are higher than those commonly found in other industries. Several Scandinavian studies have begun to document the long-term physical health problems, such as osteoarthritis (OA), that can beset ex-professional footballers. However, the experiences of ex-professional footballers playing and living in the United Kingdom (UK) have not received similar academic attention. Furthermore, no studies have investigated the impact that OA has on the quality of life of former players anywhere in the world. This thesis aimed to rectify a widespread and serious health problem among a cohort that has largely been neglected to date. In Phase I, 284 ex-professional footballers responded to a postal survey which aimed to establish the prevalence of injury and OA. In Phase II, 12 semi-structured interviews were conducted with ex-professional footballers from Phase I who had developed OA. The aim was to gain an in-depth understanding of how the condition impacted on their lives and how they coped. In Phase II, 101 ex-professional footballers, who were not involved in Phases I and II, responded to a cross-sectional postal survey, which investigated the relationships between pain, pain coping and psychological distress within the context of a stress and coping model. Career injury and surgery were common among respondents in Phase I and nearly half (49%) had subsequently developed OA in at least one joint. Pain was the most common problem for all respondents irrespective of OA diagnosis. Lack of mobility and work disability were other problems reported by respondents. Interviewees in Phase II described how they were encouraged to 'play hurt' during their career and to accept, minimise or ignore the threat of pain, injury and OA. It was some of these attributes which enabled respondents to 'live hurt' in the presence of chronic pain and disability in later life. In Phase II it was shown that psychological distress was not a serious problem for many respondents. However, several coping strategies (denial, emotional venting and upward comparison) were positively associated with pain and psychological distress, particularly for those participants in greater pain. Although OA and chronic pain are prevalent among ex-professional footballers in the UK, its impact upon psychological distress was not as great as reported in some other studies of persons which chronic disease and pain. Increased psychological distress was linked to greater pain and the use of several coping strategies (e.g. denial, emotional venting and upward comparison). However, given the cross-sectional design, it remains to be clarified whether coping predicts psychological distress or whether an increase in psychological distress precipitates more coping. Suggestions are proposed for a psychosocial intervention which would have an impact on pain coping and psychological distress among ex-professional footballers.
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17

Lang, Dianne L. "Subtyping closed head injury patients using the Dean-Woodcock neuropsychological assessment system." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1137610.

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The present study attempts to further define the neuropsychological characteristics associated with mild, moderate, and severe closed head injuries (CHI). The Dean-Woodcock Neuropsychological Assessment System (D-WNAS), a new neuropsychological battery, was administered to 119 CHI patients. The scores of the cognitive portion of the D-WNAS were then analyzed via cluster analysis in an attempt to further delineate neuropsychological impairment into more specific classifications occurring within types of brain trauma.Results suggested that the cognitive portion of the D-WNAS was effective in separating 4 subtypes within CHI, which are best interpreted as "profiles" or characteristics associated with "levels" of impairment. These levels of impairment were characterized by distinctly different subtest profiles, and were labeled as mild/high functioning, mild, moderate, and severe. The highest performing group, mild/high functioning, showed no neuropsychological deficits. The most severely impaired group was characterized by many deficits in short-term memory, visual stimuli, new learning, processing speed, visual-spatial abilities, abstract reasoning, attention/concentration, and remote memory tasks. A multivariate analysis showed that educational level was significant in differentiating between the subtypes and suggested that, depending on the severity of injury, educational level might also protect individuals from obtaining a poorer prognosis.From this investigation, the cognitive portion of the D-WNAS appears to offer valuable utility in identifying CHI patients and in further classifying their varied neuropsychological characteristics. Implications for diagnosing and differentiating between different levels or profiles of CHI was discussed.
Department of Educational Psychology
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18

Currens, Craig M. "The effect of a structured goal setting program on the compliance rates and hardiness levels of injured individuals in an injury rehabilitation program." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1217383.

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The use of a structured goal setting program in injury rehabilitation has not been empirically tested, but many others have noted that its use could increase compliance. The primary purpose of this study was to determine the effect of a structured goal setting program on individuals' compliance to injury rehabilitation; secondly, to examine the hardiness levels of those individuals, and determine if there was a relationship between their levels of hardiness and compliance to the treatment. Individuals who sought services of Ball Memorial Hospital Health Strategies for a back injury (N = 15) participated by first completing the Personal Views Survey. Then, the control group ( = 6) completed their normal rehabilitation program, while the experimental group ( = 9) completed their rehabilitation program using a structured goal setting program. Finally, both groups completed a post-hardiness survey. The researcher found no significant difference in compliance rates between the two groups. All of the injured participants recorded moderate hardiness levels and a low correlation was observed between hardiness and compliance to treatment.
School of Physical Education
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19

Falkstein, David Lawrence. "Prediction of Athletic Injury and Postinjury Emotional Response in Collegiate Athletes: A Prospective Study of an NCAA Division I Football Team." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc278163/.

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Previous research has examined factors that predispose collegiate football players to injury (e.g., Petrie, 1993a, 1993b) as well as factors that influence athletes' psychological adjustment to being injured (e.g., Brewer, 1993; Leddy, Lambert, & Ogles, 1994). Despite the reports of the NCAA Injury Surveillance System that the greatest number of football injuries occur during the spring preseason (NCAA, 1997), studies have only examined injury during the regular season. Thus, the purpose of this study was to investigate the antecedents and consequences of injury in collegiate football players during the spring preseason and across the regular competitive season. Specifically, life stress, social support, competitive trait anxiety, athletic identity, coping style, and preinjury mood state was measured to determine their relationship with the occurrence of injury and with postinjury emotional responses in athletes who sustain an injury at some point during either the spring preseason or regular competitive football season. The overall incidence of athletic injuries was low and the athletes suffered more severe injuries than has been typically found in collegiate football samples. Negative life stress was found to be directly related to the occurrence of injury and to postinjury negative emotional response and was moderated by other psychosocial variables in its influence on the occurrence of injury. Positive life stress was unrelated to injury risk or postinjury emotional response. Social support, sport anxiety, coping, and athletic identity were all found to moderate the negative life stress-injury relationship, as did playing status, suggesting that the complex combinations of these variables increase athletes' susceptibility to the impact of negative life stress. The athletes in this study experienced significant negative emotions following injury. After sustaining injuries they experienced levels of anger, depression, and fatigue that were similar to male psychiatric patients. Injury severity and preinjury mood were found to be the best predictors of postinjury emotional response. Of the psychosocial variables, only social support and sport anxiety were found to be predictive of negative emotional responses following injury. Previously identified relationships between postinjury emotional responses and situational and dispositional variables were replicated and extended.
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20

Van, Heerden Jacobus C. (Jacobus Christoffel). "The implementation of a model for the rehabilitation of sports injuries." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51984.

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Dissertation (PhD)--University of Stellenbosch, 2000.
ENGLISH ABSTRACT: The present study was undertaken with the aim of developing and implementing a model for the rehabilitation of sports injuries. Injury is, without a doubt, one of the most significant obstacles to athletic performance. Very few, if any, athletes escape injury and it seems that regardless of experience and ability, all physically active individuals are prone to injury at some stage of their careers. The ability to resist injury and to rehabilitate well when injury does occur is fundamental to longevity in sport. Previous injury rehabilitation interventions commonly addressed only the physiological dimensions of injury, excluding the psychological dimensions. Only very recently has there been a shift in focus to include psychological principles in the treatment procedures, with Heil (1993) and Pargman (1993a) some of the first authors to publish works on the subject. A comprehensive literature review was done. In the first chapter attention was paid to the role of personality in injury occurrence and rehabilitation outcome, with special emphasis on the model of stress and athletic injury of Andersen and Williams (1993). An extension to this model, taking into account the role of personality, coping resources, cognitions, interventions and other injury and treatment related factors in the rehabilitation process was added by Grove (1993). The next chapter was devoted to the causes and stresses of sports injuries. Topics that were covered include the over-training syndrome, understanding injuries from the athlete's, physician's and psychologist's points of view and a study of what exactly the stresses involved in athletic injury are. Special attention was paid to the concept of pain and all its dimensions, the social well-being of the injured athlete and the impact of injury on the athlete's self-concept and identity. In the following chapter psychological adjustment to athletic injury was discussed. The concepts of loss and grief and applicability of grief response models in particular were discussed. In response to grief response models, cognitive appraisal models (Brewer, 1994) and an integrated model by Wiese-Bjomstal et al. (1998) were also discussed. Attention was given to the factors associated with rehabilitation adherence with particular remarks on malingering athletes. Peer modelling as a coping strategy in injury rehabilitation also came under scrutiny, as did the role and effect of social support. The next chapter focused on the development of the service-provider model for sports injury rehabilitation. From the initial literature review it was clear that of all the treatment providers involved with injured athletes, physiotherapists and biokineticians (athletic trainers) are probably those who spend the most time with them. In the development of the model for injury rehabilitation, special emphasis was therefore placed on the role of the physiotherapist and biokineticians. As a basis for developing the model, the traditional medical model was used, but it was adapted to incorporate psychological principles. A computer program was written to assist physiotherapists and biokineticians in treating injured athletes through the use of psychological principles. This program was constructed using psychological instruments that already exist, but they were adapted to be used as non-pen and paper tests. The tests used were the Emotional Responses of Athletes to Injury Questionnaire (ERAIQ), the Incredibly Short POMS (ISP), a Pain Drawing Instrument, a Visual Analogue Scale and the Affective subscale of the McGill Pain Questionnaire. Provision was made for handouts to be included in the program which can then be given to patients after each therapy session. To be able to determine whether the program was successful in assisting physiotherapists and biokineticians in their treatment of injured athletes, the program was evaluated in the next chapter. Feedback from both patients, physiotherapists and biokineticians using the program were received. Two short questionnaires were used for this purpose. Finally, conclusions were drawn from the information received from the program and recommendations based on these conclusions were made. Key words: Sports injuries, injury rehabilitation.
AFRIKAANSE OPSOMMING: Die doel van die huidige studie was die ontwikkeling en implementering van 'n model vir die rehabilitasie van sportbeserings. Beserings is, sonder twyfel, van die belangrikste struikelblokke in die weg van sportprestasie. Baie min, indien enige, atlete spring beserings vry. Dit wil ook voorkom of alle fisiek aktiewe individue, ongeag hulle ondervinding en vermoë, op een of ander stadium van hulle loopbane 'n besering opdoen. Fundamenteel aan volgehoue deelname aan sport, is die vermoë om beserings te vermy en om atlete suksesvol te rehabiliteer indien 'n besering welopgedoen word. In die verlede het rehabilitasie-intervensies hoofsaaklik die fisieke dimensies van beserings aangespreek sonder inagname van die sielkundige dimensies. Slegs on1angs het daar 'n klemverskuiwing begin plaasvind deurdat daar begin is om sielkundige beginsels in te sluit in behandelingsprosedures. Heil (1993) en Pargman (1993a) was van die eerste skrywers wat werke oor hierdie onderwerp gepubliseer het. 'n Uitgebreide literatuuroorsig is onderneem. In die eerste hoofstuk was aandag geskenk aan die rol wat persoon1ikheid speel in die voorkoms van beserings en die suksesvolle rehabilitasie daarvan, met spesiale klem op Andersen en Williams (1993) se model van stres en sportbeserings. Hierdie model is deur Grove (1993) uitgebrei deur inagname van die rol van persoon1ikheid, hanteringsvaardighede, kognisies, intervensies en ander beserings- en behandeling-verwante faktore in die rehabilitasieproses. Die volgende hoofstuk was gewy aan die oorsake van, en die stres verbonde aan, beserings. Onderwerpe wat aangespreek is, het ingesluit die ooroefeningsindroom, begrip van beserings soos gesien vanuit die atleet, medikus en sielkundige se oogpunte, asook presies watter faktore stres tydens beserings veroorsaak. Spesiale aandag is aan die konsep van pyn en al sy dimensies, die sosiale welstand van die beseerde atleet en die impak van beserings op die selfkonsep en identiteit van die atleet geskenk. In die volgende hoofstuk is die sielkundige aanpassing by beserings bespreek. Die konsepte van "verlies" en ''rou'' en die toepaslikheid van rouresponsmodelle in besonder, is bespreek. In antwoord op rou responsmodelle is kognitiewe waarderingsmodelle (Brewer, 1994) en die geïntegreerde model van Wiese-Bjornstal et al. (1998) bespreek. Aandag is ook geskenk aan faktore wat 'n rol in volgehoue deelname aan rehabilitasieprosedures speel, met klem op atlete met skynsiektes. Navolging van voorbeelde deur eweknieë as 'n hanteringsvaardigheid is ondersoek, asook die rol en effek van sosiale ondersteuning. Die volgende hoofstuk het gefokus op die ontwikkeling van die diensleweraar-model vir sportbeseringrehabilitasie. Vanuit die aanvanklike literatuuroorsig het dit geblyk dat van al die persone betrokke by die behandeling van beseerde atlete, dit waarskynlik fisioterapeute en biokinetici is wat die langste by hulle betrokke is. Tydens die ontwikkeling van die model vir rehabilitasie van beserings, is as basis die tradisionele mediese model gebruik, maar met sekere aanpassings om sielkundige beginsels in te sluit. 'n Rekenaarprogram is geskryf om fisioterapeute en biokinetici te ondersteun in die behandeling van beseerde atlete. Die program het gebruik gemaak van bestaande psigometriese toetse, maar dit was aangepas om as nie-potlood-en-papiertoetse gebruik te kan word. Die toetse wat gebruik is, is die Emotional Responses of Athletes to Injury Questionnaire (ERAIQ), die Incredibly Short POMS (ISP), 'n pyntekeninginstrument, 'n visueelanaloogskaal en die affektiewe subskaal van die McGill Pain Questionnaire. Voorsiening is gemaak na afloop van elke behandelingsessie om uitdeelstukke aan pasiënte beskikbaar te stel. Om te bepaal of die program suksesvol was om fisioterapeute en biokinetici tydens behandeling van beseerde atlete te ondersteun, is die program in die volgende hoofstuk kortliks geëvalueer. Terugvoer vanaf beide die pasiënte, fisioterapeute en biokinetici wat die program gebruik het, is verkry. Twee kort vraelyste is vir dié doel gebruik. Laastens is gevolgtrekkings op grond van die terugvoer gemaak en aanbevelings vir aanpassings is gedoen. Sleutelwoorde: Sportbeserings, rehabilitasie
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21

Bold, Lisa Clare. "Cumulative mild head injury in contact sport: a comparison of the cognitive profiles of rugby players and non-contact sport controls with normative data." Thesis, Rhodes University, 2000. http://hdl.handle.net/10962/d1002444.

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This study investigates the effects of cumulative mild head injury on the cognitive functioning of elite rugby players. A comprehensive battery of neuropsychological tests was administered to top national (Springbok) rugby players (n=26), national Under 21 rugby players (n= 19), and a non-contact sport control group of national hockey players (n=21). The test results of the Total Rugby group (Springbok Rugby and Under 21 Rugby players), the Under 21 Rugby group, the hockey controls, and the Total Rugby and Under 21 Rugby forward and backline players respectively, were each compared with established normative data. Results showed significant differences in the direction of a poorer performance relative to the norms for the Total Rugby and Under 21 Rugby groups, and for the Total Rugby Forwards and Under 21 Rugby Forwards, on tests sensitive to the effects of diffuse brain damage. On the other hand, the Hockey Control group and the Total Rugby Backs and Under 21 Rugby Backs tended to perform within the normal range or better than the norm on some tests. These results confirm the hypothesis that rugby players, and the forward players in particular, are at risk of adverse cognitive effects consequent on cumulative mild head injury. The theoretical implications are that the aggregate effects of multiple exposures to mild head injuries in the rugby players served to reduce their brain reserve capacities and acted as a threshold-lowering influence associated with symptom onset.
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22

Zoccola, Diana. "Neurocognitive effects of head and body collisions on club level rugby union players." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1016397.

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The objective of the study was to investigate the cumulative neurocognitive effects of repetitive concussive and subconcussive events in club level Rugby Union (hereafter rugby) during the course of one rugby season, in a combined group and individualized case-based approach. Amateur adult club level rugby players (n = 20) were compared with a non-contact control group (n = 22) of equivalent age, years of education and estimated IQ (p = > .05, in all instances), although the two groups were clearly differentiated on the basis of a history of reported concussions (p = < .05). Video analyses documented the tackling maneuvers observed amongst the players during all matches across the rugby season revealing a sobering average of more than a thousand tackles per player, excluding any contact practice sessions. Five rugby players (n = 5) who were observed to have a head jarring event were also isolated for individualized postconcussive follow-up analysis of their neurocognitive profiles. Measures included the ImPACT Verbal and Visual Memory, Visual Motor Speed and Reaction Time composites and the Purdue Pegboard. Independent and dependent statistical analyses were employed to compare the rugby versus control group neurocognitive test profiles at and between the three test intervals. Correlational analyses explored the association between concussion, tackling and neurocognitive test outcomes. Descriptive comparisons of individual neurocognitive test scores with normative data were employed for the case analyses. Taken together, the results implicated vulnerability amongst club rugby players on the motor and speeded tasks, with less robust indications on the memory tasks. While limited in terms of its small sample size, it is considered that the outcome of the study was rendered more robust by virtue of being methodologically multifaceted with heuristic implications for future research studies in the area. The novel inclusion of tackling data as well as fine-tuned case analyses, were of particular relevance in that regard. The results add to a growing body of literature that implicates deleterious neurocognitive effects in participants of a sport such as rugby due to repetitive head jarring incidents that are intrinsic to the game.
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23

Orlando, Theresa Eileen. "The meaning of falling for elderly community-dwelling individuals." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27729.

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Falls in the elderly Canadian population pose a serious health problem; they are the leading cause of accidental death in persons aged 65 and older. The most common serious injuries associated with falling are hip fractures; more than 19,000 Canadians sustain a hip fracture yearly as a result of a fall. A review of the literature reveals that most of the studies on falling have been conducted in institutional settings. Community-based studies have identified the risk factors associated with falling to assist in case-finding and fall prevention. However, qualitative studies of falling for elderly community-dwelling individuals are non-existent. The purpose of this study is to describe the meaning of falling for elderly community-dwelling individuals. The phenomenological approach to qualitative methodology was used for this study. This approach seeks to describe human experience as it is lived. Individuals 65 years of age or older were contacted through a Long Term Care Unit. Eight women became informants, participating in repeated interviews guided by open-ended questions. From the content analysis of the data, three major categories of data that were common to the participants were identified and developed. The three categories represent levels of perception in relation to falling, which together represent the entire meaning of falling. At the first level, participants interpreted the various aspects of their falls. The second level describes the reactions to falling. The third level describes how participants coped with falling in the context of coping with aging. These findings revealed that falling was viewed as a symbol of aging and therefore, the emotional reaction to falling occurred in the context of growing old. Furthermore, it was found that coping with falling occurred in the broader context of coping with aging. The implications for nursing practise, education, and research were identified in light of the research findings.
Applied Science, Faculty of
Nursing, School of
Graduate
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24

Schriml, Carla M. "Exploring the impact of an imagery/relaxation program on athletes with a knee injury requiring surgery." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1178349.

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The primary purpose of this study was to examine the impact of an imagery/relaxation program on athletes with a surgical knee injury. More specifically the study examined changes in state and trait anxiety, locus of control, and attitude/opinion as a result of the imagery/relaxation program. A qualitative design was used to allow for an in-depth examination into each participant's behavior. Since a qualitative design was utilized, the procedures were slightly different for each participant.The following is a general outline for the procedures used. One week prior to surgery the participant was taught progressive relaxation. One week post-surgery the participant was administered the STAI, LCRS, and ERAIQ. The participant was also given a different imagery/relaxation script each week to rehearse beginning one week post-surgery to 11 weeks post-surgery. The participant also completed journal worksheets weekly. At each session the researcher asked interview questions. Twelve weeks post-surgery the participant was given the STAI, LCRS, ERAIQ, and exit questionnaire. Due to the lack of adherence to the program there were no conclusive results.
School of Physical Education
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25

Atkinson, Judy. "Lifting the blankets: The transgenerational effects of trauma in Indigenous Australia." Thesis, Queensland University of Technology, 2001. https://eprints.qut.edu.au/35841/1/35841_Digitised%20Thesis.pdf.

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The two specific aims of the fieldwork were to understand: (a) the phenomena of violence in the lives of a group of Aboriginal and non-Aboriginal people (the later by invitation of the Aboriginal people), living within a central coastal region of Queensland; and (b) cultural and individual processes of recovery or healing from violence related trauma. More specifically the questions that guided the field studies were: * What is the experience of violence? * How do experiences of violence contribute to experiences/behaviours that influence situations of inter-and transgenerational trauma? * What assists change or healing in such behaviours? * What is healing and how do people heal? * What cultural tools promote change or healing, and how can these be supported to promote individual, family and community well-being? Through the literature review the thesis considers cultural processes Aboriginal peoples previously used to deal with the trauma of natural disaster or man induced conflict. The literature review is then used to consider the impacts of trauma on the lives of people general. Finally the literature make links to locate the violence of contemporary Aboriginal communal environment to levels of trauma transmitted across generations from colonising processes. The thesis is based on evolving Indigenous research methodological approaches, as it uses an Aboriginal listening/learning process called *dadirri* which is described as a cyclic process of listening and observing, reflecting and learning, acting and evaluating, re-listening and re-learning, and acting with insight and responsibility both in the field and with integrity and fidelity within the dissertation. The thesis demonstrates *dadirri* in Chapter Four as it allows the voices of six participants to tell their stories of trauma and of healing in meaningful painful conversation with each other. These six participants represent some of the six hundred people who participated in the fieldwork over the years of the study. It is from this conversation that the data for the explication of the trauma experience and the healing processes has been drawn. Chapter Five of the thesis is the explication of the trauma experience. In this chapter links are made between the violence experience, thoughts and feelings and resulting behaviour; feelings of inadequacy as a result of childhood experiences; victim perpetrator survivor roles in family and community violence; the relationships between alcohol and drugs to trauma; suicidal behaviours as a result of trauma; the fractured self, and finally the trans generational effects of trauma. Chapter Six is the explication of the healing processes as they were narrated by the participants. Healing was defined by participants as educating them selves about who they are. The themes on healing that emerged in chapter Four are: healing as an awakening to inner (unmet) needs; healing as an experience of safety; healing as community support; rebuilding a sense of family and community in healing; healing as an ever-deepening self-knowledge; the use of ceremony in healing; strengthening cultural and spiritual identity in healing; healing as transformation, and transcendence and integration in healing. Chapter Seven presents a synthesis and integration of the material and a model proposed for understanding trauma and healing from an Aboriginal perspective. The thesis is an exploratory study. The findings and conclusions will be of use in the development and delivery of programs for community action in primary prevention and critical intervention in family violence, alcohol and drug programs, social and emotional well-being programs and crime prevention strategies. The thesis could be used as a foundation for future studies into violence and into healing within Aboriginal situations within Australia.
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26

Horton, Amanda S. "The impact of support groups on the psychological state of athletes experiencing concussions /." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29507.

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In recent years there has been considerable interest and research examining psychological distress resulting from athletic injuries, as well as coping strategies for an enhanced recovery. The purpose of this study was to examine the psychological effects of sport related concussions and to determine if participation in support groups can reduce these psychological side effects. Participants included concussed male and female varsity or comparable elite level athletes who were placed in either a control or an experimental group. All subjects completed the Profile of Mood States and the Post Concussion Rating Scale. Participants in the experimental group received three support group intervention sessions, while those in the control group received no intervention. Data was analyzed using descriptive statistics. It was revealed that participants in the experimental group improved their mood state. In addition to the impact of support groups on concussed athletes, factors influencing their moods were also identified including the concussion history of the athletes, the stage of rehabilitation, gender, and number of concussion symptoms.
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27

Smith, Ian Patrick. ""Is rugby bad for your intellect": the effect of repetitive mild head injuries on the cognitive functioning of university level rugby players." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002567.

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The study sought to determine whether there is evidence for the presence of residual (chronic) deleterious effects on cognition due to repetitive mild traumatic brain injury in top team university level rugby players, using ImPACT 3.0, Trail Making Test (TMT) and Digit Span. The initial sample of 48 participants was divided into groups; Rugby (n = 30) and Controls (n = 18), Rugby Forwards (n = 14) and Rugby Backs (n = 16). A reduced sample (N = 31) comprised of Rugby (n = 20) and Controls (n = 11), Rugby Forwards (n = 9) and Rugby Backs (n = 11). Comparative subgroups were equivalent for estimated IQ but not for age and educational level in the full sample; in the reduced sample there was equivalence for all three variables of age, education and estimated IQ. All cognitive test measures were subjected to independent t-test analyses between groups at the pre- and post-season, and dependent t-test analyses for Rugby and Controls at pre- versus post-season. Overall, the results implicated the presence of deleterious effects of concussive events on Rugby players in the areas of speed of information processing, working memory and impulse control. Significant practice effects were found on the TMT and Digit Span for controls, but not on ImPACT 3.0, supporting the use of this computer-based programme in the sports management context.
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28

Case, Stephanie. "A case study investigation of the neuropsychological profile of a rugby player with a history of multiple concussions." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1007727.

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sustained multiple concussions may be at risk of cumulative impairment. The role of neuropsychological testing in the management of sports-related concussion is a contentious and challenging issue which has gained credibility given the lack of clear and well-established guidelines pertaining to the diagnosis, assessment and return-to-play decisions following concussion. Despite various traditional paper and pencil tests being shown to be effective indicators of postconcussive neuropsychological dysfunction, testing has not been widely implemented, due to time- and labour-demands. ImPACT, a computer-based neuropsychological assessment instrument, has been recognised as a valid and reliable tool in the monitoring of athletes' symptoms and neurocognitive functioning preseason and postconcussion. As a part of larger-scale concussion research conducted on top-team university rugby players, this is an in-depth case study conducted on a 20-year old participant with a history of multiple concussions, who was referred following a concussion sustained during the season. The objectives of the study were: (i) to determine the sensitivity of ImPACT versus WAIS-III Digit Span and Trail Making Test during the acute postconcussive phase; and (ii) to examine the sensitivity of ImPACT versus a comprehensive battery of neuropsychological tests to possible residual deficits as a result of the multiple concussions. ImPACT was determined to be more sensitive to acute postconcussive impairment following concussion than Digit Span and Trail Making Test. Furthermore, the ImPACT preseason baseline scores appear to be sensitive to neurocognitive dysfunction, possibly due to cumulative concussive injuries.
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29

Gaitelband, Philip Joseph. "An analysis of the experience of the acute phase of traumatic spinal cord injury in a South African spinal unit." Thesis, Rhodes University, 1996. http://hdl.handle.net/10962/d1002487.

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This study aims to explore, and to a certain extent to clarify, what it means psychologically to experience Traumatic spinal cord injury (TSCI) in a South African spinal unit. The target time chosen for analysis is the acute medical period. The study presents a review of the literature on psychological adjustment to TSCI and then proceeds to introduce and extensively articulate the hermeneutic approach and methodology. Subsequently, an interpretive research strategy is presented for the purpose of studying the acute phase of TSCI. The data for the study was obtained by means of three dialogical interviews which were tape recorded, transcribed and analyzed with~n a cyclical framework consisting of three interdependent levels. The interpretive procedure is modeled upon the 'reading guide' developed by Brown, Tappan, Gilligan, Miller and Argyris (1989). The analysis follows a course from the individual psychological descriptions of the experience to the generation of a general, nomothetic narrative account of the acute phase. The findings are then discussed in relation to the existing literature and evaluated on the basis of the goals of the study. The study highlights the value of some of the 'stage' ways of thinking about SCI adjustment, while simultaneously stressing the need for placing adjustment within a more personalized, and individually meaningful context. Significant differences between the psycho-physical experiences of patients in the categories of complete and -incomplete SCI were found, which suggests that a sharper distinction be made in the literature between these two groups, in order to account for the marked variations in their experiences.-- The study also contains a number of shortcomings, such as a lack of understanding about certain historical and contextual factors which may have mediated the experiences of the trauma for the individuals concerned. These shortcomings and some suggestions fro their resolution are then discussed. The study concludes with an evaluation of the research strategy and methodology and also offers some suggestions for future research.
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30

Richman, Alexandra Elizabeth. "The long-term impact of severe head injury on the family." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/21839.

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The purpose of this study was to examine the impact of brain injury upon the family of the brain-injured patient. Although some research into the psychosocial sequelae following head injury and the direct and indirect effects of severe head-injury upon the family have been conducted, these studies have largely been of a quantitative nature. For this reason, and with a view to expanding upon the existing findings, the present study was qualitative in nature in order to gain an in-depth understanding of relatives' experience of living with and caring for a severely head-injured family member. In addition, ways in which family members coped with the impact of the brain injury were elicited. Participants were caregivers to 11 severely head-injured patients who were representative of a range of socio-economic groupings and racial classifications. Severity of head injury was controlled for and participants were interviewed two or more years after the head injury had occurred. Demographic and injury related data were elicited by means of a questionnaire. Thereafter, data was collected by means of in-depth semi-structured interviews. A number of indices were developed based on a qualitative and descriptive analysis of the data. The study found that the mam source of distress experienced by caregivers related to emotional rather than physical symptomatology. All types of family relationships were profoundly affected by the patient's brain injury, although the caregiver's relationship with the patient appeared most vulnerable. Formal sources of support were considered inadequate and most caregivers relied heavily on emotional support, particularly from an intimate source. Coping responses were dependent upon coping resources available. Families of brain-injured patients who were racially and socio-economically disadvantaged were subjected to additional stress related to the unavailability of services and the randomness with which services that were available were dispensed. Rehabilitation services appeared to be failing to meet the needs of "brain-injured families" (Brooks, 1984) as they concentrated on the patient's physical handicap rather than emotional sequelae of the head injury.
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31

Whitefield, Victoria Jane. ""Glory is temporary, brain injury may be forever" : a neuropsychological study on the cumulative effects of sports-related concussive brain injury amongst Grade 12 school boy athletes." Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1004471.

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The study investigated the long-term neuropsychological effects of repetitive mild traumatic brain injury (MTBI) due to participation in a contact sport amongst South African final year male high school athletes (N=189). The sample was divided by sports affiliation (Contact n = 115; Non-Contact n = 74) and concussion history (2+ Concussion n = 43; 0 Concussion n = 108). Comparative subgroups were statistically equivalent for age, education and estimated IQ (P > 0.05), with the Contact sport groups having markedly higher incidences of concussion than controls (p < 0.000). Measures included the ImPACT Verbal and Visual Memory, Visuomotor Speed and Reaction Time Composites, Digit Symbol Substitution and Digit Symbol Incidental Recall (immediate and delayed), the ImPACT Symptom Scale and a Post-concussion Symptom (PCS) questionnaire. Independent t-tests on cognitive measures at pre-and post-season revealed a predominant trend of Contact and 2+ Concussion groups performing worse, although only ImPACT Reaction Time at pre-season reached significance (p = 0.014). PCS comparisons revealed an overwhelming tendency of enhanced symptoms for Contact and 2+ Concussion groups with total scores being significantly different in most instances at pre-and post-season. Fatigue and aggression were the symptoms most pervasively high for the Contact and 2+ Concussion groups. Dependent t-test analyses at pre- versus post-season, revealed significant practice effects for the Contact group, not in evidence for controls on ImPACT Visual Motor Speed and Digit Symbol Incidental Recall-Delayed. Overall the results imply the possible presence of lingering neurocognitive and symptomatic concussion sequelae amongst South African final year high school participants of a contact sport. The indications gain potency when understood against the background of (i) Brain Reserve Capacity threshold theory, and (ii) the known risk of Type II error in group MTBI research, that might result in under-emphasis of subtle effects and miscalculation of cost-benefit risks. Clinical implications, and the need for prospective case-based research to ratify the results of this predominantly cross-sectional study, are discussed.
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32

Greenfield, Dominic. "Perceived adequacy of professional preparation in sport psychology among NCAA division IA head athletic trainers." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1048391.

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The purpose of this study was to assess Head Athletic Trainers (ATC) of NCAA Division I collegiate institutions perceived adequacy of professional preparation in implementing injury-related sport psychology skills and strategies. A survey instrument was developed and sent to all Head ATCs at NCAA Division IA institutions. Descriptive statistics were computed for information regarding educational background,. years of experience, number of varsity sports served, sport psychology backgrounds, specific sport psychology management strategies used and related perceived competence. Also, independent t-tests were conducted to examine differences in responses between professional preparation/backgrounds of the respondents and their perceived adequacy of preparation when utilizing sport psychology management strategies. Results indicate that 48% of NCAA Division IA Head ATCs have completed a formal course in sport psychology, and that perceived confidence when utilizing sport psychology skills and strategies are higher for this group. Better understanding of the role sport psychology plays in injury rehabilitation will allow ATCs to enhance their athletes' physical recovery from injury.
School of Physical Education
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33

Mitchell, Julia. "A case study investigation into the utility of baseline data versus normative data using a computer-based concussion management programme." Thesis, Rhodes University, 2005. http://eprints.ru.ac.za/511/.

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34

Dewar, Anne Louise. "Bearing illness and injury : limiting the boundaries of suffering." Thesis, Queensland University of Technology, 1996. https://eprints.qut.edu.au/36528/6/36528_Digitised%20Thesis.pdf.

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35

Dutton, Marie Helen 1951. "SPINAL CORD INJURY - THE PATIENT'S VIEW (ETHNOGRAPHY, CHRONIC ILLNESS, IMMOBILITY)." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/291546.

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36

Boulind, Melissa. ""Feeling foggy?": an investigation into the self-reported post-concussive symptoms in rugby union players at university level." Thesis, Rhodes University, 2005. http://hdl.handle.net/10962/d1002447.

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A study was conducted on the self-reported symptoms of Mild Traumatic Brain Injury sustained in Rugby Union at the pre- and post-season stages. A full sample of 30 rugby players at Rhodes University was compared to 27 non-contact sport controls. A reduced sample of 20 rugby players and 9 control participants provided improved control for education and IQ and was compared. Measures included the WAIS-III Vocabulary and Picture Completion Sub-tests to estimate IQ level, the symptom checklist on a widely used computer-based program (ImPACT), and a paper and pencil self-report 31-Item Post-Concussion Symptom Questionnaire. Independent and Dependent T-Test comparisons were conducted on the full and reduced samples. The symptoms reported by the rugby group appeared to be more pronounced on both the ImPACT Symptom Scale and the 31-Item Post-Concussion Symptom Questionnaire when compared to the control group at both the pre-and post-season stages. It was concluded that the rugby players demonstrated evidence to support the hypothesis of having sustained more previous concussions and reporting more symptoms at the pre-season stage when compared to comtrol participants. No prevalent changes for either the rugby or control groups were seen in dependent comparisons from pre-to post-season.
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37

Chan, Chor-Kiu Raymond, and 陳楚僑. "Coping with spinal cord injury: personal and marital adjustment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31212773.

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38

Salman-Godlo, Noluthando Cikizwa. "The establishment of normative data on Xhosa-speaking high school learners using the ImPACT 3.0 programme." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002557.

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Concussion is a common form of brain injury, especially amongst sports players of all age groups. ImPACT is a valid and reliable measure of a variety of cognitive functions commonly affected by such injuries, which allows for objective return-to-play decision making (Iverson, Lovell, & Collins, 2003). However, studies show that the transfer of such tests from one ethnic group to another without appropriate standardization is highly problematic (Ardila, 1995). Thus, the relative absence of South African normative data for the ImPACT 3.0 programme is an issue for concern. Consequently, this study aimed to establish norms for semi-rural Xhosa-speaking schoolboys with an advantaged education (ages 14, 16 and 18) for the ImPACT 3.0 programme as administered in English. Administrative and linguistic difficulties that were experienced by individuals during completion of the battery were also identified. Finally, the study included a comparison of the percentile scores of this sample to the USA norms for boys of a similar age group. Subtests scores were generated for 70 schoolboys and the data were then subjected to statistical analysis. A significant difference between English proficiency of the Grade 8 and Grade 12 boys was found. This indicates the importance of including an English proficiency test with the ImPACT battery when assessing such populations. No other significant differences were found between these age group samples. Although this requires further investigation, the comparison of the USA and SA percentiles suggests the use of local norms for this population. South African boys in this study consistently scored lower than the USA sample. Finally, it is recommended that symptom selfreports should be verbally investigated with each boy after testing, given indications of comprehension problems. In closing, limitations and future possible studies are discussed.
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Clark, Susan Beverley. "Neurocognitive and symptom profiles of concussed and nonconcussed provincial rugby players over one season." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002459.

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Neurocognitive and symptom profiles of concussed and nonconcussed adult provincial rugby union players were investigated over one rugby season, including early season (baseline), intermittent postconcussion, and end of season testing. In a non-equivalent quasi-experimental design, nonconcussed (n = 54) and concussed (n = 17) rugby groups were compared with demographically equivalent noncontact sport controls (n = 37, and n = 17, respectively). Measures included the ImPACT cognitive and symptom composites, and the WMS-III Visual Reproduction and Verbal Paired Associates subtests. The independent and dependent comparative analyses in respect of both nonconcussed and concussed groups, provided cross-validation of poorer acute and/or chronic neuropsychological outcomes for the rugby groups on the ImPACT Reaction Time, Visual Motor Speed, Impulse Control and Symptom composites, and the WMS-III Verbal Paired Associates. The finding of significantly poorer scores on Verbal Paired Associates up to 24 days post concussion for the rugby players versus controls, was longer than the 7 – 10 day recovery period frequently cited in the literature. The overall implication of the study is that even in a group with high cognitive reserve such as these provincial level athletes, there may be prolonged acute recovery, as well as permanent deleterious neuropsychological consequences of cumulative concussive injury in association with a sport such as rugby. Accordingly, the move towards careful individualised postconcussion monitoring of neurocognitive functioning is endorsed, including early identification of any significant permanent reductions in cognitive reserve. Sensitivity of the ImPACT test might be enhanced via inclusion of a verbal associate learning task.
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40

Rogers, Jeffrey Michael. "Electrophysiological and neuropsychological assessment of automatic and controlled processing aspects of attention after mild traumatic brain injury." University of Western Australia. School of Psychology, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0191.

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[Truncated abstract] Controlled and automatic processing are broad categories, and how best to measure these constructs and their impact on functioning after mild traumatic brain injury (TBI) remains uncertain. The purpose of this thesis was to examine automatic and controlled processing aspects of attention after mild TBI using the Paced Auditory Serial Addition Task (PASAT) and event-related potentials (ERPs). The PASAT is one of the most frequently used tests to evaluate attentional functioning. It has been demonstrated to be a measure sensitive to both acute and longer-term effects of mild TBI, presumably due to demands for rapid processing and executive attentional control. ERPs provide a noninvasive neurophysiological index of sensory processing and cognitive functions and have demonstrated sensitivity to even minor cognitive dysfunction. The parameters provided by this functional technique may be those most likely to distinguish individuals with mild TBI from controls. Initially, it was hypothesized that successful novice PASAT performance requires the engagement of executive attention to establish novel controlled information processing strategies. Ten individuals who had suffered a mild TBI an average of 15.20 months previously were therefore expected to demonstrate processing abnormalities on the PASAT, relative to 10 healthy matched controls. Although the mild TBI group reported significant intensification of subjective symptoms since their injury, compared to controls, the mild TBI group provided a similar amount of correct PASAT responses. ... In the first experiment a visual search task consisting of an automatic detection and a controlled search condition was developed. In the second experiment the search task was performed concurrently with the PASAT task in a dual-task paradigm. In the mild TBI group, prior failure to establish more efficient forms of information processing with practice was found to significantly interfere with simultaneous performance of the PASAT task and the attention demanding condition of the search task. The pattern of impaired performance was considered to reflect a reduction in processing resources rather than a deficit in resource allocation. Dual-task performance in the control group was not associated with a large interference effect. In general, the results of this thesis suggest that individuals with mild TBI are impaired in their ability to progress from the stage of effortful controlled information processing to a stage of more efficient, automatic processing, and thus suffer a subtle attentional deficit. Following mild TBI, performance levels equivalent to controls may only be achieved with an abnormal expenditure of cognitive effort. As a result of the neuropathologic consequences of injury, individuals who have sustained a mild TBI are less able to benefit from practice, experience difficulty coping with simultaneous performance of secondary task, and are susceptible to distressing subjective symptomatology.
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Mankad, Aditi. "The role of inhibition and written emotional disclosure in sport injury rehabilitation." University of Western Australia. Faculty of Life and Physical Sciences, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0159.

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A series of four studies examined the emotional climate of elite sport, and tested the utility of an emotional disclosure intervention during sport injury rehabilitation. Overall, results from the investigations indicated that athletes' usual coping mechanism during injury rehabilitation was to inhibit and suppress felt emotions, while displaying mock emotions that were considered acceptable within their sport climate. Pennebaker's (1989) written disclosure paradigm was shown to address athletes' emotionally inhibitive coping style and encourage psychological and physical well-being. It was found to be a viable alternative to psychotherapy within the sport injury context. Athletes showed improvements in stress and mood disturbance, and fewer grief responses towards their injury. Affective and cognitive linguistic markers also showed changes during the 3-day intervention period, leading to the informed assumption that there was a likely association between changes in athletes' psychological responses to injury post-intervention and changes among the linguistic markers of interest. Results were discussed in the context of the broader sport psychology of injury research and limitations of the present investigations were discussed. Recommendations were made for future research into intervention research targeting the psychological experience of long-term injury.
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42

Maclachlan, Mirda. "The activity and participation profile of persons with traumatic spinal cord injury in the Cape Metropole, Western Cape, South Africa : a prospective, descriptive study." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20352.

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Thesis (MScPhysio)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Background Traumatic spinal cord injury (SCI) remains one of the most serious and devastating injuries often resulting in permanent disability and with life changing implications for the individual and his/her family. Successful reintegration into community life and employment after SCI is considered important goals of rehabilitation as this has been positively associated with quality of life, self esteem and life satisfaction. The International Classification of Functioning, Disability and Health (ICF) allows researchers to identify the impact of environmental factors on functioning and disability. Minimal research, particularly in South Africa, has been done on the impact of the environment on persons living with various health conditions and specifically spinal cord injury. Objectives The main purpose of this study was to describe and compare the level of participation of persons with traumatic SCI at two time points (discharge and six months after discharge) from the inpatient rehabilitation setting and to identify the environmental barriers experienced. Methods A prospective, descriptive study was conducted using consecutive sampling. All patients with traumatic SCI that were discharged from September 1, 2008 from the Western Cape Rehabilitation Centre (WCRC) who were eligible for this study were included. Two questionnaires (one based on the ICF and one purposely-developed) and the International Standards for the Classification of SCI (ISCSCI) were used. Data were analyzed with the statistical software package STATISTICA. Results A person sustaining a traumatic SCI in the Cape Metropolitan area of the Western Cape Province is most likely to be a male, young (20 to 29 years), of the Black or Coloured race and living in the Cape Flats suburbs. More than half of the subjects had a grade eight to ten level of education which together with the lack of employers’ responsibilities towards part-time workers might explain the low percentage (11%) of employment at six months after discharge from the WCRC. Complete paraplegia, occurring mainly in the thoracic cord, was the most common neurological disability found in this study. The most common secondary condition was pain followed by spasticity limiting function. The low incidence of pressure sores and urinary tract infections found in this study contradicts findings of previous studies.The majority of the subjects were discharged to the same house they were living in at the time of their injury. However, due to various architectural barriers, some of them were not able to function independently in their homes. Inaccessibility of public transport, the lack of recreational and sport facilities, lack of social support structures in the community and inadequate financial resources were the main environmental barriers experienced by these individuals. Conclusion The main finding of this study was the low employment rate and the difficulty experienced with reintegration at community level after SCI. The results of this study confirm the significant contribution of environmental factors in participation, especially those of transport and education in return to work. Fourteen years after the publication of the Integrated National Disability Strategy (INDS) White Paper (1997), legislative strategies to ensure that people with disabilities have equal access to social and economic opportunities remain lacking.
AFRIKAANSE OPSOMMING: Agtergrond Traumatiese spinaalkoordbesering (SKB) lei dikwels tot permanente verlamming en dit het lewensveranderende implikasies vir die individu en sy/haar familie. Suksesvolle herintegrasie in die gemeenskap en werkverrigting na SKB is belangrike doelstellings vir rehabilitasie omdat dit positief met lewenskwaliteit, selfrespek en lewens-bevrediging geassosieer word. Die Internasionale Klassifisering van Funksionering, Gestremdheid en Gesondheid (IKF) bied aan navorsers die geleentheid om die impak van omgewingsfaktore op funksionering en gestremdheid te identifiseer. Daar is veral in Suid-Afrika beperkte navorsing oor die impak van die omgewing op mense met verskillende gesondheidstoestande, spesifiek SKB. Doel Die hoofdoel van hierdie studie was om die vlak van deelname van mense met traumatiese SKB op twee verskillende tye te beskryf en te vergelyk, onmiddellik na hulle uit die rehabilitasiesentrum ontslaan is, en ses maande later. Die studie het ook ten doel gehad om die omgewingsfaktore te identifiseer wat deelname negatief beïnvloed. Metode Daar is van ’n beskrywende studie gebruik gemaak. Alle pasiënte met traumatiese SKB wat vanaf 1 September 2008 vanaf die Wes-Kaapse Rehabilitasiesentrum (WKRS) ontslaan is en wat voldoen het aan die insluitingskriteria is ingesluit. Twee vraelyste is gebruik om data in te samel – een is op die IKF gebaseer en een is spesifiek vir die studie ontwikkel. Daar is ook van die Internasionale Standaarde vir die Klassifisering van SKB (ISKSKB) gebruik gemaak om data in te samel. Data is met behulp van STATISTICA, ’n statistiese sagteware pakket, geanaliseer. Resultate Iemand wat ’n traumatiese SKB in die Kaapse metropolitaanse gebied van die Wes-Kaap provinsie opdoen, is mees waarskynlik ’n jong man (20 tot 29 jaar) van die Swart of Kleurling ras wat woonagtig in die voorstede op die Kaapse Vlakte is. Meer as die helfte van die deelnemers in die studie het slegs ’n opvoedingsvlak van graad agt tot tien. Hierdie aspek, tesame met die gebrek aan werkgewers se verantwoordelikheid teenoor deeltydse werknemers is dalk die rede waarom slegs 11% van die deelnemers ses maande na hulle uit die WKRS ontslaan is, werksaam was. Volledige paraplegie, hoofsaaklik as gevolg van ’n besering van die torakale spinaalkoord, was die algemeenste neurologiese besering wat in hierdie studie gevind is. Die algemeenste sekondêre komplikasie wat voorgekom het, was pyn gevolg deur spastisiteit. Die lae voorkoms van druksere en urienweginfeksies in dié studie is in teenstelling met bevindings van vorige studies. Die meeste deelnemers is ontslaan na dieselfde huis waar hulle voor die besering gewoon het, maar as gevolg van verskeie argitektoniese hindernisse, kon sommige van hulle nie onafhanklik binne hulle wonings funksioneer nie. Die ontoeganklikheid van openbare vervoer, die gebrek aan ontspannings- en sportfasiliteite, die gebrek aan sosiale ondersteuningsnetwerke in die gemeenskap en onvoldoende finansiële hulpbronne was die algemeenste omgewingshindernisse wat deur die deelnemers ondervind is. Samevatting Die belangrikste bevinding van dié studie was dat slegs ’n klein persentasie van die deelnemers ses maande na hul ontslaan is, werksaam was en dat herintegrasie in die gemeenskap na ’n SKB baie moeilik is. Die resultate van die studie bevestig die belangrike rol wat omgewingsfaktore by deelname speel, veral die faktore wat te make het met vervoer en die opvoedingsvlak wanneer daar na ’n werk teruggekeer word. Veertien jaar na die publikasie van die Geïntegreerde Nasionale Gestremdheidstrategie in 1997, is wetgewende strategieë om gelyke toegang tot sosiale en ekonomiese geleenthede vir persone met gestremdhede te verseker, steeds gebrekkig.
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43

Sturrock, James Lee. "A Behavioral Modification Analysis of the Effects of Multimedia First Aid Training on Injuries in an Industrial Setting." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc331593/.

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Past research has shown a correlation between first-aid training and the reduction of injuries. This connection has been noted in off-the-job situations in addition to industrial studies. This project is an extension of those past findings with three notable differences: total population training was studied, as the intervention instead of just saturation treatment; attention was given to the effect that the half-life of training had upon injury reduction; and three randomly chosen small groups we're studied to determine short range effects. The theoretical bases from which the study hypothesis was developed originated in the Behavioral Science and Psychology literature. Discussions are developed around the mental structuring of accidental potential situations in the case of a person trained in first-aid principles. Behavior Modification was one of the principles of change that offered a.safer environment through first-aid training. Group contagion provided the setting for development of a safer place to work because of socialization to a "safe attitude." The intervention, American National Red Cross Standard Multimedia First-Aid Course, provided some of the mental developments toward modification of behavior. These were the modeling and rehearsal features of the course. A connection between group deviance and accident "proneness" led to a proposal that avoidance behavior was the resultant of the training.
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44

Horsman, Mark. "Concussion in contact sport: investigating the neurocognitive profile of Afrikaans adolescent rugby players." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002503.

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A number of computerised tests have been especially developed to facilitate the medical management of the sports-related concussion. Probably the most widely used of these programmes is the ImPACT test that was developed in the USA and that is registered with the HPCSA for use in the South African context. A recent Afrikaans version of the test served as the basis of the present study with the following objectives: (i) to collect Afrikaans ImPACT normative data on a cohort of Afrikaans first language adolescent rugby players with Model C education for comparison with existing South African English first language adolescent rugby players with Private/Model C schooling, and (ii) to investigate the pre-versus postseason ImPACT neurocognitive test profiles of this cohort of Afrikaans first language adolescent rugby players versus equivalent noncontact sports controls. The results for Part 1 of the study generally demonstrate poorer performance in respect of the Afrikaans cohort, which is understood to be the result of poorer quality of education. The results for Part 2 demonstrated failure of the rugby group to benefit from practice on the ImPACT Visual Motor Speed composite score to the same extent as the control group. It is argued that this apparent cognitive vulnerability in the rugby group is due to lowered cognitive reserve capacity in association with long term exposure to concussive and sub-concussive injury.
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45

Sheinbein, Shelly Thurlo. "Return to Sport: Improving Athletes' Confidence and Mindset Post-ACL Surgery." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062815/.

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This study explored the impact of three psychological interventions over seven weeks - goal setting (GS), GS and imagery (IM), and GS and mindful self-compassion (MSC) - on 20 athletes' (Mage = 16.75 years) pain, cognitive appraisal, depression reinjury anxiety, psychological readiness to return to sport, and range of motion (ROM). IM and GS interventions have demonstrated initial effectiveness; however, no study has examined MSC in relation to post-ACL recovery. All athletes experienced significant decrease in pain (F(2) = 97.30, p = .000) from Week 1 to Week 7 and a significant increase in ROM from Week 2 to Week 7 (F(1) = 77.93, p = .000). All athletes experienced significantly higher depression at Week 1 compared to both Week 2 and Week 7 (F(2) = 9.01, p = .001), and significantly higher difficulty coping with their injury at Weeks 1 and 2 compared to Week 7 (F(2) = 6.32, p = .005). There were no statistically significant effects found between the intervention groups at Weeks 1, 2, and 7. However there were moderate effect sizes between interventions which suggest MSC and IM could help athletes cope with their injury during the first few weeks after surgery, and GS may contribute towards less depression at seven weeks post-surgery. Limitations include small sample size, low power, and use of self-report measures. Results have implications for orthopedic surgeons, physical therapists, and health professionals working with athletes recovering from serious sport injury.
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46

Mosesman, Leonard. "The Occupationally Injured Employee: Emotional and Behavioral Outcomes from Psychosocial Stressors." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc277759/.

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This research explores whether a firm's psychosocial stressors contribute to strains or outcomes important to the organization. The psychosocial stressors chosen for study include: role conflict and ambiguity, workload (qualitative and quantitative), participative decision making, autonomy, and security. Independent variables were the emotional strains of job satisfaction and job commitment. The independent variables for behavioral strains included injury, lost days, workers' compensation claims, and absenteeism. Three moderators: age, gender, and social support were evaluated for interaction effects. The study sampled 77 occupationally injured and 81 non-injured employees from one medium sized Army community hospital. This study uses multivariate hierarchical multiple set regression as its principal analytical method. The hierarchial procedure orders the sets into an a priori hierarchy and enters each set sequentially from the hierarchy, evaluating the increase in $\rm R\sp2.$ The results suggest that psychosocial stressors are significant variables to consider when investigating workers' emotional and behavioral strains. For example, age, participation, and satisfaction were found statistically significant in differentiating between the occupationally injured and the non-injured samples. The study also found that ambiguity, participation, and autonomy influenced emotional strains. Additionally, age and social support appear to moderate the relationship between some psychosocial factors and emotional and behavioral strains. Age moderated the relationship with only emotional strains, while social support moderated both emotional and behavioral strains. Further, social support was found to have a main effect on the emotional strains of satisfaction and commitment, but not on any behavioral ones. Age was found to have a direct effect on the behavioral strains of workers' compensation claims. Finally, although not statistically significant when entered as a set and evaluated using the statistical analysis techniques in this study, a relationship between age and workers' compensation claims and qualitative workload and absenteeism were suggested. The economic and human costs associated with occupational injury are staggering. These findings suggest that attention to psychosocial factors within control of the employer, can promote good management outcomes, improve employee quality of worklife, and contain costs.
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47

Drake, Roy Vernon. "Health Attribution, Client Motivation, and Problem Imagery in the Rehabilitation Applicant: A Study of Rehabilitation Outcome." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc331098/.

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One hundred persons applying for services with the Texas Rehabilitation Commission with reported disabilities of alcohol/substance abuse or back injury/pain were selected for study. Subjects were assigned to two groups (alcohol or back) according to their reported disability. They were tested within one week of application and after 60 days were checked to see what rehabilitation status they were in to determine success or failure. Alcohol clients were administered the Health Attribution Test (HAT), 16PF, and an Alcohol Imagery questionnaire developed for this study. Back clients were administered the HAT, 16PF, and Pain Drawings. Statistical procedures including Pearson correlation, stepwise discriminant analysis, and discriminant analysis were performed. The HAT Internal Factor showed a significant relationship to rehabilitation success or failure and the 16PF motivation indices approached significance. The discriminant analysis demonstrated that success or failure could be predicted at a significant level using these measures. Issues of practicality in using these instruments (particularly imagery measures) in a rehabilitation counseling practice were noted.
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48

Palmer, Elizabeth Seccombe. "Psychosocial impact of head injury on the family." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/2022.

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49

Pollastro, Brittany. "NCAA injured student athletes' perception of social support." Scholarly Commons, 2013. https://scholarlycommons.pacific.edu/uop_etds/855.

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Social support has a great impact on injured NCAA athletes' complete psychological and physical recovery. When individuals, such as the coach, athletic trainer, teammates, and family, incorporate social support in the recovery process the injured athlete's attitude and belief system is positively influenced. The coach and athletic trainer have been specifically researched and proven to be influential in certain types of social support, but the family has not been significantly studied in the past. The purpose of this study is to evaluate the six different types of social support given by the family in comparison to the social support given by the head coach, athletic trainer, and teammates to the injured NCAA Dl athlete regarding the athlete's satisfaction level of each type of support provided, as well as how each support contributed to the athlete's recovery. An additional purpose is to examine the quality of the six different types of social support given by the family. This study was carried out by a quantitative survey (Modified Form of the Social Support Survey) in which NCAA athletes from a private, Dl institution who met specific criteria were the subjects. The results were analyzed through inferential statistics using multiple one-way ANOV As. The results showed according to the athlete, the family and athletic trainer provided the highest levels of all six types of social support compared to the coach and teammates. The coach was the least influential in the social support network according to the athlete. In conclusion, the family provides an integral role within all types of social support. The family should be included in the rehabilitation process of the athlete for a healthy psychological and physical recovery of the injured NCAA athlete.
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50

Tiedens, Alyssa Catherine. "Social Support and Depression Symptomatology Post Injury in Division 1 Athletes." PDXScholar, 2016. http://pdxscholar.library.pdx.edu/open_access_etds/3126.

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The way in which an athlete responds to the injury--emotionally, behaviorally, and cognitively--can significantly affect the athlete's mental health in a negative way if not handled appropriately. There are different forms of social support that are known to be helpful with coping during specific stages of injury. The purpose of this study was to examine the relationship between perceived levels of social support and depression symptomatology post injury in Division 1 collegiate athletes at Portland State University (PSU). Participants were PSU student athletes (n=115). Variables: social support amount (SSQN), social support satisfaction (SSQS), and depression symptomatology (CESD-R) score. Selected injured participants (n=3) completed a 20-minute interview regarding their injury, their social support, and how each affected their mental health. Females reported more social support sources (SSQN) as well as a higher satisfaction of their social support (SSQS) than males. Non-injured student athletes appeared to have fewer social support sources as well as less social support satisfaction than injured student athletes. Of the total study sample, 27.8 percent met the criteria for some kind of depressive symptom concern. The study confirmed gender characteristics regarding help-seeking behavior, trends of depression symptomatology, and social support preferences. Overall the current study's findings indicate a need for further research regarding social support and depression symptomatology, examining injured and non-injured student athletes.
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