> The guilt that I feel, and that my husband feels … is crippling. (Anonymous mother of a former gymnast abused in sport) Sport is commonly positioned as an antidote to adverse childhood experiences, including neglect and psychological, physical and sexual abuse.1 However, a growing number of well-publicised cases firmly establish athlete abuse1 as a significant threat to modern sport.2 Entrenched and pervasive, all forms of abuse can have severe consequences, both for athletes who are directly victimised and their sports organisations.2 But there may be stakeholders for whom the effects of abuse are less obvious: observers of abuse and the athletic community as a whole. It is important that the sports and exercise medicine (SEM) community conceptualise athlete abuse as community trauma ; while these events occur in close interpersonal contexts, their impacts span beyond individuals to the entire sports community. Not only do the effects of abuse manifest in individuals’ health and well-being, but they also influence relational health among community members, team performance and institutional climate. Therefore, SEM must prioritise primary prevention in data-driven models of athlete abuse management. Not accounting for observer harm risks underestimation of the true toll abuse takes on all stakeholders in sports communities—and on sport itself. Vicarious traumatisation (VT) and secondary traumatic stress (STS) are terms that describe the …

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运动员虐待伤害了每个人：运动中的替代性和继发性创伤压力

> 我的内疚感，以及我丈夫的内疚感……令人心碎。（一位前体操运动员的匿名母亲在运动中受到虐待） 运动通常被定位为解决童年不良经历的解毒剂，包括忽视和心理、身体和性虐待。1 然而，越来越多广为人知的案例将运动员虐待 1 确立为一种对现代体育运动的重大威胁。2 根深蒂固和普遍存在的所有形式的虐待都可能对直接受害的运动员及其体育组织造成严重后果。2 但可能有些利益相关者对虐待的影响不太明显：虐待和整个体育界。重要的是，运动和运动医学 (SEM) 社区将运动员虐待概念化为社区创伤；虽然这些事件发生在密切的人际关系环境中，它们的影响不仅限于个人，还涉及整个体育界。虐待的影响不仅体现在个人的健康和福祉中，而且还影响社区成员之间的关系健康、团队绩效和制度氛围。因此，SEM 必须在数据驱动的运动员虐待管理模型中优先考虑初级预防。不考虑观察者的伤害可能会低估体育社区中所有利益相关者以及体育本身的真正收费滥用。替代性创伤（VT）和继发性创伤性压力（STS）是描述...... 团队绩效和制度氛围。因此，SEM 必须在数据驱动的运动员虐待管理模型中优先考虑初级预防。不考虑观察者的伤害可能会低估体育社区中所有利益相关者以及体育本身的真正收费滥用。替代性创伤（VT）和继发性创伤性压力（STS）是描述...... 团队绩效和制度氛围。因此，SEM 必须在数据驱动的运动员虐待管理模型中优先考虑初级预防。不考虑观察者的伤害可能会低估体育社区中所有利益相关者以及体育本身的真正收费滥用。替代性创伤（VT）和继发性创伤性压力（STS）是描述......