Background

While the psychosocial risk factors for traumatic injuries have been comprehensively investigated, less is known about psychosocial factors predisposing athletes to overuse injuries.

Objective

The aim of this review was to systematically identify studies and synthesise data that examined psychosocial risk factors for overuse injuries in athletes.

Design

Systematic review.

Data Sources

MEDLINE, Web of Science and PsycINFO databases, supplemented by hand searching of journals and reference lists.

Eligibility Criteria for Selecting Studies

Quantitative and qualitative studies involving competitive athletes, published prior to July 2021, and reporting the relationship between psychosocial variables and overuse injury as an outcome were reviewed. This was limited to academic peer-reviewed journals in Swedish, English, German, Spanish and French. An assessment of the risk of bias was performed using modified versions of the RoBANS and SBU Quality Assessment Scale for Qualitative Studies.

Results

Nine quantitative and five qualitative studies evaluating 1061 athletes and 27 psychosocial factors were included for review. Intra-personal factors, inter-personal factors and sociocultural factors were found to be related to the risk of overuse injury when synthesised and reported according to a narrative synthesis approach. Importantly, these psychosocial factors, and the potential mechanisms describing how they might contribute to overuse injury development, appeared to be different compared with those already known for traumatic injuries.

Conclusions

There is preliminary evidence that overuse injuries are likely to partially result from complex interactions between psychosocial factors. Coaches and supporting staff are encouraged to acknowledge the similarities and differences between traumatic and overuse injury aetiology.

中文翻译：

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竞技运动员过度使用损伤的社会心理风险因素：一项混合研究的系统评价

背景

虽然已经对创伤性损伤的社会心理风险因素进行了全面调查，但人们对导致运动员过度使用损伤的心理社会因素知之甚少。

客观的

本综述的目的是系统地确定研究和综合数据，这些研究检查了运动员过度使用损伤的社会心理风险因素。

设计

系统审查。

数据源

MEDLINE、Web of Science 和 PsycINFO 数据库，辅以手动搜索期刊和参考文献列表。

选择研究的资格标准

审查了 2021 年 7 月之前发表的涉及竞技运动员的定量和定性研究，并将心理社会变量与过度使用伤害之间的关系报告为结果。这仅限于瑞典语、英语、德语、西班牙语和法语的学术同行评审期刊。使用修改版的 RoBANS 和 SBU 定性研究质量评估量表对偏倚风险进行评估。

结果

评估 1061 名运动员和 27 个社会心理因素的九项定量研究和五项定性研究被纳入审查。根据叙述性综合方法进行综合和报告时，发现人际因素、人际因素和社会文化因素与过度使用伤害的风险有关。重要的是，这些社会心理因素，以及描述它们如何导致过度使用损伤发展的潜在机制，似乎与已知的创伤性损伤相比有所不同。

结论

有初步证据表明，过度使用伤害可能部分是由社会心理因素之间复杂的相互作用引起的。鼓励教练和支持人员承认创伤性和过度使用性损伤病因学之间的异同。