Causal Relationships between the Psychological Acceptance Process of Athletic Injury and Athletic Rehabilitation Behavior

J Phys Ther Sci. 2014 Aug;26(8):1247-57. doi: 10.1589/jpts.26.1247. Epub 2014 Aug 30.

Abstract

[Purpose] The purpose of this study was to examine the causal relationships between the psychological acceptance process of athletic injury and athletic-rehabilitation behavior. [Subjects] One hundred forty-four athletes who had injury experiences participated in this study, and 133 (mean age = 20.21 years, SD = 1.07; mean weeks without playing sports = 7.97 weeks, SD = 11.26) of them provided valid questionnaire responses which were subjected to analysis. [Methods] The subjects were asked to answer our originally designed questionnaire, the Psychosocial Recovery Factor Scale (PSRF-S), and two other pre-existing scales, the Athletic Injury Psychological Acceptance Scale and the Athletic-Rehabilitation Dedication Scale. [Results] The results of factor analysis indicate "emotional stability", "social competence in the team", "temporal perspective", and "communication with the teammates" are factors of the PSRF-S. Lastly, the causal model in which psychosocial recovery factors are mediated by psychological acceptance of athletic injury, and influence on rehabilitation behaviors, was examined using structural equation modeling (SEM). The results of SEM indicate that the factors of emotional stability and temporal perspective are mediated by the psychological acceptance of the injury, which positively influences athletic-rehabilitation dedication. [Conclusion] The causal model was confirmed to be valid.

Keywords: Athletic injury psychological acceptance; Athletic rehabilitation; Psychosocial recovery factor.