The End is Not the Injury: Posttraumatic Growth After Sport Injuries
Keywords:posttraumatic growth, sport, athletic injury, high school, college
This quantitative study explored whether serious injuries in varsity high school or collegiate athletes could produce Posttraumatic Growth (PTG). The impact of injury (season- or career-ending) and an athlete’s highest level of competition played (varsity high school or collegiate) were examined on five elements on the 2-item Posttraumatic Growth Inventory (PTGI): (1) relating to others, (2) new possibilities, (3) personal strength, (4) spiritual change, and (5) appreciation of life. This study provides evidence that sport level does not impact an athlete’s ability to produce PTG and bring awareness to trauma and the role PTG can have in an athlete’s life.
Cabrita, T. M., Rosado, A. B., Leite, T. P., Serpa, S. O., & Sousa, P. M. (2014). The relationship between athletic identity and career decisions in athletes. Journal of Applied Sport Psychology, 26, 471-481.
Centers for Disease Control and Prevention. (2015). CDC childhood injury report: unintentional injuries. Retrieved from
Clement, D., Arvinen-Barrow, M., & Fetty, T. (2015). Psychosocial responses during different phases of sport injury rehabilitation: A qualitative study. Journal of Athletic Training, 50, 95-104.
Cosh, S., Crabb, S., & LeCouteur, A. (2013). Elite athletes and retirement: Identity, choice, and agency. Australian Journal of Psychology, 65, 89-97.
Dabhauer, S. C., Russell, G. B., Tedeschi, R. G., Jesse, M. T., Vishnevsky, T., Daley, K., Carroll, S.,… & Powell, B. L. (2013). A longitudinal investiga tion of postraumatic growth in adult patients undergoing treatment for acute leukemia.Journal of Clinical Psychological Medical Settings, 20, 13-24.
Day, M. C. (2013). The role of initial physical activity experiences in promoting posttraumatic growth in Paralympic athletes with an acquired disability. Disability and Rehabilitation an International, Multidisciplinary Journal, 35, 2064-2072.
DeFreese, J. D., & Smith, A. L. (2013). Teammate social support, burnout, and self-determined motivation in collegiate athletes. Psychology of Sport and Exercise, 14, 258-265.
Duan, W., Gao, P., & Gan, P. (2015). Relationships among trait resilience, vir tues, post-traumatic stress disorder, and post-traumatic growth. PLOS One, 10, 1-13.
Engelhard, I. M., Lommen, M. J. J., & Sijbrandij, M. (2015). Changing for better or worse? Posttraumatic growth reported by soldiers deployed to Iraq. Clinical Psychological Science, 3, 789-796.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2007). Statistical power analyses using g* power 3.1: Test for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
Ferguson, R. W., Green, A., & Hansen, L. M. (2013). Game changers: Stats, stories and what communities are doing to protect young athletes. Washington, DC: Safe Kids Worldwide.
Field, A. (2009). Discovering statistics using SPSS. London, England: SAGE.
Heinrich, K. M., Spencer, V., Fehl, N., & Poston, W. S. (2012). Mission fitness: Comparison of functional circuit training to traditional army physical training for active duty military. Military Medicine, 177, 1125-2012.
Heird, E. B., & Steinfedt, J. A. (2013). An interpersonal psychotherapy approach to counseling student-athletes: Clinical implications of athletic identity. Journal of College Counseling, 16, 143-157.
Ivarsson, A., Tranaeus, U., Johnson, U., & Stenling, A. (2017). Negative psychological responses of injury and rehabilitation adherence effect on return to play in competitive athletes: A systematic review and meta-analysis. Journal of Sports Medicine, 8, 27-32.
Jayawickreme, E., & Blackie, L. E. (2014). Post-traumatic growth as positive personality change: Evidence, controversies, and future directions. European Journal of Personality, 28(4), 312-331.
Kampman, H., Hefferon, K., Wilson, M., & Beale, J. (2015). “I can do things now that people thought were impossible, actually, things that I thought were impossible”: A meta-synthesis of the qualitative findings on posttraumatic growth and severe physical injury. Canadian Psychology Association, 56, 283-294.
Kay, M. C., Register-Mihalik, J. K., Gray, A. D., Djoko, A., Dompier, T. P., & Kerr, Z. Y. (2017). The epidemiology of severe injuries sustained by National Collegiate Athletic Association student-athletes, 2009–2010 through 2014–2015. Journal of Athletic Training, 52, 117-128.
Kerr, Z. Y., Hayden, R., Dompier, T. P., & Cohen, R. (2015). Association of equipment worn and concussion injury rates in National Collegiate Athletic Association football practices: 2004-2005 to 2008-2009 academic years. American Journal of Sports Medicine, 43, 1134–1141.
Koren, D., Norman, D., Ayala, C., Berman, J., & Klein, E. M. (2005). Increased PTSD risk with combat-related injury: A matched comparison study of injured and uninjured soldiers experiencing the same combat events. American Journal of Psychiatry, 162, 276-282.
Kutcher, J. S., & Ecker, J. T. (2010). At-risk populations in sport-related concussion. Head and Neurologic Conditions, 9, 16-20.
Leung, Y. W., Alter, D. A., Prior, P. L., Stewart, D. E., Irvine, J., & Grace, S. L. (2012). Posttraumatic growth in coronary artery disease outpatient relationship to degree of trauma and health service use. Journal of Psychosomatic Research, 72, 293-299.
Malhotra, M., & Chebiyan, S. (2016). Posttraumatic growth: Positive changes following adversity- an overview. International Journal of Psychology and Behavioral Sciences, 6, 109-118.
Martin, L. A., Fogarty, G. J., & Albion, M. J. (2014). Changes in athletic identity and life satisfaction of elite athletes as a function of retirement status. Journal of Applied Sport Psychology, 26, 96-110.
Morrill, E. F., Brewer, N. T., O’Neil, S. C., Lilie, S. E., Dees, C., Carey, L. A., & Rimer, B. K. (2008). The interaction of post-traumatic growth and post-traumatic stress symptoms in predicting depressive symptoms and quality of life. PsychoOncology, 17, 948-953.
Newcomer, R., & Perna, F. (2003). Features of posttraumatic distress among adolescent athletes. Journal of Athletic Training, 38,163-166.
Nishi, D., Matsuoka, Y., Yonemoto, N., Noguchi, H., & Kim, Y. (2010). Peritraumatic distress inventory as a predictor of post-traumatic stress disorder after a severe motor vehicle accident. Psychiatry Clinical Neuroscience, 2010, 149–156.
Nishi, D., Kawahima, Y., Noguchi, H., Usuki, M., Yamashita, A., Koido, Y., & Matsuooka, Y. J. (2016). Resilience, post-traumatic growth, and work engagement among health care professionals after the Great East Japan earthquake: A 4-year prospective follow-up study. Journal of Occupational Health, 58, 347-353.
Nolen-Hoeksema, S., & Davis, C.G. (2004). Theoretical and methodological issues in the assessment and interpretation of posttraumatic growth. Psychological Inquiry, 15, 60-64.
Prentice, W. E. (2014) Principles of athletic training: A competency based approach. New York: McGraw-Hill Education.
Ramos, C., & Leal, I. (2013). Posttraumatic growth in the after math of trauma: A literature review about related factors and application contexts. Journal of Psychology, Community. & Health, 2, 43- 54.
Salim, J., Wadey, R., Diss, C. (2016). Examining hardiness, coping and stress-related growth following sport injury. Journal of Applied Sport Psychology, 28, 154-169.
Sears, S. R., & Stanton, A. L. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22, 487-497.
Sheinbein, S. (2016). Psychological effects of injury on the athlete: A recommendation for psychological intervention. American Medical Athletic Association, 29, 8-10.
Sheu, Y., Chen, L., & Hedegaard, H. (2016). Sports- and recreation-related injury episodes in the United States, 2011-2014. National Health Statistics Reports, 99, 1-10.
Sleijpen, M., Haagen, J., Mooren, T., & Kleber, R. J. (2016). Growing from experience: An exploratory study of posttraumatic growth in adolescent refugees. European Journal of Psychotraumatology, 7, 1-10.
Stambulova, N., Stephan, Y., & Japhag, U. (2007). Athletic retirement: A cross-national comparison of elite French and Swedish athletes. Psychology of Sport and Exercise, 8, 101–118.
Tamminen, K. A., Holt, N. L., & Neely, K. C. (2013). Exploring adversity and the Potential for growth among elite female athletes. Psychology of Sport and Exercise, 14, 28-36.
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-471.
Timpka, T., Jacbsson, J., Dahlström, Ö., Kowalski, J., Bargoria, V., Ekberg, J., Nilsson, S., & Renström, P. (2015). The psychological factor ‘self-blame’ predicts overuse injury among top-level Swedish track and field athletes: A 12-month cohort study. British Journal of Sports Medicine, 49, 1472-1477.
Williams, J. M., & Krane, V. (2015) Applied Sport Psychology: Personal growth to peak performance (7th ed.). New York: McGraw-Hill Education. Zoellner, T., & Maerker, A. (2006). Posttraumatic growth in clinical psychology: A critical review and introduction of a two-component model. Clinical PsychologyReview, 26, 626-653.
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