Positive reframing: An important but underutilized coping strategy in youth athletes undergoing sports-related knee surgery

It is unknown how specific coping strategies are associated with the short-term outcomes among athletes following knee surgery. 1) To determine whether specific coping strategies are associated with satisfaction, return to sport, self-reported knee function, or kinesiophobia following sports-related...

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Veröffentlicht in:Journal of athletic training 2021-05
Hauptverfasser: Everhart, Joshua S, DiBartola, Alex C, Blough, Christian, Schiele, Steven E, Harris, Kristie M, Emery, Charles F, Flanigan, David C
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container_title Journal of athletic training
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creator Everhart, Joshua S
DiBartola, Alex C
Blough, Christian
Schiele, Steven E
Harris, Kristie M
Emery, Charles F
Flanigan, David C
description It is unknown how specific coping strategies are associated with the short-term outcomes among athletes following knee surgery. 1) To determine whether specific coping strategies are associated with satisfaction, return to sport, self-reported knee function, or kinesiophobia following sports-related knee surgery. 2) To determine whether these associations vary by age, sex, or surgical procedure. Case series. Athletes (n=184 total; n=104 men, n=80 women; n=38 age 40) who underwent outpatient knee surgery were enrolled from a single center. Utilization of specific coping strategies (self-distraction, use of emotional or instrumental support, venting, positive reframing, and acceptance) was assessed pre-operatively with the Brief-COPE inventory. Relationship between coping strategies and post-operative satisfaction, return to sport, International Knee Documentation Committee-subjective (IKDC-S) and Tampa Scale for Kinesiophobia scores at median 10.7 months follow-up were determined with consideration for age, sex, and surgical procedure. Return to prior level of sport was 72%, and satisfaction was 86%. Most coping strategies had age-specific utilization rates; positive reframing was utilized least frequently in ages
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Case series. Athletes (n=184 total; n=104 men, n=80 women; n=38 age &lt;20 years, n=35 age 20-25, n=36 age 26-31, n=36 age 32-40, n=39 age &gt;40) who underwent outpatient knee surgery were enrolled from a single center. Utilization of specific coping strategies (self-distraction, use of emotional or instrumental support, venting, positive reframing, and acceptance) was assessed pre-operatively with the Brief-COPE inventory. Relationship between coping strategies and post-operative satisfaction, return to sport, International Knee Documentation Committee-subjective (IKDC-S) and Tampa Scale for Kinesiophobia scores at median 10.7 months follow-up were determined with consideration for age, sex, and surgical procedure. Return to prior level of sport was 72%, and satisfaction was 86%. Most coping strategies had age-specific utilization rates; positive reframing was utilized least frequently in ages &lt;20 years. Satisfaction increased with greater positive reframing among ages &lt;20 years and decreased with greater self-distraction among men. Return to sport was higher with greater positive reframing in ages &lt;32 years. No coping strategies predicted IKDC-S scores. Greater positive reframing correlated with lower kinesiophobia in ages &lt;20 years. Greater instrumental support correlated with lower kinesiophobia in ages &gt;40 years. No other coping strategies were associated with outcomes. Surgical procedure was not related to association between coping strategies and outcomes. Coping strategies have age-specific associations with outcomes after knee surgery in athletes. Positive reframing is infrequently utilized in younger athletes. 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subjects Age
Coping
Knee
Surgery
title Positive reframing: An important but underutilized coping strategy in youth athletes undergoing sports-related knee surgery
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