A Survey of Sports Medicine Physicians Regarding Psychological Issues in Patient-Athletes

Purpose: To determine the extent to which sports medicine physicians encounter and discuss psychological issues among athletes they treat and to evaluate physicians’ perceptions of the availability and efficacy of sport psychologists and other mental health resources. Study Design: Cross-sectional...

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Veröffentlicht in:The American journal of sports medicine 2007-12, Vol.35 (12), p.2140-2147
Hauptverfasser: Mann, Barton J., Grana, William A., Indelicato, Peter A., O'Neill, Daniel F., George, Steven Z.
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container_end_page 2147
container_issue 12
container_start_page 2140
container_title The American journal of sports medicine
container_volume 35
creator Mann, Barton J.
Grana, William A.
Indelicato, Peter A.
O'Neill, Daniel F.
George, Steven Z.
description Purpose: To determine the extent to which sports medicine physicians encounter and discuss psychological issues among athletes they treat and to evaluate physicians’ perceptions of the availability and efficacy of sport psychologists and other mental health resources. Study Design: Cross-sectional study. Methods: A survey was sent via e-mail to all physician members of 4 prominent sports medicine professional associations: the American Orthopaedic Society for Sports Medicine, American College of Sports Medicine, American Medical Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Results: The extent to which respondents discuss psychological issues with athletes varied by subspecialty and by specific issues assessed. Fears about reinjury, fears related to surgery, and lack of patience with recovery/rehabilitation were the 3 most common injury-related topics discussed with patient-athletes. The 3 most common non–injury-related topics discussed were stress/pressure, anxiety, and burnout. Family practitioners were more likely to discuss injury-related psychological issues than were orthopaedic surgeons. Orthopaedic surgeons reported the lowest frequencies of discussing non–injury-related psychological issues. Only 19% of all respondents indicated there were adequate numbers of sport psychologists and other mental health professionals in their geographical area to treat the needs of athletes. Three quarters of respondents reported they rarely or never referred athletes to sport psychologists for injury-related issues, and two thirds indicated they rarely or never referred athletes to sport psychologists for non–injury-related problems. Respondents rated sport psychologists and athletic trainers/physical therapists to be moderately effective in working with athletes regarding psychological problems. Conclusion: Sports medicine physicians frequently encounter psychological issues with patient-athletes. There is a need for tools to facilitate assessment of these problems as well as greater communication between the mental health community and sports medicine physicians. In addition, knowledge of and access to professionals who are specifically trained to deal with the sometimes unique psychological needs of athletes should be improved. Keywords: athletic injuries/psychology sport psychology physician-patient communication rehabilitation
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Study Design: Cross-sectional study. Methods: A survey was sent via e-mail to all physician members of 4 prominent sports medicine professional associations: the American Orthopaedic Society for Sports Medicine, American College of Sports Medicine, American Medical Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Results: The extent to which respondents discuss psychological issues with athletes varied by subspecialty and by specific issues assessed. Fears about reinjury, fears related to surgery, and lack of patience with recovery/rehabilitation were the 3 most common injury-related topics discussed with patient-athletes. The 3 most common non–injury-related topics discussed were stress/pressure, anxiety, and burnout. Family practitioners were more likely to discuss injury-related psychological issues than were orthopaedic surgeons. Orthopaedic surgeons reported the lowest frequencies of discussing non–injury-related psychological issues. Only 19% of all respondents indicated there were adequate numbers of sport psychologists and other mental health professionals in their geographical area to treat the needs of athletes. Three quarters of respondents reported they rarely or never referred athletes to sport psychologists for injury-related issues, and two thirds indicated they rarely or never referred athletes to sport psychologists for non–injury-related problems. Respondents rated sport psychologists and athletic trainers/physical therapists to be moderately effective in working with athletes regarding psychological problems. Conclusion: Sports medicine physicians frequently encounter psychological issues with patient-athletes. There is a need for tools to facilitate assessment of these problems as well as greater communication between the mental health community and sports medicine physicians. In addition, knowledge of and access to professionals who are specifically trained to deal with the sometimes unique psychological needs of athletes should be improved. Keywords: athletic injuries/psychology sport psychology physician-patient communication rehabilitation</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546507304140</identifier><identifier>PMID: 17641103</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Athletes ; Athletic Injuries - psychology ; Biological and medical sciences ; Care and treatment ; Cross-Sectional Studies ; Diseases ; Fundamental and applied biological sciences. Psychology ; Health Services Accessibility - statistics &amp; numerical data ; Humans ; Medical examination ; Medical sciences ; Mental health ; Methods ; Miscellaneous ; Orthopedics - statistics &amp; numerical data ; Physician and patient ; Physician-Patient Relations ; Physicians, Family - statistics &amp; numerical data ; Psychologists ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Referral and Consultation - statistics &amp; numerical data ; Risk factors ; Sport (general aspects) ; Sports - psychology ; Sports injuries ; Sports medicine ; Sports Medicine - statistics &amp; numerical data ; Surgeons ; Surveys ; Surveys and Questionnaires ; Traumas. Diseases due to physical agents ; Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. 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Study Design: Cross-sectional study. Methods: A survey was sent via e-mail to all physician members of 4 prominent sports medicine professional associations: the American Orthopaedic Society for Sports Medicine, American College of Sports Medicine, American Medical Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Results: The extent to which respondents discuss psychological issues with athletes varied by subspecialty and by specific issues assessed. Fears about reinjury, fears related to surgery, and lack of patience with recovery/rehabilitation were the 3 most common injury-related topics discussed with patient-athletes. The 3 most common non–injury-related topics discussed were stress/pressure, anxiety, and burnout. Family practitioners were more likely to discuss injury-related psychological issues than were orthopaedic surgeons. Orthopaedic surgeons reported the lowest frequencies of discussing non–injury-related psychological issues. Only 19% of all respondents indicated there were adequate numbers of sport psychologists and other mental health professionals in their geographical area to treat the needs of athletes. Three quarters of respondents reported they rarely or never referred athletes to sport psychologists for injury-related issues, and two thirds indicated they rarely or never referred athletes to sport psychologists for non–injury-related problems. Respondents rated sport psychologists and athletic trainers/physical therapists to be moderately effective in working with athletes regarding psychological problems. Conclusion: Sports medicine physicians frequently encounter psychological issues with patient-athletes. There is a need for tools to facilitate assessment of these problems as well as greater communication between the mental health community and sports medicine physicians. 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Psychology</subject><subject>Health Services Accessibility - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Medical examination</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Methods</subject><subject>Miscellaneous</subject><subject>Orthopedics - statistics &amp; numerical data</subject><subject>Physician and patient</subject><subject>Physician-Patient Relations</subject><subject>Physicians, Family - statistics &amp; numerical data</subject><subject>Psychologists</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Referral and Consultation - statistics &amp; numerical data</subject><subject>Risk factors</subject><subject>Sport (general aspects)</subject><subject>Sports - psychology</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Sports Medicine - statistics &amp; numerical data</subject><subject>Surgeons</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt9v0zAQxyMEYt3gnScUCTHEQ4Z_JvFjVcGYVLSKwQNPludcUldu3PkSoP89rlqp6gRCfjjr7vM9350vy15RckVpVX0gvORSlJJUnAgqyJNsQqVkBeelfJpNduFiFz_LzhFXhBBalfXz7CwZQSnhk-zHNL8b40_Y5qHN7zYhDph_gcZZ10O-WG4x3UyP-VfoTGxc3-UL3Npl8KFz1vj8BnEEzF2fL8zgoB-K6bD0MAC-yJ61xiO8PNiL7Punj99mn4v57fXNbDovrCyroeANk7UgXHArKmJ4pZSsGqJa27SVACMJMGWNqGvKGDFtnVxCtawxRtXi3vKL7HKfdxPDQ6pl0GuHFrw3PYQRdVnLktA0of-BjAhJSyUS-OYRuApj7FMTmipSM8Gp3KW72lOd8aBd34YhGptOA2tnQw-tS_5p-iYuBFV1Erw_ESRmgN9DZ0ZEXV_PT9nib6wN3kMHOg1wdnvKkz1vY0CM0OpNdGsTt5oSvVsV_XhVkuT1ocvxfg3NUXDYjQS8PQAG01e30fTW4ZFTpaKMV8da0aTSjqP698Pv9vzSdctfLoLGtfE-lcG1WSGXmjLNduQfU5Dbqw</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Mann, Barton J.</creator><creator>Grana, William A.</creator><creator>Indelicato, Peter A.</creator><creator>O'Neill, Daniel F.</creator><creator>George, Steven Z.</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>A Survey of Sports Medicine Physicians Regarding Psychological Issues in Patient-Athletes</title><author>Mann, Barton J. ; Grana, William A. ; Indelicato, Peter A. ; O'Neill, Daniel F. ; George, Steven Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c567t-3d25840343c470a379957d09fcdf74ea50e29ca4881220af8ea549f2daa984bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Athletes</topic><topic>Athletic Injuries - psychology</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Cross-Sectional Studies</topic><topic>Diseases</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health Services Accessibility - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Medical examination</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Methods</topic><topic>Miscellaneous</topic><topic>Orthopedics - statistics &amp; numerical data</topic><topic>Physician and patient</topic><topic>Physician-Patient Relations</topic><topic>Physicians, Family - statistics &amp; numerical data</topic><topic>Psychologists</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Referral and Consultation - statistics &amp; numerical data</topic><topic>Risk factors</topic><topic>Sport (general aspects)</topic><topic>Sports - psychology</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Sports Medicine - statistics &amp; numerical data</topic><topic>Surgeons</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mann, Barton J.</creatorcontrib><creatorcontrib>Grana, William A.</creatorcontrib><creatorcontrib>Indelicato, Peter A.</creatorcontrib><creatorcontrib>O'Neill, Daniel F.</creatorcontrib><creatorcontrib>George, Steven Z.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mann, Barton J.</au><au>Grana, William A.</au><au>Indelicato, Peter A.</au><au>O'Neill, Daniel F.</au><au>George, Steven Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Survey of Sports Medicine Physicians Regarding Psychological Issues in Patient-Athletes</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>35</volume><issue>12</issue><spage>2140</spage><epage>2147</epage><pages>2140-2147</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Purpose: To determine the extent to which sports medicine physicians encounter and discuss psychological issues among athletes they treat and to evaluate physicians’ perceptions of the availability and efficacy of sport psychologists and other mental health resources. 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Only 19% of all respondents indicated there were adequate numbers of sport psychologists and other mental health professionals in their geographical area to treat the needs of athletes. Three quarters of respondents reported they rarely or never referred athletes to sport psychologists for injury-related issues, and two thirds indicated they rarely or never referred athletes to sport psychologists for non–injury-related problems. Respondents rated sport psychologists and athletic trainers/physical therapists to be moderately effective in working with athletes regarding psychological problems. Conclusion: Sports medicine physicians frequently encounter psychological issues with patient-athletes. There is a need for tools to facilitate assessment of these problems as well as greater communication between the mental health community and sports medicine physicians. In addition, knowledge of and access to professionals who are specifically trained to deal with the sometimes unique psychological needs of athletes should be improved. Keywords: athletic injuries/psychology sport psychology physician-patient communication rehabilitation</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>17641103</pmid><doi>10.1177/0363546507304140</doi><tpages>8</tpages></addata></record>
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subjects Athletes
Athletic Injuries - psychology
Biological and medical sciences
Care and treatment
Cross-Sectional Studies
Diseases
Fundamental and applied biological sciences. Psychology
Health Services Accessibility - statistics & numerical data
Humans
Medical examination
Medical sciences
Mental health
Methods
Miscellaneous
Orthopedics - statistics & numerical data
Physician and patient
Physician-Patient Relations
Physicians, Family - statistics & numerical data
Psychologists
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Referral and Consultation - statistics & numerical data
Risk factors
Sport (general aspects)
Sports - psychology
Sports injuries
Sports medicine
Sports Medicine - statistics & numerical data
Surgeons
Surveys
Surveys and Questionnaires
Traumas. Diseases due to physical agents
Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
title A Survey of Sports Medicine Physicians Regarding Psychological Issues in Patient-Athletes
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