Sport Psychology Studies

Sport Psychology Studies

Influence of Competitive Anxiety and Psychological Stress as Predictors of Sports Injuries in Youth Soccer Players: a prospective cohort study

Document Type : Original research

Authors
1 MSc, University College of Omran-Tosseeh, Faculty of Humanities, Department of Sport Sciences, Hamadan, Iran.
2 Assistant Professor, Lorestan University, Faculty of Literature & Humanities, Department of Sport Sciences, Khorramabad, Iran.
3 Associate Professor, Department of Biological Sciences, Faculty of Sports Sciences, Shahrood University of Technology, Semnan, Iran. Ay.naderi@yahoo.com
Abstract
The present study investigated the role of competitive anxiety and psychological stress in the occurrence of sports injuries in teenage football players. One hundred twenty-two youth football players in Lorestan Province, aged 14 to 17, participated in a prospective cohort study in the season of 2019-2020. Competitive anxiety was assessed using the competitive anxiety scale and psychological stress was assessed using the Kessler psychological distress scale. Independent t-tests and logistic regression were used to analyze statistical data. The average competitive anxiety was also significantly higher for injured soccer players than for healthy soccer players (p=0.01). An increase in competitive anxiety was associated with an increase in the risk of sports injuries, and for each increased score of competitive anxiety based on the Sport Anxiety Scale-2 scale, the probability of sports injuries increased by 13%. The average stress of injured footballers is significantly higher than healthy footballers (p=0.02). An increase in stress was associated with an increase in the probability of sports injuries, and for each point of increase in stress based on the Kessler psychological distress scale, the likelihood of sports injuries increased by 22%. The results indicate that increasing stress and anxiety in sports competitions increases the likelihood of sports injuries. Therefore, the management of these two variables in adolescent soccer players seems necessary, and targeted programs can focus on mental health and injury prevention for athletes, especially for those who show symptoms of anxiety and stress.
Keywords

Subjects


     Steffen K, Pensgaard AM, Bahr R. (2009). Selfreported psychological characteristics as risk factors for injuries in female youth football. Scand J Med Sci Sports. 19:442–51. https://doi.org/10.1111/j.1600-0838.2008.00797.x.   
2. Fuller NJ, Kroshus E, Hall EE, Ketcham CJ. (2022). Parent influence on concussion reporting in first-year collegiate athletes. J Am Coll Heal. 70(5):1518–27. https://doi.org/10.1080/07448481.2020.1809430   
3. Yang SX, Cheng S, Su DL. (2022). Sports injury and stressor-related disorder in competitive athletes: a systematic review and a new framework. Burn Trauma. 10:tkac017. https://doi.org/10.1093/burnst/tkac017   
4. Thatcher J, Jones M, Lavallee D. (2011). Coping and emotion in sport: future directions. In: Coping and Emotion in Sport. Routledge; 2011. p. 356–64.
5. Weiß M, Büttner M, Richlan F. (2024). The role of sport psychology in injury prevention and rehabilitation in junior athletes. Behav Sci (Basel). 14(3):254.
         https://doi.org/10.3390/bs14030254   
6. Avedesian JM, Forbes W, Covassin T, Dufek S. (2022). Influence of Cognitive Performance on Musculoskeletal Injury Risk: A Systematic Review. Am J Sports Med. 50:554–62. https://doi.org/10.1249/JSR.0000000000000359
7. Marconcin P, Silva AL, Flôres F, Nunes A, Lourenço JF, Peralta M, et al. (2023).  Association between Musculoskeletal Injuries and Depressive Symptoms among Athletes: A Systematic Review. Int J Environ Res Public Health. 20(12). https://doi.org/10.3390/ijerph20126130
8. Herring SA, Kibler WB, Putukian M, Coppel DB. (2017). Psychological issues related to illness and injury in athletes and the team physician: a consensus Statement-2016 update. Med Sci Sport Exerc. 49(5):1043–54. https://doi.org/10.1249/JSR.0000000000000359
9. Abenza L, Olmedilla A, Ortega E, Esparza F. (2009). Lesiones y factores psicológicos en futbolistas juveniles. Arch med Deport. 24(132):280–8.
10.   Ríos Garit J, Pérez Surita Y, Berengüí Gil R, Soris Moya Y, Montoya Romero CA. (2023). Psychological analysis of injuries in a first category softball national championship in Cuba. Apunt Sport Med. 58(217). https://doi.org/10.1016/j.apunsm.2023.100402   
11.   Ivarsson A, Johnson U. (2010). Psychological factors as predictors of injuries among senior soccer players. A prospective study. J Sports Sci Med. 9(2):347.
12.   Weinberg RS, Gould D. (2023). Foundations of sport and exercise psychology. Human kinetics.
13.   Gunnoe AJ, Horodyski M, Tennant LK, Murphey M. (2001). The effect of life events on incidence of injury in high school football players. J Athl Train. 2001;36(2):150.
14.   Pinto MF, Vázquez N. (2013). Ansiedad estado competitiva y estrategias de afrontamiento: su relación con el rendimiento en una muestra argentina de jugadores amateurs de golf. Rev Psicol Deport 2013; 22 47–52.
15.   Domínguez JA, Sánchez C, Morales V, Hernández A, Reigal RE. (2024). Empowering and disempowering climate generated by coaches is associated with negative coping control and attentional control in football players: The mediating role of self-confidence and competitive anxiety. Int J Sports Sci Coach. 2024;17479541241269316. https://doi.org/10.1177/17479541241269315  
16.   Olmedilla-Zafra A, Martins B, Verdaguer FJP, Ruíz-Barquín R, García-Mas A. (2022). It is not just stress: a Bayesian approach to the shape of the negative psychological features associated with sport injuries. Healthcare. 10: 236. https://doi.org/10.3390/healthcare10020236
17.   Rosendo Berengüí G, Puga JL. (2015). Predictores psicológicos de lesión en jóvenes deportistas. Rev Costarric Psicol. 34(2):112–29. https://doi.org/10.22544/rcps.v34i02.05
18.   Martens R. (1997). Sport competition anxiety test. Hum Kinet. 1977;
19.   Smith RE, Smoll FL, Wiechman SA. (1988).  Measurement of trait anxiety in sport. Adv Sport Exerc Psychol Meas. 1998;105–27. https://doi.org/10.1080/08917779008248733  
20.   Lochbaum M, Stoner E, Hefner T, Cooper S, Lane AM, Terry PC. (2022). Sport psychology and performance meta-analyses: A systematic review of the literature. PLoS One. 17(2):e0263408. https://doi.org/10.1371/journal.pone.0263408   
21.   Pettersen SD, Adolfsen F, Martinussen M. (2022). Psychological factors and performance in women’s football: A systematic review. Scand J Med Sci Sports. 32:161–75. https://doi.org/10.3389/fphys.2021.654585  
22.   Domínguez González JA, Reigal Garrido RE, Morales Sánchez V, Hernández Mendo A. (2024). Effects of a Psychological Intervention Program on Competitive Anxiety and Psychological Profile in Young Soccer Players. Percept Mot Skills.. https://doi.org/10.1177/17479541241269315   
23.   Lange-Smith S, Cabot J, Coffee P, Gunnell K, Tod D. (2023). The efficacy of psychological skills training for enhancing performance in sport: a review of reviews. Int J Sport Exerc Psychol. 1–18. https://doi.org/10.1080/1612197X.2023.2168725
24.   Li S, Wu Q, Chen Z. (2020). Effects of psychological interventions on the prevention of sports injuries: A meta-analysis. Orthop J Sport Med. 8(8):2325967120928325. https://doi.org/10.1177/2325967120928325  
25.   Tranæus U, Ivarsson A, Johnson U. (2018). Stress and injuries in elite sport. Handb Stress und Sport. 451–66.
26.   Vago P, Casolo F, Lovecchio N, Colombo L, Gatti M. (2013). Anxiety and Injuries in Soccer Players. Br J Sports Med. 47(10):e3.85-e3.
27.   Fernández R, Zurita F, Cepero M, Molina VA, Vilches JM, Ambris J. (2015). Influence of the physical and psychological variables on physical injuries in football. J Hum Sport Exerc. 10(3):785–94. https://doi.org/10.14198/jhse.2015.103.04  
28.   Aguirre-Loaiza, H., & Ramos S. (2011).  Ansiedad-estado y variables sociodemográficas en futbolistas juveniles colombianos durante competencia. Divers Perspect en Psicol. 7:239–51.
29.   Johnson U, Ivarsson A. (2011).  Psychological predictors of sport injuries among junior soccer players. Scand J Med Sci Sports. 21(1):129–36. https://doi.org/10.1111/j.1600-0838.2009.01057.x  
30.   Lavallée L, Flint F. (1996). The relationship of stress, competitive anxiety, mood state, and social support to athletic injury. J Athl Train. 31(4):296.
31.   Johnson U. (2006). Sport Injury, Psychology and Intervention: An overview of empirical findings. Int J Sport Exerc Psychol. 57:1–10.
32.   Lavallée L, Flint F. (1996). The relationship of stress, competitive anxiety, mood state, and social support to athletic injury. J Athl Train. 31(4):296–9. 
33.   Li H, Moreland JJ, Peek-Asa C, Yang J. (2017). Preseason Anxiety and Depressive Symptoms and Prospective Injury Risk in Collegiate Athletes. Am J Sports Med. 45(9):2148–55. https://doi.org/10.1177/0363546517702847  
34.   Bang H, Won D, Park S. (2020). School engagement, self-esteem, and depression of adolescents: The role of sport participation and volunteering activity and gender differences. Child Youth Serv Rev. 113:105012. https://doi.org/10.1016/j.childyouth.2020.105012   
35.   Thomas AM, Beaudry KM, Gammage KL, Klentrou P, Josse AR. (2019). Physical activity, sport participation, and perceived barriers to engagement in first-year Canadian university students. J Phys Act Heal. 16:437–46. https://doi.org/10.1123/jpah.2018-0198  
36.   Smith RE, Smoll FL, Cumming SP, Grossbard JR. (2006). Measurement of multidimensional sport performance anxiety in children and adults: The Sport Anxiety Scale-2. J Sport Exerc Psychol. 28(4):479–501. https://doi.org/10.1123/jsep.28.4.479
37.   Andrews G, Slade T. (2001). Interpreting scores on the Kessler psychological distress scale (K10). Aust N Z J Public Health.;25(6):494–7.
38.   Ivarsson A, Johnson U, Lindwall M, Gustafsson H, Altemyr M. (2014). Psychosocial stress as a predictor of injury in elite junior soccer: A latent growth curve analysis. J Sci Med Sport. 2014;17(4):366–70. https://doi.org/10.1016/j.jsams.2013.10.242
39.   Kerr G, Minden H. (1988).  Psychological factors related to the occurrence of athletic injuries. J Sport Exerc Psychol. 10(2):167–73. https://doi.org/10.1123/jsep.10.2.167  
40.   Yang J, Cheng G, Zhang Y, Covassin T, Heiden EO, Peek-Asa C. (2014). Influence of symptoms of depression and anxiety on injury hazard among collegiate American football players. Res Sport Med. 22(2):147–60.https://doi.org/10.1080/15438627.2014.881818
41.   Kleinert J. (2002). Causative and protective effects of sport injury trait anxiety on injuries in German University sport. Eur J Sport Sci. 2(5):1–12. https://doi.org/10.1080/17461390200072503   
42.   Kleinert J. (2007). Mood states and perceived physical states as short term predictors of sport injuries: Two prospective studies. Int J Sport Exerc Psychol. 5:340–51.
43.   Jones G. (1995). More than just a game: Research developments and issues in competitive anxiety in sport. Br J Psychol. 86(4):449–78.
44.   Castro Sánchez M, Zurita Ortega F, Chacón Cuberos R, Lózano Sánchez AM. (2019). Clima motivacional y niveles de ansiedad en futbolistas de categorías inferiores. Retos. 2019;35: 164–16. https://doi.org/10.47197/retos.v0i35.63308  
45.   Habeeb CM, Barbee J, Raedeke TD. (2023). Association of parent, coach, and peer motivational climate with high school athlete burnout and engagement: Comparing mediation and moderation models. Psychol Sport Exerc. 68:102471. https://doi.org/10.1016/j.psychsport.2023.102471
46.   Gutiérrez García P, Castillo Jiménez N, Balaguer I, Tristán J, Coronel Pérez FJ, López-Walle JM. (2022). Validación del Cuestionario de Climas Motivacionales empowering y disempowering en jóvenes deportistas mexicanos. Rev Latinoam Psicol. 54:120–9. https://doi.org/10.14349/rlp.2022.v54.14  
47.   Hogue CM. (2020). Achievement goal theory-based psychological skills training session buffers youth athletes’ psychophysiological responses to performance stress. Psychol Sport Exerc. 51.https://doi.org/10.1016/j.psychsport.2020.101792
48.   Ortiz SM, Cuenca LTR, Solá IB, Otañez YES, Walle JL. (2022). Diferencias demográficas de climas motivacionales, necesidades psicológicas básicas y cohesión en jóvenes. Retos nuevas tendencias en Educ física, Deport y recreación. 2022;(43):613–22. https://doi.org/10.47197/retos.v43i0.88608  
49.   Gutiérrez P, López- J, Tomás I, Tristán J, Balaguer I. (2019).  Relationship between empowering climate and enjoymentin baseball pitchers: the moderator role of autonomous motivation. Cuad Psicol Deport 19 166–177. https://doi.org/10.3390/sports7060153
Volume 14, Issue 52
Spring 2025
Pages 139-152

  • Receive Date 14 September 2024
  • Revise Date 08 November 2024
  • Accept Date 24 November 2024