Psychosocial experiences of concussed collegiate athletes: The role of emotional support in the recovery process

Abstract

Objective: Understand from whom concussed football players seek and receive emotional support, and whether this support is associated with injury perceptions. Participants: Football players (N?=?26) from three NCAA Division I programs. Methods: With approval from the head athletic trainer, concussed athletes (2017 season) completed short surveys within 4–6?days of diagnosis and when cleared to return. Results: Concussed athletes perceived their injury as a normal consequence of playing football, not serious, and reported little, if any, depression and anxiety. Athletes reported the most support from athletic trainers; the least from coaches and teammates. Emotional support was associated with fewer adverse psychosocial reactions, more sport-injury related growth, and greater intentions to report future concussion symptoms. Conclusion: Results from this pilot study suggest that emotional support during the concussion recovery process should be understood and fostered by university officials charged with the health and well-being of collegiate football players.     

Sibling incest: reports from forty-one survivors

An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual experiences with family members, as well as other child abuse. Half of the participants showed evidence of distorted beliefs about child sexual abuse. Disclosure of the incest during childhood was rare. doi:10.1300/ J070v15n04_02.     

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88 years (SD = 16.68 years) and on their college team for 2.10 years (SD = 1.03 years). Methods: Participants completed a demographic and weight background questionnaire, Questionnaire for Eating Disorder Diagnoses, and the Bulimia Test-Revised. Results: The authors classified participants as eating disordered (n = 4, 2.0%), symptomatic (n = 52, 25.5%), and asymptomatic (n = 148, 72.5%). Few participants engaged in binge eating; most used exercise, as opposed to vomiting, dieting, laxatives, or diuretics, to control their weight. Conclusions: Female athletes suffer from eating disorders, and most experience symptom levels that are subclinical but problematic.     

Prevalence of Sexual Trauma History Using Behaviorally Specific Methods of Assessment in First Year College Students

There are several challenges associated with evaluating the prevalence of sexual trauma, including child sexual abuse and adult sexual assault. The aim of this study was to assess sexual trauma prevalence rates among first year college students (N = 954) using behaviorally specific questions and a more representative recruitment sample that did not rely on self-selection. Participants completed a list of sexual trauma questions, including general questions containing labels such as “rape” or “abuse” as well as behaviorally specific questions that describe specific behaviors that qualify as sexual trauma without labels. Results indicated that 6.7% of the sample reported at least one incident of child sexual abuse, with similar rates for men and women. Women were more likely to report a history of adult sexual assault, which was reported by 12.4% of the total sample. Participants were also more likely to endorse a history of sexual trauma when answering behaviorally specific rather than general “label” questions. Women survivors in particular were more likely than men to identify their experiences as abuse/assault (66.7% versus 21.1% for child sexual abuse), which may help explain prevalence differences between men and women in prior research. Men may be less likely than women to label their experiences as abuse and may be underidentified in sexual trauma research without the use of behaviorally specific questions. Overall, the results of this study suggest that the prevalence of sexual trauma is better assessed using behaviorally specific questions and that this is an important topic of study among both men and women.     

Female Athletes' Motives and Experiences During the Gay Games

This study examines female athletes' motives for participation in Gay Games IV, and their experiences during the Games. The participants (N = 132) acknowledged traditional sport motives as well as social, self-enhancement, and political motives for participation in the Gay Games. Positive aspects of these athletes' experiences at the Games included having a sense of belonging, pride, and community. Meeting, competing with, and being near other lesbian, gay, and bisexual athletes also were important motives and outcomes of participation in this event. Almost all of the athletes described positive experiences at the Games. The experiences expressed by these athletes show the affirming emotional and psychological impact of participation in an inclusive sport environment. Overall, while many of these athletes noted sport highlights in describing their experiences, the social and personal development were voiced more consistently and frequently.     

“Sometimes You Just Have to Have a Lot of Bitter to Make It Sweet”: Substance Abuse and Partner Abuse in the Lives of HIV-Positive Men Who Have Sex with Men

Although links between partner abuse (PA) and substance abuse (SA) are well-documented in the literature, we know less about these relations among HIV-positive men who have sex with men (MSM). We conducted a qualitative study with this group (N = 28). Participants reported (1) social modeling of SA in childhood and in adult social networks, (2) initial use of substance to cope with child abuse and neglect, and (3) the reinforcement of problematic SA by experiences of PA, whereby SA led to PA, resulting in increased SA. Recommendations for clinicians working with HIV-positive MSM are discussed.     

A part of,yet apart from the team: Substantive membership and belonging of trans and nonbinary athletes

Increasingly, bills and policies prohibit the participation of trans women in competitive sport. The current sociopolitical moment begs the following question: how do interpersonal interactional moments function alongside formal policies and rules to shape trans athletes’ experiences of belonging in sport? Although formal institutional rules govern trans athletes’ ability to compete in sport, informal social sanctioning also denies these athletes equitable, or even de facto, membership in sport. I draw upon two case studies to explore trans athletes’ experiences of membership in elite “women's” sport. I apply Evelyn Nakano Glenn's work on citizenship to consider how trans athletes’ experiences of belonging are influenced by both formal rules imposed by organizations as well as informal social interactions with members of their sporting communities. Inclusion is not synonymous with membership. Trans athletes render visible the ways in which this system functions to contain the diversity of humanity's gender expression.     

Desires matter! Desired attitudes predict behavioural intentions in people who think abstractly: the case of eating products without added salt / ¡Los deseos importan! Las actitudes deseadas predicen las intenciones de comportamiento en las personas que piensan de modo abstracto: El caso del consumo de alimentos sin sal añadida

Introduction. Previous research supports that congruence in the construal level between a person’s mindset and predictors enhanced the strength of predictions. Because desired attitudes are more abstract than actual attitudes, we expected that desired attitudes would better predict behavioural intentions in people who present an abstract style of thinking. Objective. We tested this matching effect between desired attitudes and abstractness by measuring the construal level as a person’s base-rate tendency. Method. Participants (N = 105) reported their past experience and actual and desired attitudes towards eating products without added salt and their behavioural intentions. To classify participants according to an abstract or a concrete way of thinking, their first thought was coded using the linguistic category model (LCM). Results. The simple slopes analysis showed that desired attitudes significantly influenced behavioural intentions for participants with an abstract way of thinking. Conclusion. Our results support the relevance of desired attitudes in terms of behavioural predictions and extend the role of the construal level in the prediction and promotion of desirable but demanding behaviour in the framework of individual differences.     

Resilience and migration: Experiences of same-sex binational couples in Canada

ABSTRACT

A phenomenological research design was employed to investigate experiences of individuals in binational relationships who migrated to Canada with their partners due to discriminatory immigration laws that prevented them from remaining together legally in the United States. Participants (N = 17) were American (N = 7), British (N = 2), French (N = 2), Canadian (N = 1), Chinese (N = 1), Colombian (N = 1), Dutch (N = 1), and two with dual citizenship. This article centers on participants' experiences of resiliency throughout the migration process to Canada. Results revealed resilience in three overarching categories: building a life in Canada, re-careering in Canada, and creating social support networks. Implications for policy and practice are discussed.     

Getting Beneath the Surface: Scapegoating and the Systems Approach in a Post-Munro World

The publication of the Munro Review of Child Protection: Final Report (2011b, Department for Education, London) was the culmination of an extensive and expansive consultation process into the current state of child protection practice across the UK. Despite the concern about ‘blame’ within the report, there is, surprisingly, at no point an explicit reference to the dynamics and practices of ‘scapegoating’ that are so closely associated with organisational blame cultures. This paper examines this gap in understanding of the recurrence of shortcomings in child care social work practice and suggests that unless the dynamics of scapegoating are more fully understood, new developments, such as the systems approach advocated by Munro, will fall short of their potential impact. A critical review of existing understanding of scapegoating is presented and the paper concludes by outlining initiatives to counter the detrimental effect of scapegoating of everyday practice.     

A Little Pain Never Hurt Anyone: Athletic Career Socialization and the Normalization of Sports Injury

How do pain and risk of injury come to be accepted as a normal part of an athlete's role-identity? Through an examination of the career history of Sam, an amateur wrestler, the normalization of injury is seen as a traditional form of role socialization. Sam learned to define pain and injury as a routine part of his sports career by observing and interacting with a variety of significant others. As he progressed into higher levels of competition, he encountered successful athletes and coaches who had endured considerable pain and injury in their own careers. Sam eventually gained acceptance from these elite athletes and became a role model for others through conformity to a demanding sports ethic, but he suffered progressively more serious injuries. Sam's career not only reveals the socialization processes that normalize sports injury, it also demonstrates how sports participation can become a significant health risk.     

Within‐ and Between‐Family Associations of Marital Functioning and Child Well‐being

This study clarifies within‐family and between‐family links between marital functioning and child well‐being. Expanding on existing prospective research, this study tests whether changes in parents' marital functioning are associated with corresponding changes in their children's well‐being, independent from associations that exist when comparing different families. Participants (N = 1,033) were members of married, opposite‐sex couples with children who participated in five waves of a larger study of marriage in the U.S. Army. Spouses' constructive communication, verbal conflict, and marital satisfaction each showed between‐family associations with parent‐reported child internalizing and externalizing problems. In contrast, within‐family associations were significant only for parents' communication behaviors. That is, parents who reported lower levels of marital satisfaction also reported lower child well‐being, whereas change in parents' communication was associated with change in child well‐being over time. Isolating within‐family effects is important for understanding marital and child functioning and for identifying potential targets for effective intervention.     

Secrecy Surrounding the Physical Abuse of Child Athletes in Australia

Over the past two decades there has been a growing awareness that sport may not be a positive experience for all children. For example, we know that some children experience sexual abuse in the context of organised sport, and that these offences are often committed by trusted adults, including coaches and club officials. However, less attention has been given to the physical abuse of child athletes. This paper presents a study that explored children's experiences of organised sport, as recounted by young people between the ages of 18 and 25 years in Australia. The study explored the experience of child physical abuse in organised sport including violence, overtraining, and training while injured. A mixed methods research design produced 107 survey responses and 10 in-depth interviews with young adults. Most respondents reported the positive impact that participating in sport had had on their development, but more than a third of the respondents also described experiences of overtraining, being forced to train when injured or of direct physical violence. Drawing upon a thematic analysis of the qualitative data, a conceptual model has been developed and is presented to assist in the understanding of the dynamic of secrecy, which may facilitate ongoing physical harm to children in this context.     

Sexual Minority and Heterosexual Former Foster Youth: A Comparison of Abuse Experiences and Trauma-Related Beliefs

The current study compared the abuse experiences of 108 sexual minority and heterosexual former foster youth who received scholarships through the Orphan Foundation of America. Participants used an anonymous online survey to answer questions regarding their history of physical and sexual abuse. All participants who reported a history of sexual abuse also completed the Trauma Related Beliefs questionnaire (TRB; Hazzard, 1993). Differences across sexual orientation were observed in sexual, but not physical, abuse rates and in the Self-Blame/Stigmatization subscale of the TRB. Specifically, sexual minority participants reported more incidents of sexual abuse, as well as higher scores on the TRB subscale, than did heterosexual participants. These results suggest that sexual orientation is relevant to the experience of abuse among children in the child welfare system.     

Proceedings of the Fifty-Eighth Annual Meeting of the American College Health Association San Diego,California, 1980

Abstract

Objective: The objective of this study was to assess dietary intakes and eating habits of female college athletes and compared them with the minimum sports nutrition standards. Participants: Data were obtained from 52 female college athletes from a National Collegiate Athletic Association (NCAA) Division I university between January 2009 and May 2010. Methods: Participants completed anthropometric measurements and dietary assessment using a 3-day food record, a 24-hour recall, and a nutrition questionnaire. Results: t tests indicated the energy and carbohydrate intakes were below the minimum recommended amount (p < .001), with only 9% of the participants meeting their energy needs. Seventy-five percent of the participants failed to consume the minimum amount of carbohydrates that is required to support training. The majority of the participants reported no regular breakfast, 36% consumed < 5 meals/day, and only 16% monitored their hydration status. Conclusions: Effective nutrition interventions are needed to improve dietary intakes and eating habits of female college athletes.     

‘IF I FEEL LIKE THIS,HOW DOES THE CHILD FEEL?’ CHILD PROTECTION WORKERS,SUPERVISION, MANAGEMENT AND ORGANISATIONAL RESPONSES TO PARENTAL VIOLENCE

This study analysed workers’ experiences of supervision following interactions with hostile and intimidating parents. This analysis examined management and organisational responses to worker stress, and assessed the adequacy of support that workers received. An online survey was designed to collect data on workers’ experiences and free text responses were qualitatively analysed for references to the supervision they received in response to working with parents. 590 participants responded to the survey. 402 were qualified social workers, and 423 worked in child protection. Participants had experienced a range of violent behaviour from parents. The overwhelming theme in responses was the lack of support and supervision workers received, often in stressful and frightening circumstances. Approximately one quarter of participants only used organisational procedures, guidelines or protocols on dealing with hostile parents. Workers reported that mismanaged parental hostility affected their practice and the quality of protection that children received. The violence experienced had a significant negative impact on their personal and professional lives. Organisational responses in the form of supervision and education were often inadequate and resulted in children receiving reduced quality of protection. Recommendations for policy and practice change are discussed, with the aim of caring for workers and the children they protect.     

An Exploratory Study of Domains of Parenting Concern among Mothers Who Are Childhood Sexual Abuse Survivors

This study conducted an exploratory factor analysis and initial validation of Ruscio’s (2001) parenting attitudes questionnaire, which assessed parenting concerns among child sexual abuse survivors. Child sexual abuse survivor mothers (N = 60) reported on their abuse experiences and completed the parenting attitudes questionnaire, the Center for Epidemiologic Studies Depression Scale, and subscales of the Parenting Stress Index and the Parent–Child Relationship Inventory. Three primary factors emerged: (a) concerns regarding the child’s sexuality and safety, (b) boundary disturbances within the child–survivor relationship, and (c) lack of energy for parenting due to recovery issues. Concerns about safety and sexuality and lack of energy for parenting were robust predictors of parenting outcomes. Assessment of such concerns may facilitate discussion of the balance between recovery work and parenting challenges.     

On Being a Strength Coach: Child Welfare and the Strengths Model

Strength coaches help athletes assess their strengths and build on them. Likewise, social workers dealing with children and families in the child welfare system, rather than looking for pathology, can learn to help clients discover and develop their strengths, even while dealing with a child welfare bureaucracy. This article gives examples of the strength coach approach.     

Identifying Demographic and Attitudinal Correlates of Young Adults’ Safer-Sex Self-Efficacy

Objectives: Using data from young-adult college students (N = 207), we identified demographic and attitudinal correlates of safer-sex self-efficacy. Female respondents reported higher levels of safer-sex self-efficacy than males. Methods: Participants completed a self-report survey about their sexual attitudes, values, and experiences. Results: In regression analyses only, the importance of safer-sex practices was related to safer sex self-efficacy in both men and women. Women's safersex self-efficacy was associated with additional demographic factors and sexual beliefs. Conclusions: The factors identified in this study may serve as intervention targets for young-adult sexual health programs. Reinforcing the importance of safer-sex practices may be particularly effective in increasing young adults’ safer-sex self-efficacy.