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Integrating health and clinical psychology into sport injury research: A necessary theoretical and applied expansion. A comment on “Psychology of sport injury: Selected debates and contemporary issues” (Podlog and Ivarsson, this issue) 将健康和临床心理学纳入运动损伤研究:必要的理论和应用拓展——评《运动损伤心理学:精选辩论和当代问题》(Podlog and Ivarsson,本期)
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-10 DOI: 10.1016/j.psychsport.2025.103026
Alexis Ruffault
Sport injuries are not merely disruptions to performance; they are health events that, like chronic diseases, involve behavioral risk factors and significant psychological consequences. Despite extensive research on the psychology of sport injury, dominant models have yet to fully integrate theoretical frameworks from health psychology and clinical psychology. In this commentary, we argue that reconceptualizing sport injuries as health issues comparable to conditions like cardiovascular diseases or diabetes allows us to leverage well-established behavioral and clinical models to enhance prevention, rehabilitation, and psychological care. First, socio-cognitive theories of health behavior provide robust frameworks for understanding and modifying behaviors that reduce injury risk and improve rehabilitation adherence. Second, transdiagnostic models of psychopathology offer a more precise understanding of the emotional responses to injury, accounting for the shared psychological mechanisms that underlie a broad range of symptoms such as anxiety, depression, and trauma-related distress. By positioning sport injuries within the broader domain of health psychology, researchers and practitioners can better explain, predict, and intervene in the behavioral and psychological dimensions of injury.
运动损伤不仅仅是对运动表现的干扰;它们是健康事件,与慢性病一样,涉及行为风险因素和严重的心理后果。尽管对运动损伤心理学进行了广泛的研究,但主流模型尚未充分整合健康心理学和临床心理学的理论框架。在这篇评论中,我们认为,将运动损伤重新定义为与心血管疾病或糖尿病等疾病类似的健康问题,使我们能够利用成熟的行为和临床模型来加强预防、康复和心理护理。首先,健康行为的社会认知理论为理解和修改减少伤害风险和提高康复依从性的行为提供了强有力的框架。其次,精神病理学的跨诊断模型提供了对伤害的情绪反应的更精确的理解,说明了广泛症状(如焦虑、抑郁和创伤相关痛苦)背后的共同心理机制。通过将运动损伤置于更广泛的健康心理学领域,研究人员和从业人员可以更好地解释、预测和干预损伤的行为和心理层面。
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引用次数: 0
Short and long-term effects of a self-determination theory-based physical activity intervention on basic psychological needs and their mediating role in adults with depressive symptoms 基于自我决定理论的身体活动干预对成人抑郁症状基本心理需求的短期和长期影响及其中介作用
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-08 DOI: 10.1016/j.psychsport.2025.103020
Cecília Bertuol, Willen Remon Tozetto, Antônio Cleilson Nobre Bandeira, Deborah Kazimoto Alves, Patrine Vargas, Thiago Sousa Matias, Giovani Firpo Del Duca
The aims of this study were to investigate the short and long-term effects of a physical activity intervention on basic psychological needs (BPN); and to examine whether autonomy, competence, and relatedness mediated the relationship between the intervention and depressive symptoms in adults. A 16-week randomized controlled trial was conducted, combining online and in-person activities. The intervention involved two weekly sessions, each lasting 90 min, comprising theoretical (44 %) and practical (56 %) components designed to promote physical activity (PA). Each session employed strategies aimed at satisfying BPN (autonomy, competence, and relatedness) to support behavior change. BPN and depressive symptoms were assessed using validated questionnaires at baseline, post-intervention, and at a 6-month follow-up. Generalized estimating equations were applied for both per-protocol (PP) and intention-to-treat (ITT) analyses, while structural equation modeling was conducted using ITT data only. A total of 78 individuals participated, equally allocated to either an intervention group (IG) or a control group (CG), with comparable distributions of sex, age, and severity of depressive symptoms at baseline. Significant group-by-time interactions were observed for autonomy (η2p = 0.031; p = 0.086), competence (η2p = 0.047; p = 0.100), and relatedness (η2p = 0.099; p = 0.017) in the PP analysis, favoring the IG, particularly at post-intervention. Additionally, ITT analysis revealed that both the overall needs score and the autonomy, competence, and relatedness subscales mediated the relationship between the treatment and depressive symptoms, considering the difference between post-intervention and baseline values. Although the intervention did not significantly improve BPN in the ITT analysis, these needs functioned as mediators, contributing to the reduction of depressive symptoms in adults with elevated symptomatology.

Trial registration

Brazilian Registry of Clinical Trials (ReBEC): RBR-7466htj, April 17, 2023. Retrospectively registered.
本研究的目的是探讨体育活动干预对基本心理需求(BPN)的短期和长期影响;并检验自主性、能力和相关性是否介导干预与成人抑郁症状之间的关系。进行了一项为期16周的随机对照试验,结合了在线和面对面的活动。干预包括每周两次,每次持续90分钟,包括旨在促进身体活动(PA)的理论(44%)和实践(56%)部分。每次会议都采用旨在满足BPN(自主性、能力和相关性)的策略来支持行为改变。在基线、干预后和6个月的随访中,使用有效的问卷对BPN和抑郁症状进行评估。每个方案(PP)和意向治疗(ITT)分析均采用广义估计方程,而结构方程模型仅使用ITT数据进行。共有78人参与,平均分配到干预组(IG)或对照组(CG),在性别、年龄和基线抑郁症状严重程度上具有可比性分布。在PP分析中,在自主性(η2p = 0.031; p = 0.086)、能力(η2p = 0.047; p = 0.100)和亲缘性(η2p = 0.099; p = 0.017)方面观察到显著的群体时间交互作用,有利于IG,特别是在干预后。此外,ITT分析显示,考虑到干预后与基线值之间的差异,总体需求评分和自主性、能力和相关性分量表都介导了治疗与抑郁症状之间的关系。虽然在ITT分析中,干预并没有显著改善BPN,但这些需求起到了中介作用,有助于减轻症状升高的成年人的抑郁症状。试验注册:巴西临床试验注册中心(ReBEC): RBR-7466htj, 20123年4月。回顾注册。
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引用次数: 0
Identifying effective identity leadership behaviours for exercise leaders: Perspectives from identity leadership experts and exercisers 识别运动领导者有效的认同领导行为:来自认同领导专家和运动者的观点
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-06 DOI: 10.1016/j.psychsport.2025.103019
Mark Stevens , Gabrielle Guillermo-Tregoning , Alysia M. Robertson , Tegan Cruwys , Tamara Jones , Camille E. Short
The social identity approach to leadership argues that leaders' effectiveness rests on their success in creating, representing, advancing, and embedding a sense of shared identity among group members. However, it does not specify precisely how they can achieve this (i.e., through what behaviours). This gap extends to the exercise context, where research has shown that exercisers participate more frequently to the extent they perceive their leaders engage in identity leadership, yet little guidance exists regarding the specific behaviours that exercise leaders can use to demonstrate this leadership style. We aimed to address this through two studies. In Study 1, we used the Delphi method to identify behaviours that identity leadership experts (primarily from Europe, Australia, and North America and defined as researchers with at least one peer-reviewed identity leadership publication; N = 15) believed exercise class leaders could engage in to demonstrate their identity leadership and foster exercisers' future class attendance. Experts reached consensus on 16 behaviours that characterised identity leadership, and tended to perceive these behaviours would help foster exercisers’ future class attendance. In Study 2, we recruited 150 exercise class attendees from the United Kingdom. These participants rated the extent to which the behaviours derived in Study 1 would increase their likelihood of attending future classes and achieve the theoretical goals specified by identity leadership theory. All mean ratings were above the mid-point on the rating scales for both questions, suggesting we had identified a pool of identity leadership behaviours with potential applied benefit. Identity leadership behaviours rated particularly positively by exercisers included leaders modelling and demonstrating exercisers, following established rules and standards, and providing different forms of social support. Findings advance theoretical understanding, strengthen the foundation for further tests of identity leadership theory, and provide new insights into how its applied benefits could be unlocked.
研究领导力的社会认同方法认为,领导者的有效性取决于他们能否成功地在群体成员中创造、代表、推进和嵌入一种共同的认同感。然而,它没有精确地指定他们如何实现这一点(即,通过什么行为)。这一差距也延伸到了锻炼的背景下,研究表明,锻炼者参与的频率更高,他们认为他们的领导者从事身份领导,但很少有关于锻炼领导者可以用来展示这种领导风格的具体行为的指导。我们的目标是通过两项研究来解决这个问题。在研究1中,我们使用德尔菲法来确定身份领导专家(主要来自欧洲、澳大利亚和北美,定义为至少有一篇同行评审的身份领导出版物的研究人员;N = 15)认为运动班领导可以参与的行为,以展示他们的身份领导并促进锻锻者未来的课堂出勤率。专家们就身份领导的16种特征行为达成了共识,并倾向于认为这些行为有助于促进锻炼者未来的上课出勤率。在研究2中,我们从英国招募了150名运动班的参与者。这些参与者评估了研究1中衍生的行为在多大程度上增加了他们参加未来课程的可能性,并实现了认同领导理论规定的理论目标。两个问题的平均评分都在中点以上,这表明我们已经确定了一组具有潜在应用效益的身份领导行为。被锻炼者评价特别积极的身份领导行为包括领导者模仿和示范锻炼者,遵循既定的规则和标准,以及提供不同形式的社会支持。研究结果促进了理论理解,加强了身份领导理论进一步测试的基础,并为如何释放其应用效益提供了新的见解。
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引用次数: 0
A letter to my younger self: Understanding talented athletes’ experiences of and future recommendations for seeking help for mental health difficulties 给年轻的自己的一封信:了解有才能的运动员在心理健康问题上寻求帮助的经历和未来的建议。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-05 DOI: 10.1016/j.psychsport.2025.103017
Ella McLoughlin , Rachel Arnold
Researchers have suggested that athletes are at-risk for mental health difficulties partly due to the stressors they encounter. Despite this, athletes may not acknowledge nor seek support for their mental health problems. The aim of this study is to explore talented athletes' experiences of seeking help for mental help difficulties, and their perceptions of the psychological services offered. Utilizing letter to self-methodology, 16 talented athletes (11 female; Mage = 25.27, SD = 7.95) were asked to write a letter to their younger self outlining their experiences of seeking help for mental health difficulties. Data were analyzed using reflexive thematic analysis, and five themes were generated: (1) Athletes have a tendency to bottle up feelings as a way to protect themselves; (2) Unable to identify signs and symptoms of mental ill-health; (3) Availability of sport psychology support has improved, but it is still insufficient; (4) Athletes are individual and should be treated as so; and (5) The sporting environment should attempt to develop cultural competency. Following this, a composite version of the letter was developed and presented to a selection of the original sample (n = 9). Member reflection interviews were then completed (Mduration = 63.07 min; SD = 11.15) to explore their responses to the letter. This study provides insight into athletes’ current and desired mental health support. From the findings, a set of recommendations are forwarded to strengthen the provision of mental health support and provide athletes with earlier and tailored support.
研究人员表示,运动员面临心理健康问题的风险,部分原因是他们遇到的压力源。尽管如此,运动员可能不承认或寻求支持他们的心理健康问题。摘要本研究旨在探讨天赋运动员心理困难求助的经历,以及他们对心理服务的感受。采用“给自己写信”的方法,要求16名有天赋的运动员(11名女性;Mage = 25.27, SD = 7.95)给年轻时的自己写一封信,概述他们寻求心理健康问题帮助的经历。运用反身性主题分析法对数据进行分析,得出五大主题:(1)运动员倾向于将自己的情感隐藏起来以保护自己;(二)不能识别精神疾病体征和症状的;(3)运动心理支持的可得性有所提高,但仍然不足;(4)运动员是个体,应被视为个体;(5)体育环境应努力培养文化胜任力。在此之后,信件的复合版本被开发并呈现给原始样本的选择(n = 9)。然后完成成员反思访谈(持续时间= 63.07分钟;标准差= 11.15),以了解他们对这封信的反应。本研究提供了洞察运动员当前和期望的心理健康支持。根据研究结果,提出了一套建议,以加强心理健康支持的提供,并为运动员提供早期和有针对性的支持。
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引用次数: 0
Esports, mental toughness, & resilience: Psychological predictors of performance may fall short 电子竞技,心理韧性,和弹性:表现的心理预测可能不足。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-05 DOI: 10.1016/j.psychsport.2025.103016
Matthew G. Young , Dylan R. Poulus , Joshua M. Adie
This cross-sectional study examined whether mental toughness and resilience were associated with competitive achievement among 480 high-level esports players (M age = 22.88, SD = 3.94) across seven popular titles, including Multiplayer Online Battle Arena and First-Person Shooter games. Participants, drawn from the top 40 % of competitive ranks, completed the Mental Toughness Questionnaire 18 and Connor-Davidson Resilience Scale 10. Ordinal logistic regression was used to estimate associations and potential moderation by gender and game type. Neither mental toughness (β = −0.001, p = .928) nor resilience (β = −0.024, p = .159) was significantly associated with achievement level, and no moderating effects were detected. Model fit was low (McFadden's pseudo-R2 = .004 for the direct model; .005 for the interaction model), indicating negligible explanatory value. These null findings suggest that traditional sports psychology measures may not capture the psychological attributes most relevant to digital competition. The results highlight the need to develop and validate esports-specific constructs and tools that reflect the unique cognitive, social, and tactical demands of competitive gaming. Future research should explore alternative variables, longitudinal designs, and mixed-methods approaches to better understand the psychological determinants of esports performance.
这项横断面研究调查了480名高水平电子竞技玩家(M年龄= 22.88,SD = 3.94)在7款流行游戏(包括多人在线竞技和第一人称射击游戏)中的心理韧性和韧性是否与竞技成就有关。参与者从竞争队伍的前40%中挑选出来,完成了心理韧性问卷18和康纳-戴维森弹性量表10。使用有序逻辑回归来估计性别和游戏类型的关联和潜在调节。心理韧性(β = -0.001, p = .928)和心理韧性(β = -0.024, p = .159)与学业成就水平均无显著相关,且无调节效应。模型拟合较低(直接模型的McFadden伪r2 = 0.004);005为相互作用模型),说明解释价值可以忽略不计。这些无效的发现表明,传统的体育心理学测量可能无法捕捉到与数字竞争最相关的心理属性。研究结果强调了开发和验证电子竞技特定结构和工具的必要性,这些结构和工具反映了竞技游戏独特的认知、社交和战术需求。未来的研究应该探索替代变量、纵向设计和混合方法,以更好地理解电子竞技表现的心理决定因素。
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引用次数: 0
Promoting physical activity with open goals: A pilot randomised controlled trial 以开放目标促进身体活动:一项试点随机对照试验。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-11-04 DOI: 10.1016/j.psychsport.2025.103018
Scott G. Goddard , Jena Buchan , Melanie M. Clarke , Grace Redden , Corneel Vandelanotte , Christian Swann
Open goals are a promising strategy for increasing physical activity and are feasible for inclusion in walking programs. However, longer-term studies comparing open goals to traditional specific goal approaches are needed to inform real-world translation. Therefore, this pilot study compared open goals to specific goals and a control condition in a six-week walking program with four-week follow-up. A mixed-methods randomised controlled trial was conducted with 30 healthy adults (26 female; Mage = 52.07, SD = 10.85) with low-to-moderate physical activity levels. Participants in all conditions received pedometers, exercise diaries, and support sessions; only the open and specific goals groups were given weekly goals. Outcomes included step counts, psychological measures (e.g., enjoyment, self-efficacy, intrinsic motivation, affect, and mental health), and implementation outcomes (acceptability, adherence, retention, fidelity). Interviews explored participants' program experiences. Both open and specific goals increased physical activity post-intervention to a similar extent, although open goals showed the largest within-group increases (M = 2965 steps; d = 1.06) and a steeper decline at follow-up. By follow-up, step counts in all groups were similar to or above baseline, with more positive program experiences reported in the open goals group. Retention was high across groups during the intervention, with reduced fidelity and behavioural spill-over effects observed at follow-up. This study provides further evidence that a walking program incorporating open goals is feasible to deliver and achieves similar physical activity increases to a specific-goal program, while potentially promoting more positive psychological experiences. Findings support the need for a larger-scale randomised controlled trial and provide important design considerations for future research.
开放式目标是增加身体活动的一种有希望的策略,并且在步行计划中是可行的。然而,需要更长期的研究来比较开放目标和传统的特定目标方法,以便为现实世界的翻译提供信息。因此,本初步研究比较了六周步行计划中的开放式目标、特定目标和对照条件,并进行了四周的随访。采用混合方法随机对照试验对30名低至中等体力活动水平的健康成人(女性26名,Mage = 52.07, SD = 10.85)进行研究。所有情况下的参与者都收到了计步器、运动日记和支持课程;只有开放目标组和特定目标组被给予每周目标。结果包括步数、心理测量(如享受、自我效能、内在动机、影响和心理健康)和实施结果(可接受性、依从性、保留性、保真度)。访谈探讨了参与者的项目经历。开放式目标和特定目标在干预后增加身体活动的程度相似,尽管开放式目标显示出最大的组内增加(M = 2,965步;d = 1.06),并且在随访中下降幅度更大。通过随访,所有组的步数与基线相似或高于基线,开放目标组报告了更积极的计划经验。在干预期间,各组的保留率很高,在随访中观察到保真度降低和行为溢出效应。这项研究提供了进一步的证据,表明包含开放目标的步行计划是可行的,可以实现与特定目标计划相似的身体活动增加,同时可能促进更积极的心理体验。研究结果支持需要更大规模的随机对照试验,并为未来的研究提供重要的设计考虑。
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引用次数: 0
Trajectories of sport exhaustion, cynicism and inadequacy among adolescent student-athletes: A three-year longitudinal study of social influences in the Finnish dual career context 青少年学生运动员运动疲劳、玩世不恭和运动不足的轨迹:芬兰双重职业背景下社会影响的三年纵向研究。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-10-30 DOI: 10.1016/j.psychsport.2025.103015
Joni Kuokkanen , Daniel J. Phipps , Milla Saarinen , Johan Korhonen , Jan-Erik Romar , Henrik Gustafsson
Sport schools enhance adolescents’ athletic development by offering extra training opportunities in addition to sport club training, but a rapid increase in the training load may elevate the risk of sport burnout. Thus, the aim of this study was twofold: (1) to explore the trajectories of three sport burnout dimensions (exhaustion, cynicism and inadequacy) among Finnish student-athletes (n = 268; 44 % female, 56 % male) across three academic years in lower secondary sport schools (ages 13–15 years), and to (2) examine how these trajectories were associated with student-athletes' perceived social support from parents, peers and coaches, as well as their gender, sport type and competition level. Student-athletes completed associated questionnaires at three time points at the end of three academic years—Grades 7, 8, and 9. Linear latent growth models revealed that feelings of inadequacy and cynicism increased during lower secondary school across the sample. At baseline, female student-athletes reported higher levels of inadequacy and cynicism, whereas males showed higher levels of exhaustion. Social support from peers and coaches reduced the initial levels and progression of burnout over time, respectively. Although paternal support initially minimized inadequacy, continued support subsequently tended to increase inadequacy. The findings highlight the importance of examining the three dimensions as interconnected aspects of sport burnout, and to support student-athletes in addressing emerging feelings of inadequacy and cynicism before these symptoms intensify. Educating coaches and strengthening peer support would be particularly beneficial while helping mothers to take a more active role in sports and fathers to provide support without becoming overly involved.
体校在俱乐部训练的基础上提供额外的训练机会,促进青少年的运动发展,但训练负荷的快速增加可能会增加运动倦怠的风险。因此,本研究的目的是双重的:(1)探索芬兰学生运动员(n = 268; 44%女性,56%男性)在初中体育学校(13-15岁)的三个学年中的三个运动倦怠维度(疲惫,玩世不恭和不足)的轨迹,以及(2)研究这些轨迹如何与学生运动员感知来自父母,同伴和教练的社会支持,以及他们的性别,运动类型和竞争水平相关。学生运动员在三个学年结束时的三个时间点完成了相关的问卷调查——7年级、8年级和9年级。线性潜在增长模型显示,在整个样本中,在初中阶段,不足感和玩世不恭的感觉有所增加。在基线上,女学生运动员报告了更高水平的不足和玩世不恭,而男学生运动员则表现出更高水平的疲惫。来自同伴和教练的社会支持分别降低了倦怠的初始水平和随着时间的推移的进展。虽然父亲的支持最初减少了不足,但持续的支持随后倾向于增加不足。研究结果强调了将这三个维度作为运动倦怠相互关联的方面进行检查的重要性,并支持学生运动员在这些症状加剧之前解决新出现的不足感和玩世不恭感。教育教练和加强同伴支持将特别有益,同时帮助母亲在体育运动中发挥更积极的作用,帮助父亲在不过度参与的情况下提供支持。
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引用次数: 0
Main and interactive effects of perceived competence and control on feelings of efficacy in youth sport 知觉能力与控制对青少年体育运动效能感的主要交互作用。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-10-30 DOI: 10.1016/j.psychsport.2025.103012
Liam O'Neil , Alan L. Smith
The psychological experience of competence is central to motivation for, and participation in, youth sport. To date, however, our understanding of this psychological phenomenon in sport has been limited to cognitive experiences of competence (e.g., perceived competence), with little exploration of affective experiences of competence as proposed in competence motivation theory (e.g., feelings of efficacy). In the present study, we examined the main and interactive effects of perceived competence and control on feelings of efficacy in youth sport. We recruited high school sport participants (N = 184; Mage = 15.48 years, SDage = 0.99 years) to complete measures of perceived sport competence, implicit beliefs about athletic ability (i.e., perceived control), and competence-related pride, guilt, and shame in youth sport. A series of hierarchical multiple regression analyses provided consistent support for the main effects of perceived competence on feelings of efficacy. However, there was limited support for the main effects of perceived control on feelings of efficacy and no support for the interactive effects of perceived competence and control on feelings of efficacy. These findings provide partial support of competence motivation theory and have both theoretical implications for the psychological experience of competence and practical implications for regulating affective experiences of competence in youth sport.
能力的心理体验是青少年运动的动机和参与的核心。然而,到目前为止,我们对运动中这种心理现象的理解仅限于能力的认知体验(例如,感知能力),而很少探索能力动机理论中提出的能力的情感体验(例如,效能感)。在本研究中,我们考察了知觉能力和控制对青少年体育运动效能感的主要影响和交互影响。我们招募了184名高中体育参与者(N = 184;年龄= 15.48岁,年龄= 0.99岁)来完成感知运动能力、关于运动能力的内隐信念(即感知控制)以及青少年运动中与能力相关的自豪感、内疚感和羞耻感的测量。一系列的层次多元回归分析为感知能力对效能感的主要影响提供了一致的支持。然而,对感知控制对效能感的主要影响的支持有限,对感知能力和控制对效能感的交互影响的支持有限。本研究结果为胜任力动机理论提供了部分支持,并对青少年体育运动胜任力的心理体验和情感体验的调节具有理论意义和实践意义。
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引用次数: 0
Corrigendum to “Cognitive and executive functions of top level para-karate athletes with intellectual disability” [Psychology of Sport and Exercise 82 (2026) 102998] “智力残疾的顶级辅助空手道运动员的认知和执行功能”的勘误表[体育与运动心理学82(2026)102998]。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-10-27 DOI: 10.1016/j.psychsport.2025.103011
Debbie Van Biesen , Dušana Augustovičová , Roi Charles Pineda , Dagmar Nemček , Jan Burns
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引用次数: 0
VRCycle: the clinical translation of a virtual reality cycling program to enhance exercise engagement in people with knee osteoarthritis VRCycle:临床翻译的虚拟现实自行车程序,以增强膝关节骨关节炎患者的运动参与。
IF 3.3 2区 心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2025-10-26 DOI: 10.1016/j.psychsport.2025.103009
Erin MacIntyre , Dimitrios Saredakis , Ty Stanford , Ashleigh E. Smith , Gaynor Parfitt , Ross T. Smith , Tasha R. Stanton
High-quality evidence supports exercise as a core treatment for knee osteoarthritis, improving osteoarthritis symptoms and overall health. However, most people with knee osteoarthritis are inactive and report barriers to exercise engagement. Technologies such as virtual reality (VR) may be used to improve the exercise experience and thus, promote engagement in effortful physical exercise, but clinical translation is difficult. In collaboration with knee osteoarthritis participants (n = 15) and clinicians (n = 6), we adapted a novel VR cycling system to a clinical setting (Study 1). Then, using a randomised cross-over experimental design, we evaluated the preliminary efficacy of VR cycling relative to a No-VR cycling control condition on exercise engagement, enjoyment, and pain in people with knee osteoarthritis (n = 25; Study 2). Both studies evaluated the credibility, acceptability, safety, and usability of the VR cycling system. The clinically-adapted VR cycling system resulted in greater exercise enjoyment (U = 0.82, p < 0.001) and engagement (increased time spent cycling: t24 = 2.53, p = 0.02; and greater total work t24 = 2.13, p = 0.04) than No-VR cycling. The VR cycling system was safe (no adverse events) and had high credibility and acceptability in people with knee osteoarthritis, although clinicians reported some usability/technical issues. These findings support clinical potential of the VR cycling system, although further technical refinement to maximise the usability of this technology is likely required to ensure clinician uptake. Future work to evaluate the long-term efficacy of a prolonged VR cycling intervention is warranted.
高质量的证据支持运动作为膝关节骨关节炎的核心治疗,改善骨关节炎症状和整体健康。然而,大多数患有膝骨关节炎的人都不活跃,并且报告了运动参与的障碍。虚拟现实(VR)等技术可用于改善运动体验,从而促进艰苦的体育锻炼,但临床翻译是困难的。我们与膝关节骨性关节炎参与者(n=15)和临床医生(n=6)合作,将一种新型VR循环系统应用于临床环境(研究1)。然后,采用随机交叉实验设计,我们评估了VR骑行相对于No-VR骑行对照条件对膝关节骨关节炎患者运动参与、享受和疼痛的初步疗效(n=25;研究2)。两项研究都评估了VR循环系统的可信度、可接受性、安全性和可用性。临床适应的VR骑车系统比不适应VR骑车的人更享受运动(U= 0.82, p 24=2.53, p = 0.02,总工作量t24=2.13, p =0.04)。尽管临床医生报告了一些可用性/技术问题,但VR循环系统是安全的(没有不良事件),并且在膝关节骨关节炎患者中具有很高的可信度和可接受性。这些发现支持VR循环系统的临床潜力,尽管进一步的技术改进以最大限度地提高该技术的可用性可能需要确保临床医生接受。未来评估长时间VR循环干预的长期疗效的工作是有必要的。
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Psychology of Sport and Exercise
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