Return to Sport: Improving Athletes' Confidence and Mindset Post-ACL Surgery Page: I
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Sheinbein, Shelly T. Return to Sport: Improving Athletes' Confidence and Mindset Post-
ACL Surgery. Doctor of Philosophy (Counseling Psychology), December 2017, 265 pp., 14 tables,
8 figures, references, 204 titles.
This study explored the impact of three psychological interventions over seven weeks -
goal setting (GS), GS and imagery (IM), and GS and mindful self-compassion (MSC) - on 20
athletes' (Mage = 16.75 years) pain, cognitive appraisal, depression reinjury anxiety,
psychological readiness to return to sport, and range of motion (ROM). IM and GS interventions
have demonstrated initial effectiveness; however, no study has examined MSC in relation to
post-ACL recovery. All athletes experienced significant decrease in pain (F(2) = 97.30, p = .000)
from Week 1 to Week 7 and a significant increase in ROM from Week 2 to Week 7 (F(1) = 77.93,
p = .000). All athletes experienced significantly higher depression at Week 1 compared to both
Week 2 and Week 7 (F(2) = 9.01, p = .001), and significantly higher difficulty coping with their
injury at Weeks 1 and 2 compared to Week 7 (F(2) = 6.32, p = .005). There were no statistically
significant effects found between the intervention groups at Weeks 1, 2, and 7. However there
were moderate effect sizes between interventions which suggest MSC and IM could help
athletes cope with their injury during the first few weeks after surgery, and GS may contribute
towards less depression at seven weeks post-surgery. Limitations include small sample size, low
power, and use of self-report measures. Results have implications for orthopedic surgeons,
physical therapists, and health professionals working with athletes recovering from serious
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Sheinbein, Shelly Thurlo. Return to Sport: Improving Athletes' Confidence and Mindset Post-ACL Surgery, dissertation, December 2017; Denton, Texas. (digital.library.unt.edu/ark:/67531/metadc1062815/m1/2/: accessed November 15, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; .