AUTHOR=Williams Tom , Evans Lynne , Robertson Angus , Hardy Lew , Roy Stuart , Lewis Daniel , Glendinning Freya 

TITLE=The Role of Optimism and Psychosocial Factors in Athletes Recovery From ACL Injury: A Longitudinal Study

JOURNAL=Frontiers in Sports and Active Living

VOLUME=2

YEAR=2020

URL=https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2020.00116

DOI=10.3389/fspor.2020.00116

ISSN=2624-9367

ABSTRACT=<p>Despite a growing interest into the role of psychosocial factors during the recovery period following sports injuries, there remains a paucity of longitudinal studies examining the indirect relationships between psychosocial factors, psychological responses, and recovery outcomes. The purpose of this study was to construct and test a conceptual model which examined the indirect relationships between optimism, psychosocial factors, rehabilitation adherence, and perceived knee function up to 12 months post anterior cruciate ligament (ACL) surgery. A prospective, longitudinal, and repeated measures design was employed, wherein 81 injured athletes (<italic>M</italic><sub><italic>age</italic></sub> 26.89, <italic>SD</italic> = 7.52) completed measures of optimism, psychosocial factors, rehabilitation adherence, and perceived knee function on seven occasions (pre-surgery to 1 year post-surgery). Bayesian structural equation modeling evaluated the hypothesized indirect relationships proposed within the conceptual model. The main findings from this study was empirical support for a time-ordered, conceptual model which demonstrated that pre-surgery optimism had a significant overall indirect effect on perceived knee function at 12 months post-surgery (<italic>sum of indirect</italic>; αβ = 0.08, post. <italic>SD</italic> = 0.05, CI [0.01, 0.04]), as well as a specific indirect effect through secondary appraisal at 1 month post-surgery, efficacy at 2 months post-surgery, and rehabilitation adherence at 6 months post-surgery (αβ = 0.03, post. <italic>SD</italic> = 0.03, CI [0.00, 0.10]). Collectively, this study provides support for a number of previously hypothesized, but not empirically examined, indirect relationships between optimism, psychosocial factors and recovery outcomes. In doing so, we provide a conceptual model which has the potential to help guide individualized treatment recommendations, as well as identify individuals at risk of compromised recovery outcomes following ACL surgery.</p>