The Psychological Effects of Chronic Injury in Elite Athletes

 Many athletes train in a constant state of pain or injury while meeting the demands of an elite level program.  It is hypothesized that the emotional distress experienced by athletes with chronic injuries is not inconsequential (Shuer, 1997).  Injury is often accompanied by depression, tension, anger and low self-esteem, particularly in competitive, seriously injured athletes.  Mood disturbance seems to relate to the athletes perceived progress in rehabilitation and has been shown to negatively relate to attendance at rehabilitation sessions (Smith, 1996).

 Interventions such as positive self-talk, relaxation, goal setting and healing imagery, seem appropriate to assist athletes in coping with injury.  Modeling interventions during injury rehabilitation have also been shown to have a positive effect on rehabilitation outcomes (Walker et al, 2007).  There has been quite a bit of focus on psychiatric intervention for acutely injured athletes or even those who have undergone surgical intervention. However, the psychological needs of athletes struggling with chronic "minor"  injuries appears to merit more consideration.