Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2021.4-07
CC BY-SA   Open Access   DOAJ  DOAJ

Lista wydań / Vol. 36, No. 4/2021
The influence of life stress, competitive trait anxiety, and sleep disturbance on injury susceptibility in football

Autorzy: Umut Dikmen ORCID
German Sport University, Cologne - Germany

Sebastian Schwab
Institute of Exercise Training and Sport Informatics, German Sport University Cologne, Cologne, NRW, German
Słowa kluczowe: psychological predictors sleep sport injury
Rok wydania:2021
Liczba stron:8 (73-80)
Cited-by (Crossref) ?:


Aim: The purpose of the current study was to analyse the effect of life stress, competitive trait anxiety and sleep disturbance on injury susceptibility in football players. Methods: Participants were 67 male football players from different teams in Cologne ranging in age from 18 to 25 years (M = 21.09 years; SD = 2.69). Participants filled out four questionnaires: The Holmes-Rahe life stress scale, the sport competition anxiety test (SCAT), the Pittsburgh Sleep Quality Index (PSQI), and the Oslo Sports Trauma Research Centre (OSTRC) questionnaire on health problems. Results: Results suggest that while life stress may increase the injury susceptibility, competitive trait anxiety, and sleep disturbance have no effect on injury susceptibility. Concerning this descriptive data, 53.7 % (36/67) of the players stayed away from the football field for at least one week, and about 23.8 % (16/67) of them did not have any injury during this four months’ period. Conclusion: Our findings suggest that high life stress levels caused athletic injury; for these reasons the psychological dimension should be considered and adapted in the training. Although we found no significant correlation between competitive trait anxiety, and sleep disturbance on injury susceptibility, longitudinal studies are required to assess the effect of life stress, anxiety, and sleep disturbance on injury susceptibility.
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1.Andersen, M.B., Williams, J.M. (1988). A model of stress and athletic injury: prediction and prevention. Journal of Sport & Exercise Psychology, 10 (3), 294–306.
2.Brand, H.J., Hanekom, J.D.M., Scheepers, D. (1988). Internal consistency of the sport competition anxiety test. Perceptual and Motor Skills, 67 (2), 441–442.
3.Backhaus, J., Junghanns, K., Broocks, A., Dieter, R., Hohagen, F. (2002). Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research, 53 (3), 737–740.
4.Bonnar, D., Bartel, K., Kakoschke, N., Lang, C. (2018). Sleep interventions designed to improve athletic performance and recovery: A systematic review of current approaches. Springer International Publishing. DOI: 10.1007/s40279-017-0832-x.
5.Brito, J., Malina, R.M., Massada, J.L., Soares, J.M., Krustrup, P., Rebelo, A. (2012). Injuries in Portuguese youth soccer players during training and match play. Journal of Athletic Training, 47 (2), 191–197. DOI: 10.4085/1062-6050-47.2.191.
6.Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R., Kupfer, D.J. (1988). The Pittsburg sleep quality index: A new instrument for psychiatric practice and research. Elsevier, 28 (2), 193–213.
7.Clarsen, B., Ronsen, O., Myklebust, G., Florens, T.W., Bahr, R. (2012).The Oslo sports trauma research center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes. Br. J. Sports Med. , 48 (9), 754–760. DOI: 10.1136/bjsports-2012-092087.
8.Dattilo, M., Antunes, H.K.M., Medeiros, A., Neco, M.M., Souza, H.S., Tufik, S., De Mello, M.T. (2011). Sleep and muscle recovery: Endocrinological and molecular basis for a new and promising hypothesis. Medical Hypothesis, 77 (2), 220–222. DOI: 10.1016/j.mehy.2011.04.017.
9.Fuller, C.W., Ekstrand J., Junge A., Andersen, T.E., Bahr, R., Dvorak J., Hägglund, M, McCrory, P., Meeuwisse, W.H. (2006). Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med., 40 (3): 193–201. DOI: 10.1136/bjsm.2005.025270.
10.Galambos, S.A., Terry, P.C., Moyle, G.M., Locke, S.A. (2005). Psychological predictors of injury among elite athletes. British Journal Sports Medicine, 39 (6), 351–354. DOI: 10.1093/occmed/kqx099.
11.Gao, B., Dwivedi, S., Milewski, D.M., Cruz, A.I. (2019). Lack of sleep and sports injuries in adolescents: A systematic review and meta-analysis. J. Pediatr. Orthop., 39 (5), 324–333. DOI: 10.1097/BPO.0000000000001306.
12.Gerst, M.S., Grant, I., Yager, J., Sweetwood, H. (1978). The reliability of the social readjustment rating scale: moderate and long-term stability. Journal of Psychosomatic Research, 22, 519–623.
13.Goel, N., Rao, H., Durmer, J.S., Dinges, D.F. (2009). Neurocognitive consequencesof sleep deprivation. Semin Neurol, 29 (4), 320–339. DOI: 10.1055/s-0029-1237117.
14.Hirschmüller, A., Steffen, K., Fassbender, K., Clarsen, B., Leonhard, R., Konstantinidis, L., Südkamp, N.P., Kubosch, E.J. (2017). German translation and content validation of the OSTRC questionnaire an overuse injuries and health problems. Br. J. Sports Med., 51 (4), 260–264. DOI: 10.1136/bjsports-2016-096669.
15.Hägglund, M., Walden, M., Ekstrand, J. (2005a). Injury incidence and distribution in elite football-a prospective study of the Danish and the Swedish top divisions. Scandinavian Journal of Medicine and Science in Sports, 15 (1), 21–28. DOI: 10.1111/j.1600-0838.2004.00395.x.
16.Hägglund, M., Walden, M., Ekstrand, J. (2005b). UEFA Champions League study: aprospective study of injuries in professional football during the 2001–2002 season. British Journal of Sports Medicine, 39 (8), 542–546. DOI: 10.1136/bjsm.2004.014571.
17.Ivarsson, A., Johnson, U. (2010). Psychological factors as predictors of injuries among senior soccer players. A prospective study. Journal of Sports Science and Medicine, 9 (2), 347–352. DOI: 10.1111/j.1600-0838.2009.01057.x.
18.Johnson, U., Ivarsson, A. (2009). Psychological predictors of sport injuries among junior soccer players. Scandinavian Journal of Medicine and Science in Sports, 21 (1), 129–136.
19.Lavallee, L., Flint, F. (1996). The relationship of stress, competitive anxiety, mood state and social support to athletic injury. York University School of Physical Education, 31 (4), 296–299.
20.Lysens, R., Steverlynck, A., Van den Auweele, Y., Lefevre, J., Renson, L., Claessens, A. (1984). Sports Medicine. The Predictability of Sports Injuries. Springer, Berlin.
21.Martens, R., Vealey, R.S., Burton, D. (1990). Competitive anxiety in sport. Champaign, IL: Human Kinetics.
22.Medic, G., Wille, M., Hemels, M.H. (2017). Short- and long-term health consequencesof sleep disruption. Nature and Science of Sleep, 19 (9), 151–161. DOI: 10.2147/NSS.S134864.
23.Meeuwisse, W.H. (1994). Assessing causation in sport injury: A multifactorial model. Clinical Journal of Sport Medicine, 4, 166–170.
24.Meeuwisse, W., Bahr, R. (2009). Sports injury prevention. A systematic approach to sports injury prevention. United Kingdom: Wiley-Blackwell.
25.Noone, P.A. (2017). The Holmes-Rahe stress inventory. Occupational medicine, 67 (7), 581–582.
26.Murphy, D.F., Connolly, D.A.J., Beynnon, B.D. (2002). Risk factors for lower extremity injury: areview of the literature. Br. J. Sports Med., 37 (1), 13–29. DOI: 10.1136/bjsm.37.1.13.
27.Milewski, M.D., Skaggs, D.L., Bishop, G.A., Pace, L., Ibrahim, D.A., Wren, T.A.L., Barzdukas, A. (2014). Chronic lackof sleep is associated with increased sports injuries in adolescent athletes. J. Pediatr. Orthop., 34 (2), 129–133. DOI: 10.1097/BPO.0000000000000151.
28.Petrie, T.A. (1992). Psychosocial Antecedents of Athletic Injury: The Effects of Life Stress and Social Support on Female Collegiate Gymnasts. Behavioural Medicine, 18 (3), 127–138.
29.Poulsen, T.D., Freund, K.G., Madsen, F., Sandvej, K. (1991). Injuries in high-skilled and low-skilled soccer: a prospective study. British Journal of Sports Medicine, 25 (3), 151–153. DOI: 10.1136/bjsm.25.3.151.
30.Seidi, F., Rajabi, S., Daneshmandi, H., Fadaee, E. (2014). The relationship between the competitive-trait anxiety and the rate of sports injuries in Professional soccer players. International Research Journal of Applied and Basic Science, 8 (12), 2210–2213.
31.Song, Y., Long, X., Jiao, J. (2017). Correlation between competition trait anxiety structure and paroxysmal athletic injuries.Advances in Social Science, Education and Humanities Research, vol.156. DOI: 10.2991/seiem-17.2018.107.