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The present study adopted a qualitative, exploratory approach to describe the underlying emotional climate among injured athletes within team sport environments. Nine elite athletes undergoing long-term injury rehabilitation (LTIR) participated in semi-structured interviews to describe their LTIR experience. A general inductive analysis extracted three higher-order themes: (a) emotional trauma, (b) emotional climate, and (c) emotional acting. Athletes reported experiencing emotional trauma throughout LTIR. To maintain in-group norms, they described engaging in avoidance behaviors and reported suppressing negative affect for fear of negative evaluation. They also reported frequently controlling emotions in public using acting strategies. Athletes perceived these emotionally inhibitive behaviors as encouraged within their team environment. These results have important implications for the identification and treatment of emotionally destructive behaviors that could potentially delay an athlete’s psychological rehabilitation from athletic injury.

The present study features a psycholinguistic analysis, using Pennebaker’s (1989) emotional disclosure paradigm, of an athlete’s experience in recovering from injury. “GL,” a male athlete rehabilitating from anterior cruciate ligament reconstruction, participated in a 9-week testing protocol. A 3-day intervention was used, consisting of three 20-minute writing sessions, which promoted disclosure of negative emotions associated with injury and rehabilitation. In addition, measures of stress, mood disturbance, and self-esteem were administered from pre- to postintervention and at follow-up. Results revealed decreases in stress and mood disturbance, as well as an increase in self-esteem. Analysis of writing samples revealed increased use of linguistic markers indicating affective awareness. Findings also highlighted the importance of emotional disclosure and cognitive integration in reducing stress and enhancing understanding of injury.

Psychological trauma associated with long-term injury can cause athletes to experience intense stress-like symptoms and considerable negative affect (e.g., Tracey, 2003; Udry, 1997). Due to the nature of competitive sport, however, it is thought that injured athletes inhibit these emotions to the detriment of their physical health. The present study examined Pennebaker’s (1989) emotional disclosure paradigm within a sporting context. It was hypothesized that writing about a traumatic injury would reduce athletes’ mood disturbance and stress during rehabilitation. Further, it was believed that these changes would correspond with an increase in immune expression from pre- to postintervention. Elite injured athletes (N = 9) rehabilitating from anterior cruciate ligament surgery participated in the 3-day writing intervention, consisting of 3 X 20 min writing sessions, during which athletes disclosed negative emotions associated with their injury and rehabilitation experiences. Measures were taken at six time-points (T1-T6), with pre- and postintervention phases lasting for 4 weeks each. Measures consisted of psychological stress (intrusion and avoidance), total mood disturbance, and relative cell-counts/µL for circulating T-cells (CD4/8) and NK cells (CD16/56). Repeated-measures ANOVAs showed a signifcant main effect of time for intrusion, F(5, 70) = 5.83, p =.001, η² = .29 and avoidance, F(5, 70) = 5.73, p =.002, η² = 0.29 subscales; mood disturbance, F(5, 70) = 3.71, p= 0.005, η² = 0.21; and CD4+, F(5, 65) = 2.39, p= 0.048, η² = .16. Subsequent linear contrasts provided further evidence of significant prepost differences among the stress, mood state, and immune variables. These results suggest that the written disclosure intervention has potential psycho-immunological benefits for athletes rehabilitating from long-term injury.