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Etude des déterminants de l'anxiété de re-blessure chez le sportif : Identification de profils psychologiques et étude de l'efficacité d'une intervention d'imagerie mentale auprès de sportifs blessés au ligament croisé antérieur

Abstract : Abstract : When returning to sports, athletes are exposed to specific negative cognitions and emotions. One of these negative emotions was named re-injury anxiety. The consequences of re-injury anxiety could lead to an impact on performance and physical well-being, increasing the risk of re-injury. The psychological aftermath of re-injury anxiety have been depicted with increasing interest in literature, and interventions decreasing this specific emotion, many gaps in literature remain to be developed. The purpose of this doctoral work, with published scientific articles, will study the concept of re-injury anxiety in reference to five complementary objectives. The first chapter of the thesis will present a systematic review of the literature, highlighting the factors of re-injury anxiety and other close concepts. This review of literature will demonstrate the importance in prioritising the concept of re-injury anxiety to describe psychological reactions when an athlete return to sport after an injury. The second chapter will focus on the adaptation and a validation in French language of a measuring tool for re-injury anxiety. Exploratory and confirmatory factorial analysis allowed us to identify three subscales of this specific anxiety : the latter will be named : fear of re-injury, performance anxiety and signs of anxiety. The third chapter will propose the study of the factors of re-injury anxiety with regression analysis, mediation and moderation models. The results showed that stress, anxious symptomatology and gender were directly predicting re-injury anxiety, and also indirectly with mediating and moderating effects, describing their interactions with other psychological characteristics. Using cross-lagged models allowed us to identify the signification of stress in predicting re-injury anxiety in a longitudinal perspective. In the fourth chapter, we will investigate the psychological cluster related to re-injury anxiety. Cluster analysis highlighted four different profiles with 2 specific profiles characterised by high level of re-injury anxiety and other negative emotions (i.e., one with moderate level, and one with very high level of re-injury anxiety). An other profile was characterised by a low re-injury anxiety level, and the last profile was characterised with average re-injury anxiety especially with very low knee confidence. Finally, the fifth chapter will discuss the psychological interventions which can be proposed to athletes expressing re-injury anxiety. The fifth part of this work will present the implementation in a rehabilitation center of a controlled randomised interventional protocol based on mental imagery like Visuo-Motor Behavior Rehearsal (VMBR) on athletes who injured at anterior cruciate ligament. The intervention turns out to be efficient on the reduction of negative effects caused by the injury such as re-injury anxiety, stress but also pain. Besides, it allows the increased mobilisation of protective factors such as optimism and social support seeking. Resorting to a VMBR-like intervention also allows athletes to return to sport faster than those who didn’t. The general synthesis of this thesis will offer to generalise the principal results obtained while identifying the perspectives of application of the results in other types of interventions, contexts, or in other populations.
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Submitted on : Friday, September 18, 2020 - 6:06:07 PM
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Benjamin Caumeil. Etude des déterminants de l'anxiété de re-blessure chez le sportif : Identification de profils psychologiques et étude de l'efficacité d'une intervention d'imagerie mentale auprès de sportifs blessés au ligament croisé antérieur. Psychologie. Université de Bordeaux, 2020. Français. ⟨NNT : 2020BORD0082⟩. ⟨tel-02943251⟩

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