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Introduction <p>Athletes adopt different coping mechanisms with injury. Differences and links between fear avoidance (FA), pain self-efficacy (PSE), and mental toughness (MT) might affect injury outcomes.</p> Aim <p>To examine the relationship between Fear Avoidance, Pain Self-Efficacy and Mental Toughness in injured elite and competitive athletes in Lebanon.</p> Methods <p>This is a cross-sectional study that included 172 athletes. Different questionnaires were used to determine the three pre-mentioned concepts. FA, PSE, and MT were measured using AFAQ—Athletic Fear Avoidance Questionnaire, PSEQ—Pain Self-Efficacy Questionnaire, and SMTQ—Sports Mental Toughness Questionnaire respectively. The data was collected and analyzed using IBM SPSS software.</p> Results <p>Athletes who practiced boxing reported the highest SMTQ score. Age and training hours predicted higher scores in mental toughness while athletes returning to practice within the last month showed higher PSEQ scores. A negative relationship was found between SMTQ and AFAQ (<i>r</i> = -0.47, <i>p</i> &lt; 0.001) as well as between PSEQ and AFAQ (<i>r</i> = -0.44, <i>p</i> &lt; 0.001). However, a positive relationship was seen between SMTQ and PSEQ (<i>r</i> = 0.36, <i>p</i> &lt; 0.001).</p> Conclusion <p>By incorporating insight into FA, PSE, and MT, sports professionals may enhance their ability to assess both physical and psychological predicaments of injured athletes.</p>

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Intermediary role of mental toughness beliefs on the relationship between pain self-efficacy and fear avoidance in Elite injured athletes

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月15日

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  • Samah Tawil,
  • Veronica Kassis,
  • Theresa Bassil,
  • Karim Farhat,
  • Elie Hourani,
  • Lara Massoud,
  • Charbel Najem

摘要

Introduction

Athletes adopt different coping mechanisms with injury. Differences and links between fear avoidance (FA), pain self-efficacy (PSE), and mental toughness (MT) might affect injury outcomes.

Aim

To examine the relationship between Fear Avoidance, Pain Self-Efficacy and Mental Toughness in injured elite and competitive athletes in Lebanon.

Methods

This is a cross-sectional study that included 172 athletes. Different questionnaires were used to determine the three pre-mentioned concepts. FA, PSE, and MT were measured using AFAQ—Athletic Fear Avoidance Questionnaire, PSEQ—Pain Self-Efficacy Questionnaire, and SMTQ—Sports Mental Toughness Questionnaire respectively. The data was collected and analyzed using IBM SPSS software.

Results

Athletes who practiced boxing reported the highest SMTQ score. Age and training hours predicted higher scores in mental toughness while athletes returning to practice within the last month showed higher PSEQ scores. A negative relationship was found between SMTQ and AFAQ (r = -0.47, p < 0.001) as well as between PSEQ and AFAQ (r = -0.44, p < 0.001). However, a positive relationship was seen between SMTQ and PSEQ (r = 0.36, p < 0.001).

Conclusion

By incorporating insight into FA, PSE, and MT, sports professionals may enhance their ability to assess both physical and psychological predicaments of injured athletes.