Thomas Deroche

Athletes' inclination to play through pain: a coping perspective

Previous studies have shown how social networks lead athletes to accept pain as a “part of the game,” which generates pressure on athletes to continue competing despite being in pain. Little is known, however, about the potential coping strategies that are related to pain behavior in sport. This study of 205 combat athletes examined whether pain coping strategies, including distraction from pain, praying, reinterpreting pain sensations, ignoring pain, and pain catastrophizing, are related to athletes’ inclination to play through pain. Results revealed that pain catastrophizing led athletes to reduce their physical involvement in their sport activity. Of particular interest was the moderating effect of ignoring pain such that ignoring pain significantly attenuated the negative effect of pain intensity on athletes’ inclination to play through pain. Few studies have tested and supported the contribution of pain coping to the prediction of behavior in real sport situations. By identifying which coping strategies athletes could use to maintain their physical involvement despite being in (sometimes intense) pain, the current study makes an important contribution for tailoring pain management programs for this at-risk population.

Social cognitive determinants of the intention to wear safety gear among adult in-line skaters

INTRODUCTION In-line skating is increasing in popularity with a concomitant raise in the number of injuries associated with this activity. Studies have emphasized the value of protective gears in reducing the incidence of injuries and the subsequent need to identify the factors and processes involved in decision making about safety gear-wearing. The present study examined the contribution of the theory of planned behaviour (TPB) variables, and perceived susceptibility to and perceived severity of skating injury on the safety gear-wearing intention of adult skaters. METHODS Skaters (n=181) completed a questionnaire assessing the constructs of the TPB, perceived susceptibility to and perceived severity of skating injuries, and intention to wear safety gear. RESULTS Hierarchical regression analyses revealed significant contributions of instrumental attitude and subjective norm to the prediction of safety gear-wearing intention. In addition, perceived susceptibility to and perceived severity of injuries enhanced the prediction of intentions to wear safety gear over and above the contribution of TPB components. CONCLUSION As the TPB focuses only on behavioural evaluation, it seems promising to include threat perceptions in this theory as another aspect of health-related cognitions motivating intention formation about safety gear use. Practical implications for future campaigns and countermeasures are discussed.

Psychological Mediators of the Sport Injury—Perceived Risk Relationship

Drawing upon both heuristic- and threat-based approaches, we sought to examine whether perceived similarity with injury-prone people and perceived control over injury occurrence would directly contribute to perceived risk and whether these variables would mediate the previous injury-perceived risk relationship. Judokas (n = 207) reported the number of injuries experienced in the past year and then completed measures of perceived similarity, perceived control, and injury risk perception. Analyses revealed that perceived similarity and perceived control directly contributed to perceived risk of injury; only perceived similarity acted as a partial mediator of the injury-perceived risk relationship. These findings are discussed in relation to the potential influence of the sport context, which universally involves the acceptance of a high risk of injury.

The relation between risk perceptions and physical activity among older adults: a prospective study.

Past studies have found that risk perceptions of suffering from diseases play an important role in the development of intentions to perform physical activity (PA). According to the behaviour motivation hypothesis, perceived risk could be positively and directly related to PA, but this possibility has been ignored and/or underestimated. Accounting for recent methodological developments on the importance of study design and risk perception assessment, the purpose of the present study was to examine the risk-perceptions–PA relationship among older adults. Participants (N = 143) aged from 61 to 70 years initially underwent measurement of risk perceptions, baseline PA, socio-demographic and health factors. Six months later, they were asked about their PA participation. Multiple regression analyses revealed that perceived risk of suffering from diseases and conditions without regular PA participation was an independent positive predictor of later PA, over and beyond baseline behaviour, socio-demographic and health variables. This study fills a gap in the existing literature on the PAs of older adults and reveals that risk perceptions are directly linked to their participation. In addition, it extends existing knowledge in health psychology on the behaviour motivation hypothesis, and emphasises the necessity of methodological adjustments when assessing the risk-perception–behaviour relationship.

Is motivation for marathon a protective factor or a risk factor of injury

This research investigated whether and how self‐determined motivation predicts perceived susceptibility to injury during competition (marathon). Two correlational studies including 378 (Study 1) and 339 (Study 2) marathon runners were conducted. Participants filled out a questionnaire the day before the race measuring self‐determined motivation, perceived susceptibilities to marathon‐related injury and to keep running through pain, and control variables. Study 1 showed that self‐determined motivation was negatively related to perceived susceptibility to marathon‐related injury. Study 2 replicated this finding and showed that this relationship was partially mediated by perceived susceptibility to keep running through pain during the race. Moreover, results indicated that the predictive role of self‐determination was mostly driven by controlled forms of motivation, and more particularly external regulation. These results suggest that self‐determined motivation for sport is a protective factor of injury.

Vigour of self-paced reaching movement: cost of time and individual traits

People usually move at a self-selected pace in everyday life. Yet, the principles underlying the formation of human movement vigour remain unclear, particularly in view of intriguing inter-individual variability. It has been hypothesized that how the brain values time may be the cornerstone of such differences, beyond biomechanics. Here, we focused on the vigour of self-paced reaching movement and assessed the stability of vigour via repeated measurements within participants. We used an optimal control methodology to identify a cost of time (CoT) function underlying each participant’s vigour, considering a model of the biomechanical cost of movement. We then tested the extent to which anthropometric or psychological traits, namely boredom proneness and impulsivity, could account for a significant part of inter-individual variance in vigour and CoT parameters. Our findings show that the vigour of reaching is largely idiosyncratic and tend to corroborate a relation between the relative steepness of the identified CoT and boredom proneness, a psychological trait relevant to one’s relationship with time in decision-making.

Contribution of Load Expectations to Neuromechanical Adaptations During a Freestyle Lifting Task: A Pilot Study

Objectives The main goal of this study was to determine to what extent load expectations modulate neuromechanical adaptations in individuals with and without chronic low back pain (cLBP) when lifting and lowering various loads. The second goal was to assess the feasibility of a simple lifting protocol during which expectations about loads were manipulated. Methods Seventeen participants with cLBP and 18 participants without low back pain were asked to lift and lower boxes of mild to moderate loads. Two kinds of expectations (lighter and heavier) were respectively associated to each experimental block. Self‐reported exertion was assessed to control for expectations modulation. Erector spinae and vastus lateralis electromyography (EMG) activity were recorded and kinematics angle calculated. Results The results showed a main effect of expectations, with loads introduced as heavier being associated to a higher exertion compared with loads introduced as lighter. EMG activity analyses revealed significant interaction involving expectations, movement phase, and loads, as well as significant differences between groups. Kinematic angles did not reveal any significant effect of expectations nor group during the lifting phase. Conclusions Psychological factors may contribute to neuromechanical adaptations to low back pain. Our preliminary findings show that expectations about loads may result in neuromechanical differences between individuals with cLBP and those without cLBP. This pilot study showed that testing the manipulation of expectations and EMG records was feasible but highlighted the need to go beyond single infrared markers to assess kinematics.

Passion for leisure activity contributes to pain experiences during rehabilitation

The primary aim of this study was to determine whether the levels of obsessive passion (OP) and harmonious passion for a suspended leisure activity contribute to pain catastrophizing and pain intensity in patients undergoing the rehabilitation process. The secondary aim was to examine whether the levels of passion associated with a maintained leisure activity offset the contribution of having a leisure activity suspended to pain intensity and catastrophizing. Ninety-one outpatients from functional rehabilitation units (Mage=37, SD=13.44 years) completed measures of pain catastrophizing, pain intensity, and passion about valued leisure activities (one they were prevented from practicing and one they remained able to practice). Correlation analysis showed that the level of OP for a suspended valued leisure activity was positively associated with pain catastrophizing and pain intensity. Results showed that pain catastrophizing mediated the relationship between this level of passion and pain intensity. The levels of harmonious passion and OP for a maintained valued leisure activity did not offset the contribution of OP for a suspended leisure activity to pain-related outcomes. When prevented from practicing a valued leisure activity, only OP contributes to the prediction of pain catastrophizing and pain intensity. The contribution of pain catastrophizing provides a potential explanation for why the level of OP for a suspended leisure activity is related to pain intensity ratings. The benefits of maintaining a valued leisure activity during rehabilitation do not seem sufficient to counterbalance the maladaptive effects of being prevented from the practice of a previous/another valued leisure activity.