The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students

The demanding environment that contemporary dance students are exposed to could result in high stress levels, which can influence injury susceptibility. Therefore, this study aims to investigate the association between stress and injuries. In the period between September 2016 and March 2020, four co...

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Autores principales: Diana van Winden, Rogier M. van Rijn, Geert J. P. Savelsbergh, Raôul R. D. Oudejans, Janine H. Stubbe
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:00b79c831a3e496a98f3749af258cf3f2021-11-05T05:40:15ZThe Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students1664-107810.3389/fpsyg.2021.770494https://doaj.org/article/00b79c831a3e496a98f3749af258cf3f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.770494/fullhttps://doaj.org/toc/1664-1078The demanding environment that contemporary dance students are exposed to could result in high stress levels, which can influence injury susceptibility. Therefore, this study aims to investigate the association between stress and injuries. In the period between September 2016 and March 2020, four cohorts of first-year dance students (N = 186; mean age 19.21 ± 1.35 years) were followed for one academic year. Each month, general stress was assessed on a 0–100 visual analogous scale. The Oslo Sports Trauma Research Center Questionnaire on Health Problems was used on a monthly basis to monitor injuries. Injuries were defined as “all injuries” (i.e., any physical complaint irrespective of the need for medical attention or time-loss from dance) and “substantial injuries” (i.e., leading to moderate/severe/complete reductions in training volume or performance). Mann–Whitney tests were performed to measure differences in general stress levels between injured and injury-free students, while repeated-measures ANOVA were performed to investigate whether general stress scores increased before and during injury occurrence. The overall average monthly general stress score over all cohorts for all students was 39.81. The monthly general stress scores ranged from 31.75 to 49.16. Overall, injured and substantially injured students reported higher stress scores than injury-free students, with significant differences in 3 out of the 9 months for all injuries (September, October, March, p < 0.05), and in 5 months for substantial injuries (September, October, November, December, April, p < 0.05). Within the 3-month period before and during injury occurrence, a (marginally) significant linear effect of general stress across the time periods was found for all injuries [F(1.87,216.49) = 3.10, p = 0.051] and substantial injuries [F(2,138) = 4.16, p = 0.018]. The results indicate an association between general stress and injuries. Future research should focus on effects of varying stress levels on injury risk using higher sampling frequency, for instance by measuring weekly since stress levels are likely to fluctuate daily. Practically, strategies aiming at stress reduction might have the potential to reduce the burden of dance injuries and may have positive outcomes for dancers, teachers, schools, and companies.Diana van WindenDiana van WindenDiana van WindenRogier M. van RijnRogier M. van RijnGeert J. P. SavelsberghGeert J. P. SavelsberghGeert J. P. SavelsberghRaôul R. D. OudejansRaôul R. D. OudejansRaôul R. D. OudejansJanine H. StubbeJanine H. StubbeJanine H. StubbeJanine H. StubbeFrontiers Media S.A.articlepre-professionalpsychologicalstressinjuryworkloadstressorsPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic pre-professional
psychological
stress
injury
workload
stressors
Psychology
BF1-990
spellingShingle pre-professional
psychological
stress
injury
workload
stressors
Psychology
BF1-990
Diana van Winden
Diana van Winden
Diana van Winden
Rogier M. van Rijn
Rogier M. van Rijn
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
description The demanding environment that contemporary dance students are exposed to could result in high stress levels, which can influence injury susceptibility. Therefore, this study aims to investigate the association between stress and injuries. In the period between September 2016 and March 2020, four cohorts of first-year dance students (N = 186; mean age 19.21 ± 1.35 years) were followed for one academic year. Each month, general stress was assessed on a 0–100 visual analogous scale. The Oslo Sports Trauma Research Center Questionnaire on Health Problems was used on a monthly basis to monitor injuries. Injuries were defined as “all injuries” (i.e., any physical complaint irrespective of the need for medical attention or time-loss from dance) and “substantial injuries” (i.e., leading to moderate/severe/complete reductions in training volume or performance). Mann–Whitney tests were performed to measure differences in general stress levels between injured and injury-free students, while repeated-measures ANOVA were performed to investigate whether general stress scores increased before and during injury occurrence. The overall average monthly general stress score over all cohorts for all students was 39.81. The monthly general stress scores ranged from 31.75 to 49.16. Overall, injured and substantially injured students reported higher stress scores than injury-free students, with significant differences in 3 out of the 9 months for all injuries (September, October, March, p < 0.05), and in 5 months for substantial injuries (September, October, November, December, April, p < 0.05). Within the 3-month period before and during injury occurrence, a (marginally) significant linear effect of general stress across the time periods was found for all injuries [F(1.87,216.49) = 3.10, p = 0.051] and substantial injuries [F(2,138) = 4.16, p = 0.018]. The results indicate an association between general stress and injuries. Future research should focus on effects of varying stress levels on injury risk using higher sampling frequency, for instance by measuring weekly since stress levels are likely to fluctuate daily. Practically, strategies aiming at stress reduction might have the potential to reduce the burden of dance injuries and may have positive outcomes for dancers, teachers, schools, and companies.
format article
author Diana van Winden
Diana van Winden
Diana van Winden
Rogier M. van Rijn
Rogier M. van Rijn
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
author_facet Diana van Winden
Diana van Winden
Diana van Winden
Rogier M. van Rijn
Rogier M. van Rijn
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Geert J. P. Savelsbergh
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Raôul R. D. Oudejans
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
Janine H. Stubbe
author_sort Diana van Winden
title The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
title_short The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
title_full The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
title_fullStr The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
title_full_unstemmed The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students
title_sort association between stress and injury: a prospective cohort study among 186 first-year contemporary dance students
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/00b79c831a3e496a98f3749af258cf3f
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