45. How Stable is Resilience After Sports Injury? Comparison of Concussion and Orthopedic Injury

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ID: 324499
2026
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Ranked #28 of 79 articles by views in archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists

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Abstract
Abstract Purpose Psychological factors influence recovery following sport-related concussion (SRC), with resilience conceptualized as a potential protective factor. Although often described as trait-like, resilience may shift following adversity, and it remains unclear how resilience may reflect responses to athletic injury in general. This study examined change in resilience scores among adolescent athletes with SRC compared to orthopedic injury (OI) during recovery. Method Adolescent athletes aged 12-18 were evaluated within 30 days of injury and three months later. Both the SRC group (n=770; Mage=14.7, SD=1.6; 49.2% female) and the OI group (n=67; Mage=14.6, SD=1.7; 52.2% female) completed the Brief Resilience Scale at both timepoints. Group-level change was examined using a 2 (Time: initial, three-months) x 2 (Group: SRC, OI) mixed-design ANOVA. Individual-level change was defined as ±1 SD from baseline. Results Mixed-design ANOVA revealed no significant main effect of Time (F(1,835)=1.83, p=.177) or Group (F(1,835)=.01, p=.911), and no Time x Group interaction (F(1,835)=.01, p=.907). Despite minimal group-level effects, notable bidirectional individual-level change was observed, with similar proportions showing significantly increased and decreased resilience scores in SRC (19.0% improved, 14.7% declined) and OI (20.9% improved, 16.4% declined). Conclusions Although resilience change was nonsignificant at the group-level, individual-level comparisons demonstrated meaningful bidirectional change across injury groups. Findings support that resilience may shift in the context of sports injury recovery and highlight the importance of examining individual variability when evaluating psychological adjustment following injury. Additional investigations of factors associated with resilience are necessary, as these may inform support strategies across sports injuries.
Reference Key
openalex_W7202099930 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors L Shurtz, S C Bunt, N Didehbani, V J Thakkar, K Wilmoth, S M Miller, M Stokes, C M Cullum
Journal archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists
Year 2026
DOI
10.1093/arclin/acag055.045
URL
https://doi.org/10.1093/arclin/acag055.045
Keywords Keywords not found

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