{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:36:50Z","timestamp":1790005010010,"version":"4.0.1"},"reference-count":17,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2010,1,25]]},"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the relationship between potential psychological risk factors and injury risk in circus artists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Historical cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Cirque du Soleil training programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Forty-seven circus artists training to become Cirque du Soleil artists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment of risk factors<\/jats:title><jats:p>Artists completed the validated REST-Q questionnaire (19 domains) during their first 2 weeks of training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome<\/jats:title><jats:p>Injury risk ratio.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the five a priori exposures of interest, injury, emotional exhaustion, self-efficacy and fatigue were associated with an increase in injury risk (risk ratios between 1.8 and 2.8), but Conflicts\/Pressure was not (risk ratio=0.8). Of the several specific psychological aspects that are considered risk factors for injury, low self-efficacy had the strongest relationship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most of the strong psychological risk factors for injuries previously identified in athletes also appear to be risk factors in circus artists.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsm.2009.067751","type":"journal-article","created":{"date-parts":[[2010,11,4]],"date-time":"2010-11-04T00:27:38Z","timestamp":1288830458000},"page":"433-436","source":"Crossref","is-referenced-by-count":31,"title":["Psychological predictors of injuries in circus artists: an exploratory study"],"prefix":"10.1136","volume":"45","author":[{"given":"Ian","family":"Shrier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Hall\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2010,11,3]]},"reference":[{"key":"2024051313590447000_45.5.433.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.018440"},{"key":"2024051313590447000_45.5.433.2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S1440-2440(99)80191-1","article-title":"Athletic injury and minor life events: a prospective study","volume":"2","author":"Fawkner","year":"1999","journal-title":"J Sci Med Sport"},{"key":"2024051313590447000_45.5.433.3","doi-asserted-by":"publisher","DOI":"10.1080\/10413209808406375"},{"key":"2024051313590447000_45.5.433.4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1123\/jsep.14.3.262","article-title":"The relationship of personality, life stress, and coping resources to athletic injury","volume":"14","author":"Hanson","year":"1992","journal-title":"J Sport Exerc Psychol"},{"key":"2024051313590447000_45.5.433.5","doi-asserted-by":"crossref","unstructured":"Williams JM Andersen MB . 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