{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:05:09Z","timestamp":1781197509134,"version":"3.54.1"},"reference-count":108,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Injury risk screening has historically focused on physical factors and neglected the influence of interrelated biopsychosocial factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the internal consistency and predictive validity of a concise electronic screening survey designed to efficiently acquire introspective distress ratings (IDRs) for biopsychosocial factors believed to contribute to sport-related injury risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective and prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National Collegiate Athletic Association (Division I Football Championship Subdivision) university athletic program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants<\/jats:title>\n                    <jats:p>One hundred forty-three college athletes (97 football, 26 women\u2019s soccer, and 20 women\u2019s volleyball).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Associations between sport-related injury occurrences and IDRs derived from Global Well-Being Index (GWBI) survey responses acquired immediately prior to the start of preseason practice sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Good internal consistency among survey responses was found (Cronbach \u03b1 = 0.714) as well as meaningful retrospective and prospective associations with both core or lower extremity injury (CLEI) and sport-related concussion (SRC). All bivariate correlations among IDRs for 5 different categories of biopsychosocial problems were statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 to\n                      <jats:italic>P<\/jats:italic>\n                      = .05). Sleep-related IDR was strongly associated with both CLEI and SRC both retrospectively and prospectively. The strongest finding was an interaction of Sleep-IDR with starter status that prospectively predicted CLEI occurrence during the sport season (odds ratio = 16.94;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The GWBI survey provides a concise and psychometrically sound instrument for assessment of interrelated biopsychosocial factors that are highly relevant to injury risk among college athletes participating in football, soccer, and volleyball.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-0613.25","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:52:00Z","timestamp":1770771120000},"page":"348-355","source":"Crossref","is-referenced-by-count":1,"title":["Introspective Ratings of Biopsychosocial Status Are Associated With Sport-Related Injuries"],"prefix":"10.4085","volume":"61","author":[{"given":"Gary B.","family":"Wilkerson","sequence":"first","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa A.","family":"Colston","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shellie N.","family":"Acocello","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Hogg","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette M.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin N.","family":"Lunt","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbey R.","family":"Palk","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailey N.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, University of Tennessee at Chattanooga"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"6","key":"i1938-162X-61-5-348-b01","series-title":"Orthop J Sports Med","first-page":"23259671211004554","article-title":"Association of sports participation with osteoarthritis: a systematic review and meta-analysis","volume":"9","author":"Bestwick-Stevenson","year":"2021","unstructured":"Bestwick-Stevenson T,\nIfesemen OS,\nPearson RG,\nEdwards KL. 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A sport fitness index for assessment of sport-related injury risk. Clin J Sport Med. 2016;26(5):423\u2013428. doi:10.1097\/JSM.0000000000000280"},{"key":"i1938-162X-61-5-348-b20","series-title":"Transl Sports Med","first-page":"5589056","article-title":"Lower extremity asymmetry values derived from multiple strength testing modes are associated with perceived functional capabilities among university athletes","volume":"2024","author":"McClean","year":"2024","unstructured":"McClean ZJ,\nMossel NB,\nMcKenzie M, et al. Lower extremity asymmetry values derived from multiple strength testing modes are associated with perceived functional capabilities among university athletes. 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Brain Inj. 2025;39(7):579\u2013587. doi:10.1080\/02699052.2025.2455463"},{"key":"i1938-162X-61-5-348-b39","series-title":"Front Behav Neurosci","first-page":"127","article-title":"A comprehensive overview on stress neurobiology: basic concepts and clinical implications","volume":"12","author":"Godoy","year":"2018","unstructured":"Godoy LD,\nRossignoli MT,\nDelfino-Pereira P,\nGarcia-Cairasco N,\nde Lima Umeoka EH. A comprehensive overview on stress neurobiology: basic concepts and clinical implications. Front Behav Neurosci. 2018;12:127. doi:10.3389\/fnbeh.2018.00127"},{"issue":"1","key":"i1938-162X-61-5-348-b40","series-title":"Brain Sci","first-page":"102","article-title":"Correlation between mild traumatic brain injury-induced inflammatory cytokines and emotional symptom traits: a systematic review","volume":"12","author":"Malik","year":"2022","unstructured":"Malik S,\nAlnaji O,\nMalik M,\nGambale T,\nRathbone MP. 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Sleep and emotion regulation: an organizing, integrative review. Sleep Med Rev. 2017;31:6\u201316. doi:10.1016\/j.smrv.2015.12.006"},{"issue":"4","key":"i1938-162X-61-5-348-b43","series-title":"J Head Trauma Rehabil","first-page":"E284","article-title":"Research letter: sleep mediates the association between prior concussion and depressive symptoms","volume":"36","author":"Brett","year":"2021","unstructured":"Brett BL,\nMeier TB,\nSavitz J,\nGuskiewicz KM,\nMcCrea MA. Research letter: sleep mediates the association between prior concussion and depressive symptoms. J Head Trauma Rehabil. 2021;36(4):E284\u2013E288. doi:10.1097\/htr.0000000000000663"},{"issue":"1","key":"i1938-162X-61-5-348-b44","series-title":"Sleep Health","first-page":"43","article-title":"The relationship between depressive symptoms, somatic complaints, and concussion history with poor sleep in collegiate athletes","volume":"7","author":"Duffield","year":"2021","unstructured":"Duffield TC,\nLim MM,\nNovak M, et al. 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