title: Reinjury anxiety, coping, and return-to-sport outcomes: a multiple mediation analysis.
abstract: OBJECTIVE
  This study aimed to examine whether the dimensions of reinjury anxiety (i.e., intensity, frequency, and direction) predicted perceived return-to-sport outcomes and whether coping mediated this relationship.
  
  
  METHODS
  Using a cross-sectional research design, 335 participants (M age = 23.5; SD = 6.6) who had sustained a sports-related injury preventing participation in training and competition for a minimum of 4 weeks (M time loss = 98 days; SD = 96.8) completed measures of reinjury anxiety (RIA-RE subscale of the Reinjury Anxiety Inventory (RIAI); Walker, Thatcher, & Lavallee, 2010), coping (MCOPE; Crocker & Graham, 1995), and perceived return-to-sport outcomes (RSSIQ; Podlog & Eklund, 2005). Pearson product-moment correlation and Preacher and Hayes's (2008) bootstrapping procedure were used to analyze the data.
  
  
  RESULTS
  Consistent with our hypotheses, results indicated a positive relationship between reinjury anxiety (intensity and frequency) and heightened return concerns, whereas reinjury anxiety interpreted as facilitative toward postinjury performance was associated with a positive renewed perspective on sport participation. Significant indirect effects for coping were found for wishful thinking, venting of emotions, denial, and behavioral disengagement.
  
  
  CONCLUSIONS
  Future avenues of research that aim to provide a greater knowledge and understanding of the relationship between reinjury anxiety and return-to-sport outcomes are discussed, including the need for alternative theoretical perspectives and diverse methodologies.
authors.affiliation: Department of Life Sciences.
authors.forename: Ross
authors.initials: R
authors.lastname: Wadey
authors.affiliation: Department of Exercise and Sport Science, University of Utah.
authors.forename: Leslie
authors.initials: L
authors.lastname: Podlog
authors.affiliation: Department of Exercise and Sport Science, University of Utah.
authors.forename: Morgan
authors.initials: M
authors.lastname: Hall
authors.affiliation: Department of Health Promotion and Human Performance, Weber State University.
authors.forename: Jordan
authors.initials: J
authors.lastname: Hamson-Utley
authors.affiliation: Department of Exercise and Sport Science, University of Utah.
authors.forename: Charlie
authors.initials: C
authors.lastname: Hicks-Little
authors.affiliation: Department of Exercise and Sport Science, University of Utah.
authors.forename: Chris
authors.initials: C
authors.lastname: Hammer
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology / Q000523:psychology*; D056352:Athletes / Q000523:psychology*; D001265:Athletic Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013177:Sports / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D055815:Young Adult