Psychological considerations in youth sports

Childhood participation in sports involves a complex interaction of many physical, psychological, and social factors. Some children and teenagers cope well with the stress of performance and competition and their participation leads to enhanced self-esteem and personal growth; others cope poorly, however, and are at a higher risk for injury. Based on clinical observations of patients seen through the sports and orthopedic services at a major children's hospital, this article has identified two groups of children and adolescents at risk for psychological complications following injury. Psychotherapeutic intervention is seen as a fundamental component in the overall treatment planning for patients manifesting a difficult recovery course, prolonged interference in athletic injury, and a tendency toward reinjury.