The Changing Sense of Who I Am and What I Need: Female Athletes’ Evolving Perspectives on Re-negotiating Identity and Social Support after Sports-Related Concussions
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Abstract
Sports-related concussions and their impact on athletes are slowly becoming a greater focus of research, leading to greater awareness within and outside of sports. Associated symptoms are manifold, including their invisibility to outsiders. Female athletes are at higher risk of experiencing sports-related concussions and generally report experiencing more severe and prolonged symptomology compared to male athletes. Despite extensive research on the physiological and psychosocial impact of sports-related injuries, little is known about female athletes’ psychological experiences post-concussion, particularly concerning possible changes in their identity and appropriate social support postconcussion. Within this dissertation, which was conducted using interpretative phenomenological analysis, I examined how female athletes made sense of their lived experiences following sports-related concussions concerning their sense of identity, how they navigated possible changes, and what types of support they received and found helpful regarding their recovery. Manuscript 1 presents an overview of relevant research regarding the research questions, while Manuscripts 2 and 3 present different aspects of the study findings. Manuscript 2 focuses on participants’ sense-making of identity postconcussion. The themes that were constructed highlight the polarizing experience of engaging with one’s athletic identity, making sense of internal versus external perceptions of identity change and crisis, and navigating grief, loss, and other emotions. Manuscript 3, which presents themes related to social support post-concussion, reflects the role of agency and ownership over one’s own healing, exploring the pitfalls of support, unveiling the beneficial facets of support, and the importance of a need for change. These findings are integrated through a proposed concussion management model that focuses on compassion, agency, resilience, and education (i.e., CARE-W) while also suggesting future directions for further research.