ArticleSports health
Predictors of Running-Related Injury Among Recreational Runners: A Prospective Cohort Study of the Role of Perfectionism, Mental Toughness, and Passion in Running.
Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 6 citations in OpenAlex.
- Pain Sensitivity, Pain Catastrophizing and Fear-Avoidance in Adult Runners: Injured vs. Uninjured Comparisons and Multivariable Associations.European journal of pain (London, England) · 2026Article
- Translation, cultural adaptation, and validation of the Persian version of the 4-Domain Sports PROM questionnaire.Journal of orthopaedic surgery and research · 2026Observational
- Athletic ability discrepancy, risk-taking, and recovery quality as predictors of match-related injuries in adolescent soccer players.Scientific reports · 2026Article
- Psychological Factors as Predictors of Sports Injuries in Weight Trainers: A 9-Month Prospective Cohort Study.Orthopaedic journal of sports medicine · 2026Article
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- Trait mindfulness, psychological skills, and mental toughness in paddleboard athletes: A correlational study.PloS one · 2026Article
- Associations of harmonious and obsessive passion with attitudes toward playing through pain and injury among Chinese collegiate pickleball athletes: the mediating role of pain catastrophizing.Frontiers in psychology · 2026Article
- Respiratory Muscle Training Combinations in Amateur Runners: A Randomized Trial of Pulmonary Function, Respiratory Muscle Strength, and Exercise Capacity.Bioengineering (Basel, Switzerland) · 2025Article
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Authors and funding
4 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health benefits associated with recreational running are challenged by the occurrence of running-related injuries (RRIs). Effective preventive measures require knowledge of sport injury etiology. Psychological factors such as perfectionism, mental toughness, and passion are believed to predispose to sports injury by influencing training behaviors, motivation to run, and suppression of feelings of fatigue and pain. Yet their association with RRIs are understudied. HYPOTHESIS: Perfectionism, mental toughness, and passion predict an increased risk of RRIs in recreational runners. STUDY
designProspective cohort study. LEVEL OF EVIDENCE: Level 3.
methodsA total of 143 recreational runners (age 34.9 ± 13.9 years, 37% women) with a response rate of 76.5% answered an online questionnaire about their characteristics, running behaviors, and psychological variables (perfectionism, mental toughness, and running passion) as well as a sports injury survey. Then, as a primary outcome, RRIs were recorded biweekly for 6 months. The incidence of injuries was expressed as RRI per 1000 hours of running. The association between predictive factors and RRIs was estimated using logistic regression.
resultsThe incidence of RRIs during follow-up was 5.16 per 1000 hours of running. The knee was the location injured most often (26.4%), followed by the foot (18.9%) and lower leg (13.2%). Higher obsessive passion (OP) for running (odds ratio [OR], 1.11; 95% CI, 1.04-1.20) and perfectionistic concerns (OR, 1.22; CI,1.05-1.41) were associated with a greater risk of RRIs, as were previous injury (OR, 2.49; CI,1.10-5.70), weekly running distance (OR,1.10; CI, 1.03-1.16), and both supinated (OR, 4.51; CI, 1.11-18.30) and pronated (OR, 3.55; CI, 1.29-9.80) foot type. Following a running schedule (OR, 0.24; CI, 0.09-0.66) was associated with a lower risk of RRIs.
conclusionHistory of previous RRI, pronated and supinated foot type, weekly running distance, perfectionistic concerns, and OP increased RRI risk in recreational runners. Following a running schedule was a protective factor. CLINICAL RELEVANCE: Multiple factors, including runners' psychological characteristics, predict RRIs. These findings can inform the development of injury risk management strategies.
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