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Chapter 10 - Tennis: Trauma and Tours

Published online by Cambridge University Press:  29 July 2020

Amit D. Mistry
Barnet, Enfield and Haringey Mental Health NHS Trust
Thomas McCabe
NHS Greater Glasgow and Clyde
Alan Currie
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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AB is a 17-year-old, English athlete and college student, in the midst of transition into professional tennis. She is academically highachieving and got straight As in school examinations around three months ago. Following her results she immediately left to compete in an international pro circuit tennis event. While abroad and dining in a restaurant, she and her coach directly witnessed a mass shooting.   Two people were killed and others were wounded at the scene. One died from their injuries later. A knew nothing about the reasons for the attack, nor did she know the deceased. She had tended to a neck wound in one injured person, while a crowd of people waited for emergency services to arrive on scene.  This victim passed away despite prolonged attempts to resuscitate him.

Publisher: Cambridge University Press
Print publication year: 2020

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World Health Organization. International Classification of Diseases 11th Revision. 2019. Available from: Scholar
Hyland, P, Shevlin, M, Brewin, CR, Cloitre, M, Downes, AJ, Jumbe, S, et al. Validation of post-traumatic stress disorder (PTSD) and complex PTSD using the International Trauma Questionnaire. Acta Psychiatr Scand. 2017;136:110.CrossRefGoogle ScholarPubMed
Thomson, P, Jaque, SV. Visiting the muses: Creativity, coping, and PTSD in talented dancers and athletes. American Journal of Play. 2016;8:363–78.Google Scholar
Bateman, A, Morgan, KD. The postinjury psychological sequelae of high-level Jamaican athletes: Exploration of a posttraumatic stress disorder–self-efficacy conceptualization. Journal of Sport Rehabilitation. 2019;28(2):144–52.CrossRefGoogle ScholarPubMed
Padaki, AS, Noticewala, MS, Levine, WN, Ahmad, CS, Popkin, MK, Popkin, CA. Prevalence of posttraumatic stress disorder symptoms among young athletes after anterior cruciate ligament rupture. OrthopJ Sports Med. 2018;6(7). DOI:10.1177/2325967118787159.Google ScholarPubMed
Cloitre, M, Stolbach, BC, Herman, JL, van der Kolk, B, Pynoos, R, Wang, J, et al. A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress. 2009;22:399408.CrossRefGoogle ScholarPubMed
Reardon, CL, Hainline, B, Aron, CM, Baron, D, Baum, AL, Bindra, A, et al. Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br J Sports Med. 2019;53(11):667–99.CrossRefGoogle Scholar
Bauman, NJ. The stigma of mental health in athletes: Are mental toughness and mental health seen as contradictory in elite sport? Br J Sports Med. 2016;50:135–6.CrossRefGoogle ScholarPubMed
Chen, LH, Kee, YH, Tsai, YM. An examination of the dual model of perfectionism and adolescent athlete burnout: A short-term longitudinal research. Social Indicators Research. 2009;91:189201.CrossRefGoogle Scholar
Wenzel, T, Zhu, LJ. Posttraumatic stress in athletes. In: Baron, DA, Reardon, C, Baron, SH, eds. Clinical Sports Psychiatry: An International Perspective. New York. Wiley. 2013. p.102–14.Google Scholar
Shalev, AY, Ankri, Y, Gilad, M, Israeli-Shalev, Y, Adessky, R, Qian, M, et al. Long-term outcome of early interventions to prevent posttraumatic stress disorder. J Clin Psychiatry. 2016;77(5):e580e587.CrossRefGoogle ScholarPubMed
The National Institute for Health and Care Excellence. Post-Traumatic Stress Disorder Guideline [NG116]. 2018. Available from: Scholar
Franck, A, Stambulova, NB, Ivarsson, A. Swedish athletes’ adjustment patterns in the junior-to-senior transition. International Journal of Sport and Exercise Psychology. 2018;16(4):398414.CrossRefGoogle Scholar
Lauer, L, Gould, D, Roman, N, Pierce, M. How parents influence junior tennis players’ development: Qualitative narratives. Journal of Clinical Sport Psychology. 2010;4(1):6992.CrossRefGoogle Scholar
Wild, J, Smith, KV, Thompson, E, Béar, F, Lommen, MJJ, Ehlers, A. A prospective study of pre-trauma risk factors for post-traumatic stress disorder and depression. Psychol Med. 2016;46(12):2571–82.CrossRefGoogle ScholarPubMed
Aron, CM, Harvey, S, Hainline, B, Hitchcock, ME, Reardon, CL. Post-traumatic stress disorder (PTSD) and other trauma-related mental disorders in elite athletes: A narrative review. Br J Sports Med. 2019;53:779–84.CrossRefGoogle ScholarPubMed
Leahy, T, Pretty, G, Tenenbaum, G. A contextualized investigation of traumatic correlates of childhood sexual abuse in Australian athletes. International Journal of Sport and Exercise Psychology. 2008;6:366–84.CrossRefGoogle Scholar
Brassil, HE, Salvatore, AP. The frequency of post-traumatic stress disorder symptoms in athletes with and without sports related concussion. Clinical and Translational Medicine. 2018;7:25.CrossRefGoogle ScholarPubMed
Sport England. Our Work; Safeguarding. Available from: Scholar

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