The purpose of this study was to critically examine the qualitative research on childhood trauma survivors’ experiences of sporting activities. A comprehensive search of health and social science databases, manual journal searches, and contact with experts yielded 7,395 records. Full-text screening resulted in a final sample of 16 studies. Meta-study methodology was used as a diagnostic tool to rigorously analyze the theory, methods, and findings of the included studies. Studies with explicit connections between philosophy, theory, and methodology resulted in a more robust and critical contribution to the literature. There was much diversity in terms of methodological approaches and qualitative methods which was important in revealing the multifaceted nature of experiences in sporting activities following trauma. Findings from the reviewed studies indicated that a sense of belonging, psychological escape, embodied experience, and the physical and social environmental are important considerations in the study of sporting activities for trauma survivors.
AndaR. F.BrownD. W.FelittiV. J.BremnerJ. D.DubeS. R.GilesW. H. (2007). Adverse childhood experiences and prescribed psychotropic medications in adults. American Journal of Preventive Medicine, 32, 389–394. doi:10.1016/j.amepre.2007.01.005
2.
AndaR. F.FelittiV. J.WalkerJ.WhitfieldC. L.BremnerJ. D.PerryB. D.GilesW. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 56, 174–186. doi:10.1111/j.1365-2214.2006.00614_2.x
3.
AndaR. F.WhitfieldC. L.FelittiV. J.ChapmanD.EdwardsV. J.DubeS. R.WilliamsonD. F. (2002). Adverse childhood experiences, alcoholic parents, and later risk of alcoholism and depression. Psychiatric Services, 53, 1001–1009. doi:10.1176/appi.ps.53.8.1001
4.
AndrewsJ. P.AndrewsG. J. (2003). Life in a secure unit: The rehabilitation of young people through the use of sport. Sport Science and Medicine, 56, 531–550. doi:10.1016/S0277-9536(02)00053-9
5.
Becker-WeidmanA. (2006). Treatment for children with trauma-attachment disorders: Dyadic developmental psychotherapy. Child & Adolescent Social Work Journal, 23, 147–171. doi:10.1007/s10560-005-0039-0
6.
CassidyT. (2016). The role of theory, interpretation and critical thought within qualitative sport and exercise research. In SmithB.SparkesA. C. (Eds.), International handbook of qualitative methods in sport and exercise (pp. 397–408). London: Routledge.
7.
Centers for Disease Control and Prevention. (2016). The ACE study survey data. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/violenceprevention/acestudy/about.html
8.
ChapmanD. P.WheatonA. G.AndaR. F.CroftJ. B.EdwardsV. J.LiuY.PerryG. S. (2011). Adverse childhood experiences and sleep disturbances in adults. Sleep Medicine, 12, 773–779. doi:10.1016/j.sleep.2014.12.013
9.
ClarkeN. J.WillisM. E. H.BarnesJ. S.CaddickN.CrombyJ.McDermottH.WiltshireG. (2015). Analytical pluralism in qualitative research: A meta-study. Qualitative Research in Psychology, 12, 182–201. doi:10.1080/14780887.2014.948980
10.
CoalterF. (2013). Sport for development: What game are we playing?Abingdon: Routledge.
11.
CoppingV. E.WarlingD. L.BennerD. G.WoodsideD. W. (2001). A child trauma treatment pilot study. Journal of Child and Family Studies, 10, 467–475. doi:10.1023/A:1016761424595
12.
D’AndreaW.BergholzL.FortunatoA.SpinazzolaJ. (2013). Play to the whistle: A pilot investigation of a sports-based intervention for traumatized girls in residential treatment. Journal of Family Violence, 28, 739–749. doi:10.1007/s10896-013-9533-x
13.
D’AndreaW.FordJ.StolbachB.SpinazzolaJ.van der KolkB. A. (2012). Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82, 187–200. doi:10.1111/j.1939-0025.2012.01154.x
14.
DarnellS. C.HayhurstL. (2012). Hegemony, postcolonialism and sport-for-development: A response to Lindsey and Grattan. International Journal of Sport Policy and Politics, 4, 111–124. doi:10.1080/19406940.2011.627363
15.
DentonR.FrogleyC.JacksonS.JohnM.QuerstretD. (2017). The assessment of developmental trauma in children and adolescents: A systematic review. Clinical Child Psychology and Psychiatry, 22, 260–287. doi:10.1177/1359104516631607
16.
DozierM.PelosoE.LindhiemO.GordonM. K.ManniM.SepulvedaS.. . . LevineS. (2006). Developing evidence-based interventions for foster children: An example of a randomized clinical trial with infants and toddlers. Journal of Social Issues, 62, 767–785. doi:10.1111/j.1540-4560.2006.00486.x
17.
DubeS. R.AndaR. F.FelittiV. J.ChapmanD.WilliamsonD. F.GilesW. H. (2001). Childhood abuse, household dysfunction and the risk of attempted suicide throughout the life span: Findings from adverse childhood experiences study. JAMA, 286, 3089–3096. doi:10.1001/jama.286.24.3089
18.
DyckC. D. (2011). Football and post-war reintegration: Exploring the role of sport in the DDR processes in Sierra Leone. Third World Quarterly, 32, 395–415. doi:10.1080/01436597.2011.573936
19.
FangX.BrownD. S.FlorenceC. S.MercyJ. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child, Abuse, and Neglect, 36, 156–165. doi:10.1016/j.chiabu.2011.10.006
20.
FelittiV. J.AndaR. F.NordenbergD.WilliamsonD. F.SpitzA. M.EdwardsV.MarksJ. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258. doi:10.1016/S0749-3797(98)00017-8
21.
FletcherK. E. (2003). Childhood posttraumatic stress disorder. In MashE. J.BarkleyR. A. (Eds.), Child psychopathology (pp. 330–371). New York: The Guildford Press.
22.
FrostJ.GarsideR.CooperC.BrittenN. (2016). Meta-study as diagnostic: Toward content over form in qualitative synthesis. Qualitative Health Research, 26, 307–319. doi:10.1177/1049732315619381
23.
GilliesD.MaiocchiL.BhandariA. P.TaylorF.GrayC.O’BrienL. (2016). Psychological therapies for children and adolescents exposed to trauma. Cochrane Database of Systematic Reviews, 10, CD012371. doi:10.1002/14651858.CD012371
24.
GreenJ. G.McLaughlinK. A.BerglundP. A.GruberM. J.SampsonN. A.ZaslavskyA. M.KesslerR. C. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I. Associations with first onset DSM-IV disorders. Archives of General Psychiatry, 67, 113–123. doi:10.1001/archgenpsychiatry.2009.186
25.
IrishL.KobayashiI.DelahantyD. L. (2010). Long-term physical health consequences of childhood sexual abuse: A meta-analytic review. Journal of Pediatric Psychology, 35, 450–461. doi:10.1093/jpepsy/jsp118
26.
Kaye-TzadokA.Davidson-AradB. (2016). Posttraumatic growth among women survivors of sexual abuse: Its relation to cognitive strategies, posttraumatic symptoms, and resilience. Psychological Trauma, 8, 550–558. doi:10.1037/tra0000103
27.
KellyM. (2010). The role of theory in qualitative health research. Family Practice, 27, 285–290. doi:10.1093/fampra/cmp077
28.
KoenenK. C.MoffittT. E.PoultonR.MartinJ.CaspiA. (2007). Early childhood factors associated with the development of post-traumatic stress disorder: Results from a longitudinal birth cohort. Psychological Medicine, 37, 181–192. doi:10.1017/S0033291706009019
29.
LawrenceS.De SilvaM.HenleyR. (2010). Sports and games for post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 1, CD007171. doi:10.1002/14651858.CD007171.pub2
30.
LevinB.LandH. M. (2016). A meta-synthesis of qualitative findings about dance/movement therapy for individuals with trauma. Qualitative Health Research, 26, 330–344. doi:10.1177/1049732315589920
31.
LevittH. M.MotulskyS. L.WertzF. J.MorrowS. L.PonterottoJ. G. (2017). Recommendations for designing and reviewing qualitative research in psychology: Promoting methodological integrity. Qualitative Psychology, 4, 2–22. doi:10.1037/qup0000082
32.
LeyC.Rato BarrioM.KochA. (2018). “In the sport I am here”: Therapeutic processes and health effects of sport and exercise on PTSD. Qualitative Health Research, 28, 491–507. doi:10.1177/1049732317744533
33.
LindseyI.GrattanA. (2012). An “international movement”? Decentring sport-for-development within Zambian communities. International Journal of Sport Policy and Politics, 4, 91–110. doi:10.1080/19406940.2011.627360
34.
MajidU.VanstoneM. (2018). Appraising qualitative research for evidence synthesis: A compendium of quality appraisal tools. Qualitative Health Research, 28, 2115–2131. doi:10.1177/1049732318785358
35.
MasseyW. V.WhitleyM. A. (2016). The role of sport for youth amidst trauma and chaos. Qualitative Research in Sport, Exercise, and Health, 8, 487–504. doi:10.1080/2159676X.2016.1204351
36.
MasseyW. V.WhitleyM. A. (2018). SDP and research methods. In DarnellS.GiulianottiR.HoweD.CollisonH. (Eds.), Routledge handbook on sport for development and peace (pp. 175–184). London: Routledge.
37.
MeekR.LewisG. (2014). The impact of a sports initiative for young men in prison: Staff and participant perspectives. Journal of Sport and Social Issues, 38, 95–123. doi:10.1177/0193723512472896
38.
MitchellK. S.DickA. M.DiMartinoD. M.SmithB. N.NilesB.KoenenK. C.StreetA. (2014). A pilot study of a randomized controlled trial of yoga as an intervention for PTSD symptoms in women. Journal of Traumatic Stress, 27, 121–128. doi:10.1002/jts.21903
39.
ParkerA.MeekR.LewisG. (2014). Sport in a youth prison: Male young offenders’ experiences of a sporting intervention. Journal of Youth Studies, 17, 381–396. doi:10.1080/13676261.2013.830699
40.
PatersonB. L. (2012). “It looks great but how do I know if it fits?” An introduction to meta-synthesis research. In HannesK.LockwoodC. (Eds.), Synthesizing qualitative research: Choosing the right approach (pp. 1–21). Chichester: John Wiley.
41.
PatersonB. L.ThorneS. E.CanamC.JillingsC. (2001). Meta-study of qualitative health research: A practical guide to meta-analysis and meta-synthesis. London: Sage.
42.
RatcliffE.FarnworthL.LentinP. (2002). Journey to wholeness: The experience of engaging in physical occupation for women survivors of childhood abuse. Journal of Occupational Science, 9, 65–71. doi:10.1080/14427591.2002.9686494
43.
RhodesA. M. (2015). Claiming peaceful embodiment through yoga in the aftermath of trauma. Complementary Therapies in Clinical Practice, 21, 247–256. doi:10.1016/j.ctcp.2015.09.004
44.
RichardsJ.FosterC.TownsendN.BaumanA. (2014). Physical fitness and mental health impact of a sport-for-development intervention in a post-conflict setting: Randomised controlled trial nested within an observational study of adolescents in Gulu, Uganda. BMC Public Health, 14, 619. doi:10.1186/1471-2458-14-619
45.
RoviS.ChenP. H.JohnsonM. S. (2004). The economic burden of hospitalizations associated with child abuse and neglect. American Journal of Public Health, 94, 586–590. doi:10.2105/AJPH.94.4.586
46.
SchnurrP. P.GreenB. L. (2004). Understanding relationships among trauma, post-traumatic stress disorder, and health outcomes. Advanced in Mind-Body Medicine, 20(1), 18–29. doi:10.1037/10723-010
47.
SeveckeK.FrankeS.KossonD.KrischerM. (2016). Emotional dysregulation and trauma predicting psychopathy dimensions in female and male juvenile offenders. Child and Adolescent Psychiatry and Mental Health, 10, 43. doi:10.1186/s13034-016-0130-7
48.
SmithB. (2018). Generalizability in qualitative research: Misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qualitative Research in Sport, Exercise and Health, 10, 137–149. doi:10.1080/2159676X.2017.1393221
49.
SmithB.McGannonK. R. (2018). Developing rigor in qualitative research: Problems and opportunities within sport and exercise psychology. International Review of Sport and Exercise Psychology, 11, 101–121. doi:10.1080/1750984X.2017.1317357
50.
SobermannG. B.GreenwaldR.RuleD. L. (2002). A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. Journal of Aggression, Maltreatment, and Trauma, 6, 217–236. doi:10.1300/J146v06n01_11
51.
SobotovaL.SafarikovaS.Gonzalez MartinexA. (2016). Sport as a tool for development and peace: Tackling insecurity and violence in the urban settlement Cazuca, Soacha, Columbia. Qualitative Research in Sport Exercise and Health, 8, 519–534. doi:10.1080/2159676X.2016.1214616
52.
SpaaijR. (2015). Refugee youth, belonging and community sport. Leisure Studies, 34, 303–318. doi:10.1080/02614367.2014.893006
53.
StreeterC. C.GerbargP. L.SaperR. B.CirauloD. A.BrownR. P. (2012). Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78, 571–579. doi:10.1016/j.mehy.2012.01.021
54.
TamminenK. A.HoltN. L. (2010). A meta-study of qualitative research examining stressor appraisals and coping among adolescents in sport. Journal of Sport Sciences, 28, 1563–1580. doi:10.1080/02640414.2010.512642
55.
ThorpeH. (2015). Natural disaster arrhythmia and action sports: The case of the Christchurch earthquake. International Review for the Sociology of Sport, 50, 301–325. doi:10.1177/1012690213485951
56.
ThorpeH. (2016). “Look at what we can do with all the broken stuff!” Youth agency and sporting creativity in sites of war, conflict, and disaster. Qualitative Research in Sport Exercise and Health, 8, 554–570. doi:10.1080/2159676X.2016.1206957
57.
ThorpeH.AhmadN. (2015). Youth, action sports and political agency in the Middle East: Lessons from a grassroots parkour group in Gaza. International Review for the Sociology of Sport, 50, 678–704. doi:10.1177/1012690213490521
58.
ThorpeH.OliveR. (2016). Conducting observations in sport and exercise settings. In SmithB.SparkesA. C. (Eds.), Routledge handbook of qualitative research in sport and exercise (pp. 124–138). London: Routledge.
59.
Tuval-MashiachR. (2017). Raising the curtain: The importance of transparency in qualitative research. Qualitative Psychology, 4, 126–138. doi:10.1037/qup0000062
van der KolkB. A. (1996). Trauma and memory. In van der KolkBAMcFarlaneACWeisathL (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 279–302). New York: The Guilford Press.
62.
van der KolkB. A.StoneL.WestJ.RhodesA.EmersonD.SuvakM.SpinazzolaJ. (2014). Yoga as an adjunctive treatment for posttraumatic stress disorder: A randomized controlled trial. Journal of Clinical Psychiatry, 75, e559–e565. doi:10.4088/JCP.13m08561
63.
Van HoutM. C.PhelanD. (2014). A grounded theory of fitness training and sports participation in young adult male offenders. Journal of Sport and Social Issues, 38, 124–147. doi:10.1177/0193723513520012
64.
van IngenC. (2011). Spatialities of anger: Emotional geographies in a boxing program for survivors of violence. Sociology and Sport Journal, 28, 177–188. doi:10.1123/ssj.28.2.171
65.
van IngenC. (2016). Getting lost as a way of knowing: The art of boxing within shape your life. Qualitative Research in Sport Exercise and Health, 8, 472–486. doi:10.1080/2159676X.2016.1211170
66.
WhitleyM. A.CobleC.JewellG. S. (2016). Evaluation of a sport-based youth development programme for refugees. Leisure/Loisir, 40, 175–199. doi:10.1080/14927713.2016.1219966
67.
WhitleyM. A.MasseyW. V.LeonettiN. (2016). “Greatness (un)Channelled”: The role of sport in the life of an elite athlete who overcame multiple developmental risk factors. Qualitative Research in Sport, Exercise, and Health, 8, 194–212. doi:10.1080/2159676X.2015.1121913
68.
WilliamsT. L.MaJ. K.Martin GinisK. A. (2017). Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: A meta-synthesis of qualitative research evidence. Health Psychology Review, 11, 179–196. doi:10.1080/17437199.2017.1299027
69.
WilliamsT. L.ShawR. L. (2016). Synthesizing qualitative research. In SmithB.SparkesA. C. (Eds.), International handbook of qualitative methods in sport and exercise (pp. 274–287). London: Routledge.
70.
WilliamsonD. F.ThompsonT. J.AndaR. F.DietzW. H.FelittiV. J. (2002). Body weight, obesity, and self-reported abuse in childhood. International Journal of Obesity, 26, 1075–1082. doi:10.1038/sj.ijo.0802038
71.
ZimmermanM. A.StoddardS. A.EismanA. B.CaldwellC. H.AiyerS. M.MillerA. (2013). Adolescent resilience: Promotive factors that inform prevention. Child Development Perspectives, 7, 215–220. doi:10.1111/cdep.12042
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