Todd R, Bhalerao S, Vu MT, Soklaridis S, Cusimano MD. Understanding the psychiatric effects of concussion on constructed identity in hockey players: Implications for health professionals.
PLoS One 2018;
13:e0192125. [PMID:
29466377 PMCID:
PMC5821444 DOI:
10.1371/journal.pone.0192125]
[Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 01/18/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE
The following study was undertaken to investigate the effect of concussion and psychiatric illness on athletes and their caregivers.
METHODS
Semi-structured interviews with 20 ice hockey stakeholders (17 men and 3 women) including minor and professional players, coaches, parents, and physicians were conducted over two years (2012-2014). These interviews were analyzed using grounded theory.
RESULTS
From this analysis, a common biographical theme emerged whereby the subject's identity as a hockey player, constructed early in life over many years, was disrupted by concussion. Furthermore, some players underwent a biographical deconstruction when they experienced post-concussive mental illness, which was amplified by isolation, stigma from peers, and lack of a clear life trajectory. Many players obtained support from family and peers and were able to recover, as evidenced by the biographical reconstruction of their identity post-hockey concussion.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
Understanding the process of biographical deconstruction and reconstruction has significant psychosocial treatment implications for both healthcare professionals and caregivers of this population. Specifically, the authors suggest that interpersonal psychotherapy (IPT) that focuses on role transitions may create opportunities to facilitate the process of biographical reconstruction and life transition.
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