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2018 ; 13
(2
): e0192125
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Understanding the psychiatric effects of concussion on constructed identity in
hockey players: Implications for health professionals
#MMPMID29466377
Todd R
; Bhalerao S
; Vu MT
; Soklaridis S
; Cusimano MD
PLoS One
2018[]; 13
(2
): e0192125
PMID29466377
show ga
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.