Tag Archives: emotional
The 2016 conference, with more than 1,600 sports medicine physicians attending from throughout the United States and around the world, explores current decisions, controversies as well as best practices that define the clinical practice of sports medicine.
Dr. Solomon, clinical neuropsychologist and Co-Director of the Vanderbilt Sports Concussion Center, works with both the Nashville Predators and Tennessee Titans and has a research interest in sports-related concussions. One of the major topics he addressed is whether concussions cause depression and/or suicide.
He presented an overview of scientific studies on the topic. Despite some media reports, he concludes that “there is poor quality evidence regarding a causative relationship of sport-related concussion and psychiatric illness as well as suicide and further research is needed in this area,” he said.
A story in the Columbus Dispatch earlier this week provided some additional insight into Kosta Karageorge, the Ohio State football player who committed suicide two months ago.
It was reported that Karageorge sent suicidal text messages to his ex-girlfriend, whom he had just broken up with. The texts came around the time he was reported missing in late November. The paper reported that Karageorge suggested they talk, but that she asked him to stop texting her.
Karageorge reportedly replied: “I am gonna kill myself.” Then he told her she shouldn’t attend the funeral.
It was widely reported in the aftermath of his death that he had texted his mother, writing that concussions were affecting his mind and that he hoped he wasn’t an embarrassment.
The NCAA has published an article by a professor in the Department of Neurological Surgery and the Director of Neuropsychological Services and Research at the University of Washington Sports Concussion Program, which looks at the Psychological Aspects Of Sports Concussion
Author David B. Coppel, PhD, focuses on the emotional and psychological aspects of sports-related concussion (SRC), which “can emerge related to a student-athlete’s response to injury and/or their response to recovery.”
“The emotional symptoms that emerge from SRC can prolong recovery and often reflect predisposing or premorbid factors,” he wrote. “These factors can include prior depression or anxiety disorders, traumatic stress history, prior head injuries or other neurological vulnerabilities, learning issues, hypervigilance or somatic focus, or personality characteristics or disorders (Silverberg & Iverson, 2011). Psychological factors associated with prolonged or persistent post-concussive symptoms include ineffective and maladaptive coping styles, sleep disturbance often due to mental activation, anxiety and stress/rumination, nocebo effect (adverse effects created or maintained by negative expectations (Hahn, 1997; Scudellari, 2013)) and other expectation effects, and family or social network/support problems. Since the primary tool in the medical management of SRC involves tracking symptoms over time, one must wonder if focusing on symptoms on a daily or regular basis produces hypervigilance to symptoms and can result in reinforced illness behavior and iatrogenic effects resulting in prolonged post-concussion symptoms.”
Hahn, R. (1997) The Nocebo Phenomenon: Concept, Evidence and Implications for Public Health. Preventive Medicine, 26, 607-611.
Silverberg, N. & Iverson,G. (2011) Etiology of the post-concussion syndrome: Physiogenesis and psychogenesis revisited. NeuroRehabilitation, 29, 317-329.
To read the complete story, visit: http://www.ncaa.org/health-and-safety/medical-conditions/psychological-aspects-sports-concussion