So it’s Super Bowl Sunday and the fans are psychiatric patients waiting to happen — the beer and the beer and the beer, and maybe the fights will break out, and they’ll all end up in therapy. Oh, the angst and the panic, and the pre-game anxiety, and the post-game euphoria or depression.
New York Times reporter Benedict Carey talks about treatment options in his article, ”A Home Treatment Kit for Super Bowl Suffering.” Mr. Carey suggests:
Breathing exercises are highly recommended and become increasingly important as the football contest nears the fourth quarter, when events on the field are likely to prompt strong physiological reactions, like a pounding heart, hyperventilation, even dizziness. These internal cues, as they’re called, can escalate the feeling of panic, a self-reinforcing cycle resulting in groans and cries that can be frightening to small children, pets and sometimes neighbors.
In the final minutes of the game, be forewarned: Many patients will move beyond the reach of therapy. Their faces may change, their breathing appear to stop. Researchers have not determined whether this state is closer to Buddhist meditation or to the experience of freefall from an airplane. All that is known is that, once in it, patients will fall back on primal coping methods, behaviors learned in childhood within the cultural context of their family.
Like emitting screams. Or leaping in an animated way, as if the floor were on fire. Or falling on their back and moving their arms and legs like an overturned beetle, in celebratory fashion.
This post is dedicated to my husband and son.
*This blog post was originally published at Shrink Rap*
Sports fans may literally live and die on their team’s victories, according to researchers who examined cardiac mortality rates after the home team won and lost the Super Bowl.
Total and cardiac mortality rates in Los Angeles County increased after the football team’s 1980 Super Bowl loss but overall mortality fell after the 1984 the team’s Super Bowl win, researchers concluded from a review of death certificates reported in Clinical Cardiology.
First, authors gave a clinical review. Stress causes a cardiac cascade. The sympathetic nervous system increases and releases catecholamines. This triggers a rise in heart rate and blood pressure, and ventricular contractility increases oxygen demand, causing blood the sheer against and fracture atherosclerotic plaque, the authors explained. Stimulation of alpha receptors in the vasculature further constrict coronary vessels, increasing oxygen demand while limiting oxygen supply to the heart.
Next, they gave a sporting review. Los Angeles has played twice in the Super Bowl, the first time losing to the Pittsburgh Steelers (who play in this Sunday’s Super Bowl, incidentally) in 1980. The Los Angeles Rams, as they were known then, were a long-time hometown team and played the game in nearby Pasadena, Calif. “This game was high intensity,” wrote the authors, “with seven lead changes before Los Angeles lost a fourth-quarter lead and the game.”
Later, a new football franchise arrived in town, the Los Angeles Raiders. In 1984 the Los Angeles Raiders traveled to Tampa, Fla. to beat the Washington Redskins in a more mundane affair.
Now, the review of findings. Researchers combed death certificates based on age, race and sex to compare mortality rates for Super Bowl-related days with non-Super Bowl days and created regression models predicting daily death rates per 100,000. Read more »
*This blog post was originally published at ACP Internist*