Kiwi Doctors prepare for “Rugby World Cup syndrome”………..

Thursday, 17 Sep, 2007 0

An NZPA report says that New Zealand doctors will not be found wanting as the Rugby World Cup marches inexorably towards its inevitable conclusion next month, with this month’s New Zealand Doctor magazine devoting an invaluable two-page spread to help GPs recognise and treat the symptoms of the little-researched but nevertheless debilitating Rugby World Cup syndrome.

Written by Opotiki GP Jo Scott-Jones, the light-hearted article highlights one of the most pressing questions facing New Zealand doctors: What effect is the World Cup rugby tournament going to have on the nation’s health?

Dr Scott-Jones notes that whenever the All Blacks – or indeed any New Zealand team – does badly, there is a national sense of disappointment.

“It is my conjecture this same emotional effect can reflect itself in patient presentation.”

Dr Scott-Jones said the presence of acute stress disorder would not be noted in every patient, but “watching some games (Australia 28 v New Zealand 7 in 1999 springs to mind) the spectator is subject to images of severe trauma and feelings of horror and hopelessness to which a varied response can be expected”.

However, symptoms of stress and acute stress could be observed in all spectators, she said, adding, “Even those watching on their own at home can hyperventilate when the referee awards yet another inappropriate free kick to the team with the best actors and loudest voices.”

“Intrusive thoughts, often violent, can follow poor decision-making by the referee or lost opportunities by the favoured team.”

Dr Scott-Jones pointed out that even favourable outcomes held risks.  Climbing into bed with frozen feet to share a celebratory mood with someone who has been asleep “and has to get up for work and really, despite being a pretty good all round person, does not share your enthusiasm for rugby” holds very specific dangers.  “Temporary impotence may result.”

To assist doctors in their diagnosis and treatment over the next month, Dr Scott-Jones has listed a swathe of presenting complaints, and notes that persistent symptoms may require “counselling, advice and guidance in progressive relaxation or medications”.

Some options include cognitive behaviour therapy, including exposure therapy – “repeatedly imaging in detail the game in a safe environment (if the therapist can stand it)”.

Or there is group therapy and brief psychodynamic psychotherapy, often performed in the pub at the end of the game.

However, sufferers from acute stress disorder brought on by prolonged exposure to Rugby World Cup syndrome have one small consolation – brief psychotic disorder is ruled out.

Report by the Mole



 

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John Alwyn-Jones



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