Cited by 113Traumatic Brain Injury ResearchCognitive Functions and MemoryMedical Practices and Rehabilitation

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Awareness typologies, long-term emotional adjustment and psychosocial outcomes following acquired brain injury

Ownsworth, Tamara, Fleming, Jenny, Strong, Jenny, Radel, Michael, Chan, Wilbur, Clare, Linda·2007·Neuropsychological Rehabilitation

DOI 10.1080/09602010600615506

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Abstract

Previous research suggests considerable heterogeneity within groups of individuals identified as having low self-awareness or good self-awareness following acquired brain injury (ABI). The present study aimed to identify typologies of individuals according to neuropsychological and psychological factors related to awareness deficits and compare emotional adjustment and psychosocial outcomes at the initial assessment and 12-month follow-up. Eighty-four participants with ABI (mean time since injury = 3.9 years) were assessed on the Self-Awareness of Deficits Interview, Awareness Questionnaire, Symptom Expectancy Checklist, Marlowe-Crowne Social Desirability Scale, Hospital Anxiety Depression Scale, Sydney Psychosocial Reintegration Scale, and an error self-regulation index. A 12-month follow-up assessment of emotional adjustment and psychosocial outcomes was conducted. A hierarchical cluster analysis distinguished four awareness typologies, namely, "poor self-awareness" (n = 12), "high defensiveness" (n = 13), "high symptom reporting" (n = 15), and "good self-awareness" (n = 44). An overall comparison of outcomes indicated that the poor self-awareness and high symptom reporting typologies experienced poorer outcomes than the high defensiveness and good self-awareness typologies. The findings confirm that there are different awareness typologies and highlight the need to tailor interventions according to the nature of awareness deficits.

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Authors: Ownsworth, T., Fleming, J., Strong, J., Radel, M., Chan, W., & Clare, L.
Affiliations: The University of Queensland (AU)
Prince Charles Hospital (AU)
Bangor University (GB)
Corresponding author: Ownsworth, Tamara
ORCID: Ownsworth, Tamara
Fleming, Jenny
Strong, Jenny
Clare, Linda
Venue: Neuropsychological Rehabilitation
Publisher: Informa UK Limited
Published: 2007-04
Volume: 17
Issue: 2
Pages: 129-150
ISSN: 0960-2011 (ISSN-L)
1464-0694
DOI: 10.1080/09602010600615506
OpenAlex: W1968143753
Cited by: 113
References: 61
Citations by year: 2026: 2 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 12 · 2016: 3 · 2015: 9 · 2014: 8 · 2013: 6 · 2012: 12
FWCI: 2.98
Type: journal article
Language: en
Open access: closed
Locations: Neuropsychological Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Griffith Research Online (submittedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: acquired brain injury, self-awareness, emotional adjustment, psychosocial outcomes, symptom reporting, defensiveness, anxiety and depression, social reintegration, long-term outcomes
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Aged, Awareness, Brain Injuries, Emotions, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neuropsychological Tests, Self-Assessment, Glasgow Coma Scale

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Awareness typologies, long-term emotional adjustment and psychosocial outcomes following acquired brain injury

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