Identity, grief and self-awareness after traumatic brain injury
Abstract
The objective of this study was to investigate perceived identity change in adults with traumatic brain injury (TBI) and explore associations between identity change, grief, depression, self-esteem and self-awareness. The participants were 29 adults with TBI who were being followed up by a community brain injury rehabilitation service. Participants were longer post-injury than those more commonly studied. Time since injury ranged from 2.25 to 40 years (mean = 11.17 years, SD = 11.4 years). Participants completed a battery of questionnaires. Significant others and clinicians completed a parallel version of one of these measures. Questionnaires included the Head Injury Semantic Differential Scale (HISDS-III), Brain Injury Grief Inventory (BIGI), Hospital Anxiety and Depression Scale - Depression, Rosenberg Self-Esteem Scale (RSES) and the Awareness Questionnaire (Self/Significant other/Clinician versions). The main findings were that participants reported significant changes in self-concept with current self being viewed negatively in comparison to pre-injury self. Perceived identity change was positively associated with depression and grief and negatively associated with self-esteem and awareness. Awareness was negatively associated with self-esteem and positively associated with depression. These findings were consistent with previous research, revealing changes in identity following TBI. Further research is needed to increase our understanding of the psychological factors in…
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Better adjustment following acquired brain injury is strongly associated with higher subjective wellbeing and lower emotional distress.
“Better adjustment following ABI is strongly associated with higher subjective wellbeing and lower emotional distress (Carroll & Coetzer, 2011;Doering et al., 2011;Schönberger et al., 2014).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Carroll & Coetzer, 2011
ABI consequences result in a set of new limitations for survivors that can reduce participation in meaningful life activities and dramatically alter self-identity.
“These consequences result in a set of new limitations for survivors that can reduce participation in meaningful life activities and dramatically alter self-identity (Carroll & Coetzer, 2011).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Carroll & Coetzer, 2011
Better adjustment following ABI is strongly associated with higher subjective wellbeing and lower emotional distress.
“Better adjustment following ABI is strongly associated with higher subjective wellbeing and lower emotional distress (Carroll & Coetzer, 2011;Doering et al., 2011;Schönberger et al., 2014).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Carroll & Coetzer, 2011
Higher subjective wellbeing and emotional distress have been strongly associated with better adjustment following acquired brain injury.
“Higher subjective wellbeing and emotional distress have been strongly associated with better adjustment following ABI (Carroll & Coetzer, 2011;Doering et al., 2011;Schönberger et al., 2014).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Carroll & Coetzer, 2011
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References 52 · Cited by 177
- Authors
- Carroll, E., & Coetzer, R.
- Affiliations
- Belfast Health and Social Care Trust (GB)
- Corresponding author
- Coetzer, Rudi
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2011-05
- Volume
- 21
- Issue
- 3
- Pages
- 289-305
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2008182317
- Cited by
- 177
- References
- 52
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 9 · 2023: 11 · 2022: 12 · 2021: 14 · 2020: 16 · 2019: 15 · 2018: 9 · 2017: 13 · 2016: 9 · 2015: 11 · 2014: 15 · 2013: 9 · 2012: 5
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- traumatic brain injury, personal transformation, grief, depression, self-esteem, self-awareness, self-concept, long-term outcomes, emotional adjustment, brain injury rehabilitation, significant others
- MeSH terms
- Adaptation, Psychological, Adult, Awareness, Brain Injuries, Depression, Female, Grief, Humans, Individuality, Male, Middle Aged, Psychiatric Status Rating Scales, Self Concept, Glasgow Coma Scale
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