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Relationship Between Neurocognitive Function and Self-Discrepancy After Severe Traumatic Brain Injury
Abstract
Objective Individuals with traumatic brain injury (TBI) often make unfavorable comparisons between their preinjury and postinjury selves. Although it is known that negative "self-discrepancy" is related to poorer emotional adjustment, the impact of neurocognitive function on self-discrepancy is unclear. This study aimed to investigate the relationship between current neurocognitive function (attention, memory, executive function, and self-awareness) and self-discrepancy after severe TBI. Design Fifty-four adults with severe TBI were recruited from outpatient and community rehabilitation services and completed measures of self-discrepancy (Head Injury Semantic Differential Scale-III) and self-awareness (Awareness Questionnaire) and a battery of standardized tests of attention, memory, and executive functions. Results More negative self-discrepancy was significantly associated with greater self-awareness (r = -0.40, P Conclusion Better neurocognitive function is related to more negative self-discrepancy. These findings improve understanding of the process of identity reconstruction following TBI.
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Cognitive impairment can limit appropriate, flexible goal setting and behaviour, and mood disturbance can impact motivation which may reduce engagement in rehabilitation.
“For example, cognitive impairment can limit appropriate, flexible goal setting and behaviour, and mood disturbance can impact motivation which may reduce engagement in rehabilitation (Beadle et al., 2018;Kutlubaev & Hackett, 2014;Whyte et al., 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 Beadle et al., 2018
Cognitive impairment can limit appropriate, flexible goal setting and behaviour.
“cognitive impairment can limit appropriate, flexible goal setting and behaviour”
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 Beadle et al., 2018
Mood disturbance can impact motivation which may reduce engagement in rehabilitation.
“mood disturbance can impact motivation which may reduce engagement in rehabilitation”
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 Beadle et al., 2018
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Identity, grief and self-awareness after traumatic brain injury
Carroll, E., & Coetzer, R. (2011) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2011.555972 · Cited by 177
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Sorted by citations
Sathananthan, N., Dimech-Betancourt, B., Morris, E., Vicendese, D., Knox, L., Gillanders, D., Das Nair, R., & Wong, D. (2022) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2021.1971094 · Cited by 31
“For example, cognitive impairment can limit appropriate, flexible goal setting and behaviour, and mood disturbance can impact motivation which may reduce engagement in rehabilitation (Beadle et al., 2018; Kutlubaev & Hackett, 2014; Whyte et al., 2011).”
Background
Metadata
- Authors
- Beadle, E. J., Ownsworth, T., Fleming, J., & Shum, D. H. K.
- Affiliations
- Griffith University (AU)
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2018-09
- Volume
- 33
- Issue
- 5
- Pages
- E42-E50
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W2770951804
- Cited by
- 11
- References
- 2
- Citations by year
- 2025: 3 · 2023: 1 · 2022: 3 · 2021: 2 · 2018: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Head Trauma 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 › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, self-discrepancy, neurocognitive function, self-awareness, attention, memory, executive function, verbal fluency, identity reconstruction, emotional adjustment
- MeSH terms
- Brain Injuries, Traumatic, Adolescent, Adult, Attention, Awareness, Cognition Disorders, Female, Humans, Male, Memory, Short-Term, Middle Aged, Neuropsychological Tests, Self Concept, Young Adult, Executive Function
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