Profiling self-awareness in brain injury rehabilitation: A mixed methods study.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2024-09-01 Epub Date: 2023-12-03 DOI:10.1080/09602011.2023.2282656
Danielle Sansonetti, Jennifer Fleming, Freyr Patterson, Natasha A Lannin
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引用次数: 0

Abstract

ABSTRACTImpaired self-awareness impacts outcomes for individuals with brain injury. Self-awareness is a complex construct, with little known about how its presentation differs across diagnostic groups, or how brain injury-related changes are expressed by individuals in the early phase post-brain injury. This study aims to identify differences and similarities in patterns of self-awareness between patients with different brain injury diagnoses, and provide a clinical account of how individuals with ABI describe changes to themselves arising from brain injury. This is a mixed methods retrospective cohort study involving an audit of medical files that included extraction of data from the Self-Awareness of Deficits Interview. Quantitative and qualitative techniques were used to analyse data from 173 participants. Individuals identified a range of brain injury-related impairments across domains, with greatest difficulty noted with linking impairments to functional implications and setting realistic goals. There were similarities and distinct differences in the expression of changes across diagnostic groups. Two main themes that aligned with self-awareness theory were identified from the data: 1/ Development of self-awareness; and 2/ Dimensions of self-awareness. These interrelated themes demonstrated the multifaceted nature of the clinical presentation of self-awareness, and highlight the need for an individualized approach to cognitive rehabilitation.

脑损伤康复中的自我意识特征分析:一项混合方法研究。
自我意识缺失影响脑损伤患者的预后。自我意识是一个复杂的结构,很少有人知道它在不同诊断组中的表现如何不同,或者在脑损伤后早期个体如何表达与脑损伤相关的变化。本研究旨在确定不同脑损伤诊断的患者自我意识模式的异同,并为ABI患者如何描述脑损伤引起的自我变化提供临床解释。这是一项混合方法的回顾性队列研究,涉及对医疗档案的审计,包括从缺陷自我意识访谈中提取的数据。定量和定性技术用于分析来自173名参与者的数据。个体识别出一系列跨领域的脑损伤相关损伤,最大的困难是将损伤与功能影响联系起来,并设定现实的目标。不同诊断组的变化表达既有相似之处,也有明显差异。从数据中确定了与自我意识理论一致的两个主要主题:1/自我意识的发展;2/自我意识的维度。这些相互关联的主题展示了自我意识临床表现的多面性,并强调了个性化认知康复方法的必要性。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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