Awareness through relationships in individuals undergoing rehabilitation following acquired brain injury.

IF 1.7 3区心理学 Q4 NEUROSCIENCES

Neuropsychological Rehabilitation Pub Date : 2024-08-01 Epub Date: 2023-10-30 DOI:10.1080/09602011.2023.2273578

Corinne McCabe, Andrea Sica, Donal G Fortune

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引用次数: 0

Abstract

Aim: This cross-sectional study investigated the association between self-awareness and quality of therapeutic relationships following acquired brain injury (ABI) while controlling for the potential impact of cognitive problems. It also aimed to investigate attachment as a potential moderator.

Method: 83 adults with ABI were recruited alongside a key member of their community neurorehabilitation team. The Scale to Assess Therapeutic Relationships (STAR) was used to measure therapeutic relationship quality and attachment was measured using the Experiences in Close Relationships - Relationship Structure (ECR-RS) questionnaire. Awareness was measured using the Patient Competency Rating Scale (PCRS) and the Mayo-Portland Adaptability Inventory (MPAI-4) provided a measure of cognitive problems. The MPAI-4 also provided an additional measure of awareness.

Results: A significant association between self-awareness and therapeutic relationships was found in some regression models such that higher-quality relationships were associated with better awareness, after controlling for the impact of cognitive problems. Neither childhood parental attachment nor participants' attachment towards their rehabilitation staff were moderators.

Conclusion: The observed associations between awareness in clients and therapeutic relationships with rehabilitation staff may have importance for rehabilitation in this context. Results highlight the value of continuing to prioritize the therapeutic relational environment in ABI rehabilitation and research.

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后天性脑损伤后接受康复的个体通过人际关系的认识。

目的：这项横断面研究调查了获得性脑损伤（ABI）后自我意识与治疗关系质量之间的关系，同时控制了认知问题的潜在影响。它还旨在研究依恋作为一种潜在的调节因素。方法：83名患有ABI的成年人与社区神经康复团队的一名关键成员一起被招募。治疗关系评估量表（STAR）用于测量治疗关系质量，依恋使用亲密关系体验-关系结构（ECR-RS）问卷进行测量。使用患者能力评定量表（PCRS）和梅奥-波特兰适应性量表（MPAI-4）测量认知问题。MPAI-4还提供了一个额外的意识衡量标准。结果：在一些回归模型中发现，自我意识和治疗关系之间存在显著关联，在控制了认知问题的影响后，高质量的关系与更好的意识相关。儿童时期父母的依恋和参与者对康复工作人员的依恋都不是调节因素。结论：观察到的客户意识和与康复工作人员的治疗关系之间的关联可能对这种情况下的康复具有重要意义。研究结果强调了在ABI康复和研究中继续优先考虑治疗关系环境的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuropsychological Rehabilitation 医学-神经科学

CiteScore

6.30

自引率

7.40%

发文量

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.