Neuropsychological Rehabilitation最新文献

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Auditory motion stimulation as an add-on therapeutical approach is feasible, enjoyable, and associated with a significant improvement of neglect outcome: A non-randomized, controlled group-matched study. 听觉运动刺激作为一种附加治疗方法是可行的、令人愉悦的,并能显著改善忽视结果:一项非随机、对照组匹配研究。
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-03-14 DOI: 10.1080/09602011.2025.2476068
Nora Geiser, Brigitte C Kaufmann, Dario Cazzoli, Tobias Nef, Thomas Nyffeler
{"title":"Auditory motion stimulation as an add-on therapeutical approach is feasible, enjoyable, and associated with a significant improvement of neglect outcome: A non-randomized, controlled group-matched study.","authors":"Nora Geiser, Brigitte C Kaufmann, Dario Cazzoli, Tobias Nef, Thomas Nyffeler","doi":"10.1080/09602011.2025.2476068","DOIUrl":"https://doi.org/10.1080/09602011.2025.2476068","url":null,"abstract":"<p><p>Auditory motion stimulation is a promising new therapeutical approach for visual neglect, whereby patients listen to music which repeatedly moves from the ipsi - to the contralateral hemispace. In this study, we investigated the feasibility, enjoyability, and efficacy of auditory motion simulation in an inpatient neurorehabilitation setting. 30 patients with left-sided visual neglect due to a right-hemispheric subacute stroke participated in the study. 15 patients were included prospectively and received 45 minutes of auditory motion stimulation per day for three weeks in addition to best possible standard neglect therapy. 15 further patients - who were matched based on neglect severity at admission, time since stroke, rehabilitation duration, and age - received best possible standard neglect therapy alone and served as a control group. Feasibility was assessed using remote time tracking, whereas enjoyability was measured with the Flow State Scale for Rehabilitation Tasks (FSSRT). Efficacy was evaluated using video-oculography during free visual exploration (FVE) at admission, discharge, and after three months. Our findings indicate that auditory motion stimulation is feasible and enjoyed by patients. Auditory motion stimulation significantly improved visual neglect at discharge. Randomized controlled studies are needed to confirm that auditory motion stimulation represents a valuable add-on therapy for visual neglect.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An online, group Acceptance and Commitment Therapy is acceptable to stroke survivors: A qualitative interview study.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09602011.2025.2469649
Hannah Foote, Audrey Bowen, Sarah Cotterill, Emma Patchwood
{"title":"An online, group Acceptance and Commitment Therapy is acceptable to stroke survivors: A qualitative interview study.","authors":"Hannah Foote, Audrey Bowen, Sarah Cotterill, Emma Patchwood","doi":"10.1080/09602011.2025.2469649","DOIUrl":"https://doi.org/10.1080/09602011.2025.2469649","url":null,"abstract":"<p><p>Mental health difficulties are common post-stroke and developing support for psychological adjustment is a research priority. Wellbeing After Stroke (WAterS) is a nine-week, online, group-based Acceptance and Commitment Therapy (ACT)-informed intervention, delivered by trained third-sector practitioners, supervised by a clinical neuropsychologist. This study aimed to explore the acceptability of WAterS from the stroke survivors' perspective.Semi-structured interviews were conducted with twelve stroke survivors who received WAterS. The interview schedule was informed by theorised components of acceptability, including understanding, burden and perception of effectiveness. The data were analysed inductively and deductively using Template Analysis.Six qualitative themes were generated. Results indicate the intervention was mostly understandable and participants were able to engage with ACT and apply it to life. Online delivery reduced burden in accessing the intervention, and was acceptable when supported by live facilitation and a physical handbook. Group cohesion and understanding was facilitated by practitioners. The social aspect of the group was beneficial. Attending WAterS supported some participants to seek further support; others were left feeling unsupported when the intervention ended.Stroke survivors valued attending an online, group ACT-informed intervention, delivered by practitioners. This is a promising avenue in increasing the reach of interventions to support wellbeing.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eye movement desensitization and reprocessing for posttraumatic stress disorder following acquired brain injury: A multiple baseline single case experimental design study across four cases.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-03-04 DOI: 10.1080/09602011.2024.2444999
Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds
{"title":"Eye movement desensitization and reprocessing for posttraumatic stress disorder following acquired brain injury: A multiple baseline single case experimental design study across four cases.","authors":"Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds","doi":"10.1080/09602011.2024.2444999","DOIUrl":"10.1080/09602011.2024.2444999","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is prevalent in individuals with acquired brain injury (ABI). This study investigated the effectiveness and applicability of Eye Movement Desensitization and Reprocessing (EMDR) for PTSD in individuals with ABI. Data were collected using a non-concurrent multiple baseline single case experimental design (SCED), with a baseline, treatment, maintenance, and 3-month follow-up phase, across four cases. EMDR treatment was provided using a manualized standard EMDR protocol. The primary outcome was PTSD symptoms. Secondary outcomes were general mental health and cognitive functions. Visual analyses, TAU-<i>U</i> analyses, and analyses using the Reliable Change Index were performed. All four participants (two with TBI, two with stroke) showed a significant decrease in PTSD symptoms, which continued in maintenance and was retained at follow-up. The participants no longer fulfilled criteria for PTSD classification and showed reliable improvement in PTSD severity score post-treatment and at follow-up. No adverse events occurred and no adjustments in EMDR protocol were necessary. There was no consistent improvement in general mental health nor a consistent improvement in cognitive functioning. This study provided empirical support for the effectiveness and applicability of EMDR for PTSD in four participants with stroke or TBI.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-29"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between social participation and memory function among Chinese stroke survivors: The mediating role of depressive symptoms. 中国脑卒中幸存者的社会参与与记忆功能之间的关系:抑郁症状的中介作用
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-04-02 DOI: 10.1080/09602011.2024.2336960
Zhiya Hua, Dandan Ma
{"title":"Association between social participation and memory function among Chinese stroke survivors: The mediating role of depressive symptoms.","authors":"Zhiya Hua, Dandan Ma","doi":"10.1080/09602011.2024.2336960","DOIUrl":"10.1080/09602011.2024.2336960","url":null,"abstract":"<p><p>Although the association between social participation and memory function has been documented in other populations, whether it exists among stroke survivors is unclear. Additionally, the mechanisms underlying this association are largely unknown. We attempted to examine the association between social participation and memory function in stroke survivors and the possible mediating role of depressive symptoms. A total of 614 stroke survivors (mean age: 64.73 years) drawn from a nationally representative survey in China were investigated. Based on the descriptive statistics, a Pearson's correlation and bootstrapping-based mediation analysis were executed. The results indicated that an increase in social participation was associated with a decrease in depressive symptoms (<i>r</i> = -0.100, <i>p</i> < 0.05) and an increase in memory function (<i>r</i> = 0.162, <i>p</i> < 0.01). Moreover, memory function was significantly negatively related to depressive symptoms (<i>r</i> = -0.243, <i>p</i> < 0.01). In addition, after controlling for sociodemographic factors, depressive symptoms partially mediated the effects of social participation on memory function. Due to the cross-sectional research design, causal relationships cannot be verified between the study variables. However, interventions aimed at aiding stroke survivors in memory impairment recovery may consider strategies to enhance social participation and mitigate depressive symptoms.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"276-291"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlations between injury- and child-related factors and participation and quality of life after childhood traumatic brain injury.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-02-27 DOI: 10.1080/09602011.2025.2467810
Jessica Salley Riccardi, Libby Dart, Jennifer P Lundine, Angela Ciccia
{"title":"Correlations between injury- and child-related factors and participation and quality of life after childhood traumatic brain injury.","authors":"Jessica Salley Riccardi, Libby Dart, Jennifer P Lundine, Angela Ciccia","doi":"10.1080/09602011.2025.2467810","DOIUrl":"https://doi.org/10.1080/09602011.2025.2467810","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine correlations between injury- and child-factors and participation and quality of life (QoL) after childhood traumatic brain injury (TBI).</p><p><strong>Method: </strong>Cross-sectional data was analysed on 59 children with TBI included in a larger survey study. These children experienced their TBI at 12.2 years old and were 2.1 years post-injury, on average.</p><p><strong>Results: </strong>On average, children's executive functioning, family functioning, and psychosocial QoL were within typical limits based on parent-reported standardized measures, yet participation was within the limited/somewhat limited range and physical QoL below the average for the U.S.</p><p><strong>Population: </strong>Bivariate analyses revealed significant correlations between age at injury, executive functioning summary and subscale scores, and family functioning with participation and psychosocial QoL.</p><p><strong>Conclusions: </strong>The results of this study support the understanding of risk and protective factors and the interaction amongst these factors for children with TBI. These findings highlight the need for professionals to monitor and provide direct and indirect interventions, as needed, for all components of the ICF framework for children with TBI and their families.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Inclusion of the Other in the Self-Scale (IOSS) as a valid self-discrepancy measure after stroke.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-02-21 DOI: 10.1080/09602011.2025.2467111
Kirsten Heckmann, Katja Werheid, Simon Ladwig
{"title":"The Inclusion of the Other in the Self-Scale (IOSS) as a valid self-discrepancy measure after stroke.","authors":"Kirsten Heckmann, Katja Werheid, Simon Ladwig","doi":"10.1080/09602011.2025.2467111","DOIUrl":"https://doi.org/10.1080/09602011.2025.2467111","url":null,"abstract":"<p><p>Self-discrepancy, i.e., negative changes in self-concept, is a common post-stroke phenomenon which is closely associated with depression and quality of life. In earlier research, self-discrepancy has been measured with the 18-item seven-stepped <i>Head Injury Semantic Differential Scale</i> (HISDS-III), by comparing pre- and post-morbid self-concepts. As completing this scale may be demanding especially for cognitively impaired stroke survivors, a straightforward instrument is desirable. Therefore, the validity of the <i>Inclusion of the Other in the Self Scale</i> (IOSS), which measures self-discrepancy with a single visualized item, was cross-sectionally examined in 123 individuals three years after stroke. Results revealed a substantial correlation between the IOSS and the established HISDS-III (<i>r</i> = .47, <i>p</i> < .001) and a Gini Index corresponding to an AUC of 0.74, both indicating convergent validity. Both measures showed similar correlations with relevant covariates. Prediction of depressive symptoms using established predictors was significantly improved by the inclusion of the IOSS (Δ<i>R²</i> = .07, <i>p</i> < .001). The findings indicate the high validity of the IOSS as an economic measure of global self-discrepancy after stroke. In addition, the results confirm self-discrepancy as a relevant determinant of post-stroke depression and thus as a potential target for psychological interventions in stroke patients.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-20"},"PeriodicalIF":1.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Strategy Use Measure (SUM): A new tool to evaluate the use of compensatory behavioural strategies for cognitive, emotional and behavioural impairments after acquired brain injury.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-02-20 DOI: 10.1080/09602011.2025.2462040
Grahame K Simpson, Lauren Gillett, Eng-Siew Koh, Alexanda J Walker, Joe Hanna, Wafa Trad, Teresa Simpson, Diane L Whiting
{"title":"The Strategy Use Measure (SUM): A new tool to evaluate the use of compensatory behavioural strategies for cognitive, emotional and behavioural impairments after acquired brain injury.","authors":"Grahame K Simpson, Lauren Gillett, Eng-Siew Koh, Alexanda J Walker, Joe Hanna, Wafa Trad, Teresa Simpson, Diane L Whiting","doi":"10.1080/09602011.2025.2462040","DOIUrl":"https://doi.org/10.1080/09602011.2025.2462040","url":null,"abstract":"<p><p>The Strategy Use Measure (SUM) was developed as a systematic tool to assess cognitive, behavioural and emotional strategy use by clients and carers after acquired brain injury. Comprehensive content development was undertaken across four clinical service sites via expert clinician consultation and consensus, file review of strategies used in clinical practice, and consumer consultation. Statistical analysis was undertaken to evaluate items and assess reliability, validity and factor structure. Two final versions of the SUM were developed, for use with clients (SUM-ABI; 14 items) and carers (SUM-C; 24 items). Internal consistency for the total scales was sound (SUM-ABI = <i>.90</i>; SUM-C = <i>.96</i>) as was test-retest reliability (SUM-ABI <i>= .87</i>; SUM-C <i>= .90</i>). Meaningful factors were identified for both scales (SUM-ABI: Memory and Planning, Emotion and Mood, Cognitive Load; SUM-C: Executive Support, Emotion/Behaviour Support, Enhancing Task Performance, Motivation Support) with all subscales demonstrating strong internal consistency (≥.80). Construct validity for both scales was explored using validated measures. The SUM versions were evaluated against COSMIN instrument design standards and found overall to be reliable and valid, with promising utility in rehabilitation for clinicians and researchers.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It's knowing that there are other people and they've accepted it": Patients' experiences of an acceptance and commitment therapy group intervention for people with neurological conditions.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-02-03 DOI: 10.1080/09602011.2025.2457666
Alice Storey, Eliza Nash, Hannah Dempsey, Katherine McIvor, Nicolò Zarotti
{"title":"\"It's knowing that there are other people and they've accepted it\": Patients' experiences of an acceptance and commitment therapy group intervention for people with neurological conditions.","authors":"Alice Storey, Eliza Nash, Hannah Dempsey, Katherine McIvor, Nicolò Zarotti","doi":"10.1080/09602011.2025.2457666","DOIUrl":"https://doi.org/10.1080/09602011.2025.2457666","url":null,"abstract":"<p><p>Individuals living with neurological conditions often face chronic issues including motor and sensory impairments and cognitive deficits. These challenges can lead to significant psychological difficulties, including anxiety, depression, and post-traumatic stress. Acceptance and Commitment Therapy (ACT) is a psychotherapeutic approach which aims to enhance psychological flexibility and acceptance while promoting behavioural change. Although ACT groups have shown promise in supporting individuals with neurological conditions, the evidence on patients' experiences of attending them is sparse. This project explored the experiences of individuals with a range of neurological conditions who had attended ACT group sessions as part of routine clinical practice, with the aim to refine future iterations of the intervention and enhancing patient care. Ten individual qualitative semi-structured interviews were carried out and the data were analysed thematically. Three overarching themes emerged from the analysis: (1) Initial Barriers to Group Attendance and Engagement; (2) Building an Environment of Acceptance; (3) Developing an ACT toolkit. Overall, the results showed that the ACT group intervention led participants to develop stronger emotional connectedness, better knowledge of their difficulties, more effective psychological skills, and different mindsets regarding their condition. Implications for the refinement of future ACT groups, neuropsychological service development, and clinical practice are discussed.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rehabilitation and intervention of developmental and acquired prosopagnosia: A systematic review.
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-01-30 DOI: 10.1080/09602011.2024.2449068
Sally Byrne, Melanie Porter
{"title":"Rehabilitation and intervention of developmental and acquired prosopagnosia: A systematic review.","authors":"Sally Byrne, Melanie Porter","doi":"10.1080/09602011.2024.2449068","DOIUrl":"https://doi.org/10.1080/09602011.2024.2449068","url":null,"abstract":"<p><p>Prosopagnosia is a neurological disorder; characterized by an impairment in facial recognition. It can occur from acquired prosopagnosia (occurring in approximately 5.6% of the population), or from developmental prosopagnosia (occurring in approximately 2% of the population). Despite the relatively high prevalence of prosopagnosia, there has been limited research into intervention for this condition. The current systematic review aimed to review the evidence base to aid the development of practice guidelines for clinicians working with impacted individuals. A systemic search identified 14 studies, 10 of which involved participants with developmental prosopagnosia, while the remaining studies involved participants with acquired prosopagnosia. Overall, the findings identified two strategies which produced significant improvement in face recognition in prosopagnosics. The first strategy involved a perceptual learning strategy (a restorative approach). While this strategy improved face processing abilities, the intervention was time-consuming and relied on specific software. The second strategy involved learned association of distinguishable facial features (a compensatory approach). This intervention produced improvements in face recognition and was quick to administer, however, the gains made were not generalisable to untrained faces. The current review identified a number of limitations in the existing literature, such as the lack of single-case experimental designs and randomized controlled trials, limited control for practice effects, and no consensus with regard to the assessment and diagnosis of prosopagnosia. This review highlighted the need for further research to inform practice guidelines.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-44"},"PeriodicalIF":1.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"I felt like I was missing 'me'": Long-term experiences of intrapersonal loss, grief, and change in adults with an acquired brain injury. “我觉得我错过了‘我’”:获得性脑损伤的成年人的长期自我丧失、悲伤和变化的经历。
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-01-20 DOI: 10.1080/09602011.2025.2452618
Susan Mac Conaill, Fiadhnait O'Keeffe, Simone Carton, Donal G Fortune
{"title":"\"I felt like I was missing 'me'\": Long-term experiences of intrapersonal loss, grief, and change in adults with an acquired brain injury.","authors":"Susan Mac Conaill, Fiadhnait O'Keeffe, Simone Carton, Donal G Fortune","doi":"10.1080/09602011.2025.2452618","DOIUrl":"https://doi.org/10.1080/09602011.2025.2452618","url":null,"abstract":"<p><p>Experiences of loss and change following acquired brain injury (ABI) are frequent and multi-contextual, yet the long-term experiences of people with ABI are not well understood. This study explored the experiences of intrapersonal loss, grief and change in people with ABI, a decade after their injury. Twelve adults with ABI were interviewed 10-13 years post-injury. Using interpretative phenomenological analysis, we identified four overarching themes: a dawning realization of the impact of injury; loss of personhood; loss and liminality; and learning to live with loss and grief. Our findings indicate that in the decade following ABI, people continue to develop awareness of the impact of their injury and experience oscillating acceptance towards enforced changes. Participants reported a diminished sense of agency and autonomy in how they were perceived by and interacted with following injury. Additionally, identity may be lost, suspended, and renegotiated. Findings suggest dynamic, active, and flexible coping strategies that continue to be present over the long term. Considering the persistent nature of the injury and the evolving needs of the individual, a longer term view of rehabilitation outcomes may be required, contextualised by relational and intrapersonal challenges that may present over the longer term.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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