Research Reports - Self-concept and self-esteem after acquired brain injury

Brain Inj. 2014;28(2):146-54

Ponsford J, Kelly A, Couchman G.

Abstract Primary objective: This study examined the multidimensional
self-concept, global self-esteem and psychological adjustment of individuals with
traumatic brain injury (TBI) as compared with healthy controls. Research design:
Group comparison on self-report questionnaires. Methods and procedures: Forty-one
individuals who had sustained a TBI were compared with an age- and gender-matched
sample of 41 trauma-free control participants on the Rosenberg Self Esteem Scale,
the Tennessee Self Concept Scale (second edition) and the Hospital Anxiety and
Depression Scales (HADS). Main outcomes and results: Participants with TBI rated
significantly lower mean levels of global self-esteem and self-concept on the
Rosenberg Self Esteem Scale and Tennessee Self Concept Scale than the control
group. Survivors of TBI rated themselves more poorly on a range of
self-dimensions, including social, family, academic/work and personal
self-concept compared to controls. They also reported higher mean levels of
depression and anxiety on the Hospital Anxiety and Depression Scale. Overall
self-concept was most strongly associated with depressive symptoms and anxiety.
Conclusions: Self-concept may be lowered following TBI and is associated with
negative emotional consequences. Clinicians may improve the emotional adjustment
of survivors of TBI by considering particular dimensions of self-concept for
intervention focus.

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