Emotional adjustment after ABI

  • Research type

    Research Study

  • Full title

    Investigating psychological mechanisms maintaining poor emotional adjustment following an acquired brain injury and setting priorities for future research

  • IRAS ID

    233020

  • Contact name

    Sara Simblett

  • Contact email

    sara.simblett@kcl.ac.uk

  • Duration of Study in the UK

    0 years, 4 months, 31 days

  • Research summary

    Depression and anxiety are common complications following acquired brain injury (ABI), such as stroke, traumatic brain injury (TBI) and other non-progressive injury to the brain. In terms of stroke alone, a third of people are estimated to experience depression (Hackett et al., 2014) and a quarter of people are reported to experience an anxiety disorder (Campbell-Burton et al, 2013). This demonstrates poor emotional adjustment in a substantial proportion of cases. If untreated, these difficulties have been found to significantly impact on functional recovery (Glozier et al., 2008). Factors such as a negative change in one's self-identity, as a result of differences in abilities and lifestyle after an ABI, have been found to be related to severity of depression (Beadle et al., 2016). Executive dysfunction, awareness, the ways in which people cope with stress (coping styles) and psychosocial functioning seem also to be linked with quality of life and symptoms of depression following an ABI (Wolters et al., 2015; Kortte et al., 2003). The main aim of this research is to explore if certain cognitive characteristics such as executive dysfunction and/or maladaptive coping styles predict the likelihood of developing mental health problems after an ABI, in order to improve identification of people at potential risk more quickly. A model containing the following: self-reported executive dysfunction, ways of coping with stress, mood (including depression and anxiety), change in self-concept and self-awareness, will be tested, to explore relationships between these factors. In addition to this analysis, we will ask people who have experienced an ABI, their carers and healthcare professionals what they think the targets of future research in the area of emotional adjustment after ABI to guide development of treatments and preventative interventions.

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    18/LO/0019

  • Date of REC Opinion

    18 Jan 2018

  • REC opinion

    Favourable Opinion