Goal reengagement is related to mental well-being, life satisfaction and acceptance in people with an acquired brain injury

被引:10
作者
Van Bost, Gunther [1 ,2 ]
Van Damme, Stefaan [1 ]
Crombez, Geert [1 ]
机构
[1] Univ Ghent, Fac Psychol & Educ Sci, Dept Expt Clin & Hlth Psychol, H Dunantlaan 2, B-9000 Ghent, Belgium
[2] CAR Ter Kouter Deinze, Aaltersesteenweg 2, B-9800 Deinze, Belgium
关键词
Acquired brain injury; quality of life; acceptance; goal adjustment; life satisfaction; QUALITY-OF-LIFE; SF-36 HEALTH SURVEY; UNATTAINABLE GOALS; SELF-REGULATION; QUESTIONNAIRE; ADJUSTMENT; DISABILITY; PATTERNS; BENEFITS; STROKE;
D O I
10.1080/09602011.2019.1608265
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: After an acquired brain injury (ABI), the achievement of previous life goals may no longer be feasible. This study examined whether self-reported disengagement from previous goals and reengagement towards new, more feasible goals, are associated with higher quality of life (QOL) and life satisfaction. We also examined whether acceptance mediated these relationships. Methods: Eighty-two individuals (18-68 years of age) with an ABI completed a battery of questionnaires. We investigated the relations between goal disengagement and reengagement on the one hand, and general QOL, disease-specific QOL, life satisfaction and acceptance, on the other hand. Rehabilitation psychologists provided estimates of self-awareness and the extent of motor, communicative and cognitive impairment. Results: Goal reengagement, but not goal disengagement, was positively associated with mental QOL and life satisfaction, after statistically controlling for demographic and impairments. Acceptance mediated the relationship between goal reengagement on the one hand, and mental QOL and life satisfaction, on the other hand. Conclusion: After an ABI, reengagement in feasible goals is more important in explaining mental well-being and life satisfaction than disengagement from unattainable goals. Interventions aimed at identifying and pursuing new, feasible goals may be more helpful than strategies focusing on the loss of blocked goals.
引用
收藏
页码:1814 / 1828
页数:15
相关论文
共 46 条
[11]   The reliability and validity of the SF-36 health survey questionnaire for use with individuals with traumatic brain injury [J].
Findler, M ;
Cantor, J ;
Haddad, L ;
Gordon, W ;
Ashman, T .
BRAIN INJURY, 2001, 15 (08) :715-723
[12]   A postal survey of data in general practice on the prevalence of Acquired Brain Injury (ABI) in patients aged 18-65 in one county in the west of Ireland [J].
Finnerty, Fionnuala ;
Glynn, Liam ;
Dineen, Brendan ;
Colfer, Finbarr ;
MacFarlane, Anne .
BMC FAMILY PRACTICE, 2009, 10
[13]   Quality of life in persons after traumatic brain injury as self-perceived and as perceived by the caregivers [J].
Formisano, Rita ;
Longo, Eloise ;
Azicnuda, Eva ;
Silvestro, Daniela ;
D'Ippolito, Mariagrazia ;
Truelle, Jean-Luc ;
von Steinbuechel, Nicole ;
von Wild, Klaus ;
Wilson, Lindsay ;
Rigon, Jessica ;
Barba, Carmen ;
Forcina, Antonio ;
Giustini, Marco .
NEUROLOGICAL SCIENCES, 2017, 38 (02) :279-286
[14]   Cognitive coping and goal adjustment in people with Peripheral Arterial Disease: Relationships with depressive symptoms [J].
Garnefski, N. ;
Grol, M. ;
Kraaij, V. ;
Hamming, J. F. .
PATIENT EDUCATION AND COUNSELING, 2009, 76 (01) :132-137
[15]  
HERRMAN H, 1993, QUAL LIFE RES, V2, P153
[16]   Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations [J].
Holmbeck, GN .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 2002, 27 (01) :87-96
[17]   Health-related quality-of-life and life satisfaction 6-15 years after traumatic brain injuries in northern Sweden [J].
Jacobsson, L. J. ;
Westerberg, M. ;
Lexell, J. .
BRAIN INJURY, 2010, 24 (09) :1075-1086
[19]   LIFE SATISFACTION 6-15 YEARS AFTER A TRAUMATIC BRAIN INJURY [J].
Jacobsson, Lars ;
Lexell, Jan .
JOURNAL OF REHABILITATION MEDICINE, 2013, 45 (10) :1010-1015
[20]   People with cancer use goal adjustment strategies in the first 6months after diagnosis and tell us how [J].
Janse, Moniek ;
Ranchor, Adelita V. ;
Smink, Ans ;
Sprangers, Mirjam A. G. ;
Fleer, Joke .
BRITISH JOURNAL OF HEALTH PSYCHOLOGY, 2016, 21 (02) :268-284