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    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Neuropsychological Rehabilitation on 03/03/2016, available online: http://www.tandfonline.com/doi/abs/10.1080/09602011.2016.1144515

    Accepted author manuscript, 193 KB, PDF-document

    Available under license: CC BY: Creative Commons Attribution 4.0 International License

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Factors associated with self-esteem following acquired brain injury in adults: a systematic review

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<mark>Journal publication date</mark>01/2018
<mark>Journal</mark>Neuropsychological Rehabilitation
Issue number1
Volume28
Number of pages42
Pages (from-to)142-183
<mark>State</mark>Published
Early online date3/03/16
<mark>Original language</mark>English

Abstract

Self-esteem is potentially a key factor in psychological and psychosocial well-being following acquired brain injury (ABI). The current review aimed to identify, synthesise and appraise all existing quantitative empirical studies on predictors or correlates of self-esteem following ABI in adulthood. In total, 27 papers met the inclusion criteria. A range of clinical factors were related to self-esteem after ABI, including the degree of physical and functional impairment. It is unclear if cognitive impairment is related to high or low self-esteem. Additionally, psychological variables such as coping styles, adjustment and perception of problems or rehabilitation are related to self-esteem following ABI. Depression is strongly associated with low self-esteem, alongside anxiety, psychological distress and quality of life. Limitations of the available research and recommendations for clinical practice and further research are discussed. In particular, there is a need to engage with contemporary theoretical understandings of self-esteem, integrated with and supported by developments in how self-esteem is conceptualised and measured over time in an ABI population. The findings of the review suggest that self-esteem is an important factor to consider following ABI, particularly in the context of developing individualised, formulation-driven rehabilitation interventions that take into account biological, social and psychological factors.

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This is an Accepted Manuscript of an article published by Taylor ////////