The Associations Among Self-Awareness, Emotional Well-Being, and Employment Outcome Following Acquired Brain Injury: A 12-Month Longitudinal Study

Objective: To investigate self-awareness and emotional well-being according to change in employment outcome in people with acquired brain injury (ABI). Design: A 12-month longitudinal study. Participants and Setting: Fifty adults with ABI attending outpatient rehabilitation ( n = 17) or vocational r...

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Bibliographic Details
Published in:Rehabilitation psychology 2006-02, Vol.51 (1), p.50-59
Main Authors: Ownsworth, Tamara, Desbois, Jennifer, Grant, Eliza, Fleming, Jennifer, Strong, Jenny
Format: Article
Language:English
Subjects:
Adventitious Disorders
Awareness
Brain Damage
Brain injured people
Brain injuries
Cerebrovascular Accidents
Emotional wellbeing
Employment Status
Female
Human
Male
Rehabilitation
Self-Concept
Selfawareness
Traumatic Brain Injury
Treatment Outcomes
Well Being
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Summary:Objective: To investigate self-awareness and emotional well-being according to change in employment outcome in people with acquired brain injury (ABI). Design: A 12-month longitudinal study. Participants and Setting: Fifty adults with ABI attending outpatient rehabilitation ( n = 17) or vocational rehabilitation services ( n = 33). Time since injury ranged from 6 months to 12 years ( M = 4.3 years, SD = 4.1). Main Outcome Measures: Self Awareness of Deficits Interview, Self-Regulation Skills Interview, Hospital Anxiety Depression Scale, and employment outcome (stable employment, improved employment, and stable unemployment). Results: At the initial assessment, level of awareness for the improved employment group was significantly lower than that for the stable employment group ( p < .017), whereas no between-groups differences were found at the 12-month follow-up assessment. Employment outcome was not significantly associated with changes in self-monitoring or emotional well-being ( p > .017). Demographic and injury-related variables were generally not related to employment outcome. Conclusions: The findings empirically support the theoretical view that an increase in self-awareness is associated with improved employment status, although the direction of this relation is unclear.
ISSN:0090-5550
1939-1544
DOI:10.1037/0090-5550.51.1.50