Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery

Brassel, Sophie; Kenny, Belinda; Power, Emma; Elbourn, Elise; McDonald, Skye; Tate, Robyn; MacWhinney, Brian; Turkstra, Lyn S.; Holland, Audrey L.; Togher, Leanne

doi:10.1080/02699052.2016.1187288

Cited by 11 publications

(5 citation statements)

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“…Other studies that have employed longitudinal designs have had limited scope for examining communication recovery. For example, changes in conversation topics from 3 to 6 months post‐injury were explored in a sample of 22 individuals with TBI and their familiar communication partners (Brassel et al., 2016). The conversation themes at these two early time points included connecting, re‐engaging and discussing impacts of the injury (Brassel et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…For example, changes in conversation topics from 3 to 6 months post‐injury were explored in a sample of 22 individuals with TBI and their familiar communication partners (Brassel et al., 2016). The conversation themes at these two early time points included connecting, re‐engaging and discussing impacts of the injury (Brassel et al., 2016). It remains unknown if these themes persist beyond 6 months and if they specifically reflect the perceptions of individuals with TBI and not their familiar communication partners.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of communication recovery following traumatic brain injury: A qualitative investigation across 2 years

Elbourn

Brassel

Steel

et al. 2022

Intl J Lang & Comm Disor

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BACKGROUNDExploring the perceptions of individuals with traumatic brain injury (TBI) towards their brain injury recovery across the continuum of care may offer insights to support engagement with rehabilitation services. Illness narratives are a potentially valuable avenue for examining perceptions of recovery that may influence engagement.AIMSThe aim of this study is to explore the perspective of individuals with severe TBI towards their communication, brain injury and recovery experiences at 6 months, 1 year and 2 years post‐injury.METHODS & PROCEDURESDiscourse samples were obtained from 12 participants with severe TBI at 6 months, 1 year and 2 years following injury. A standardised protocol was used to elicit responses relating to perceptions of communication, the brain injury narrative, and perceptions of recovery facilitators. A thematic analysis of the discourse samples was completed.OUTCOMES & RESULTSThree overarching themes were identified: experiences of communication recovery are diverse (Theme 1), varied experiences of recovery and rehabilitation (Theme 2), and continuous and lifelong journey of recovery (Theme 3). Primary communication concerns included presence of anomia, dysarthria, conversational topic difficulties, impacts of fatigue and memory difficulties. Illness narratives revealed the importance of re‐establishing a sense of self and the perceived importance of a strong social network post‐injury.CONCLUSIONS & IMPLICATIONSThe varied nature of communication challenges and recovery after TBI highlights the need for holistic, multidisciplinary support as well as inclusion of family and friends in the recovery process. Social communication intervention is a perceived priority area for individuals with TBI. Illness narratives may also play a valuable role in therapy and help to shape post‐injury identity. Managing the impacts of fatigue on communication and encouraging individuals to take ownership over their recovery and treatment may also help to improve patient outcomes. Supporting individuals to construct positive brain injury narratives that reaffirm a sense of self and include perspectives of family and friends may offer a potential future avenue for rehabilitation. Tailored but flexible, team‐based service delivery models for individuals with TBI that span from acute to long‐term care are warranted.What this study adds?What is already known on this subject Communication recovery from traumatic brain injury (TBI) is complex and multifaceted. The perceptions of individuals with TBI toward their communication recovery is largely unknown. To establish rehabilitation services that meet the needs of these individuals, we need to understand how they experience communication recovery.What this paper adds to existing knowledge Social communication interventions were perceived as a priority for intervention by individuals with TBI. Fatigue was identified as perceived barrier to communication recovery. Taking ownership over one's recovery process was revealed as a facilitator of recovery. Illness narratives were found to strengthen post‐injury identity over time.What are the potential or actual clinical implications of this work? Speech pathologists should prioritise social communication interventions and fatigue management for communication. Facilitating ownership of the recovery process and offering long‐term supports are key aspects of treatment. Supporting positive illness narratives as part of treatment may facilitate post‐injury identity construction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of communication recovery following traumatic brain injury: A qualitative investigation across 2 years

Elbourn

Brassel

Steel

et al. 2022

Intl J Lang & Comm Disor

Self Cite

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“…Indeed, depression and mood disorder are commonly observed in patients with mild TBI [ 25 ]. However, unsettling and unforeseen reactions to therapists and caregivers is a common occurrence during neurorehabilitation for patients with sTBI [ 6 , 7 , 9 , 10 , 12 , 26 – 29 ]. Therefore, neurological assessment and psychiatric assessment have not been able to segregate patients for managing treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Although the CRS-R scale is widely used to assess clinical manifestations in patients with sTBI, it is not sufficient for appropriate mental and behavioral assessment [ 3 , 21 , 23 ]. This is because factors such as tracheotomy, the impairment of verbal function, aphasia and fluctuation of awareness, and disrupted higher brain function disturb self-expression in these patients [ 9 – 12 , 26 – 29 ]. Our data show that patients with sTBI have a broad variety of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Association between uncooperativeness and the glucose metabolism of patients with chronic behavioral disorders after severe traumatic brain injury: a cross-sectional retrospective study

Yamaki¹,

Suzuki

Sudo

et al. 2018

BioPsychoSocial Med

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BakgroundPatients with behavioral disorders following severe traumatic brain injury (sTBI) often have disorders of consciousness that make expressing their emotional distress difficult. However, no standard method for assessing the unsettled and unforeseen responses that are associated with behavioral disorders has yet to be established. Because the thalamus is known to play a role in maintaining consciousness and cognition, we used 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG-PET/CT) to examine the association between brain glucose metabolism in the thalamus and behavioral disorders.MethodsWe retrospectively analyzed 70 consecutive patients with sTBI who had been involved in motor vehicle accidents. To assess behavioral disorders, we evaluated 18 symptoms using the Brief Psychiatric Rating Scale (BPRS): Emotional Withdrawal, Conceptual Disorganization, Tension, Mannerisms and Posturing, Motor Retardation, Uncooperativeness, Blunted Affect, Excitement, Somatic Concern, Anxiety, Feeling of Guilt, Grandiosity, Depressive Mood, Hostility, Suspiciousness, Hallucinatory Behavior, Unusual Thought Content, and Disorientation. First, we identified clinical characteristics of sTBI patients with behavioral disorders. Next, we retrospectively analyzed 18F-FDG-PET/CT data to assess how thalamic activity was related with abnormal behaviors.ResultsTwenty-six patients possessed the minimum communicatory ability required for psychiatric interview. Among them, 15 patients (57.7%) were diagnosed with behavioral disorder, 14 of whom had reached a stable psychiatric state after about 426.6 days of treatment. Excitement (13 patients) and uncooperativeness (10 patients) were the most frequently observed symptoms. Available 18F-FDG-PET/CT data indicated that thalamic glucose metabolism was imbalanced and lateralized (p = 0.04) in 6 patients who exhibited uncooperativeness.ConclusionsBehavioral symptoms of excitement and uncooperativeness were common in patients with sTBI, although most symptoms improved as the chronic stage continued. Our data support the idea that imbalanced laterality of glucose metabolism in the thalamus might be related to behavioral disorders characterized by uncooperativeness.Trial registrationUMIN 000029531. Registered 27 March 2017, retrospectively registered.Electronic supplementary materialThe online version of this article (10.1186/s13030-018-0125-0) contains supplementary material, which is available to authorized users.

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“…Pada remaja, kejadian traumatis akan menyebabkan berkurangnya ketertarikan dalam aktifitas sosial dan sekolah, anak menjadi pemberontak, gangguan makan, gangguan tidur, kurang konsentrasi, dan mengalami PTSD dan dalam resiko yang besar terkena penyalahgunaan alkohol ataupun prostitusi (Brassel et al, 2016 Damayanti, 2012). Selain itu korban bencana akan mengalami perubahan dalam kepribadian yang berpengaruh pada tingkat fungsi dan hubungan dengan lingkungan sekitarnya dan bahkan mereka tidak mampu menata kembali hidup mereka.…”

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Pelatihan Konseling Kebencanaan Untuk Tagana (Pemuda Tanggap Bencana) Karang Taruna Kecamatan Dawe

Zamroni

Fadkhurosi

2023

SJPKM

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Pemuda TAGANA adalah kader siaga bencana yang saat ini telah disiapkan di masing-masing Karang Taruna Kecamatan di Seluruh Kabupaten Kudus. Seringnya terjadi bencana alam di kecamatan dawe menjadi penting untuk memiliki pemuda TAGANA yang mumpuni baik dalam hal mitigasi bencana fisik maupun rehabilitasi psikis kebencanaan. Saat ini, kemampuan pelayanan psikis kebencanaan masih sangat rendah sehingga diperlukan pelatihan konseling kebencanaan. Tujuan kegiatan ini adalah menghasilkan pemuda TAGANA yang berperan dalam membantu penanganan masalah psikologis korban bencana alam dengan memanfaatkan kader Karang Taruna Kecamatan Dawe. Kegiatan pelatihan ini akan dilaksanakan dalam 8 kali rancangan kegiatan mulai identifikasi pelayanan pemuda TAGANA sampai pada pelatihan kemampuan dasar pelaksanaan konseling kebencanaan. Kegiatan dilaksanakan mulai Agustus hingga September 2021 di Aula Kecamatan Dawe. Hasilnya dibentuk kelompok tagana yang memiliki spesialisasi penanganan pada orang dewasa dan anak-anak. Hal ini bertujuan untuk efisiensi dan efektifitas pelayanan konseling yang diberikan kepada klien pengguna layanan.

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Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery

Cited by 11 publications

References 50 publications

Perceptions of communication recovery following traumatic brain injury: A qualitative investigation across 2 years

Perceptions of communication recovery following traumatic brain injury: A qualitative investigation across 2 years

Association between uncooperativeness and the glucose metabolism of patients with chronic behavioral disorders after severe traumatic brain injury: a cross-sectional retrospective study

Pelatihan Konseling Kebencanaan Untuk Tagana (Pemuda Tanggap Bencana) Karang Taruna Kecamatan Dawe

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