Life goal attainment in the adaptation process after acquired brain injury: the influence of self-efficacy and of flexibility and tenacity in goal pursuit

Brands, Ingrid; Stapert, Sven; Köhler, Sebastian; Wade, Derick T; Heugten, Caroline van

doi:10.1177/0269215514549484

Cited by 38 publications

(42 citation statements)

References 44 publications

(89 reference statements)

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“…For example, as rumination can promote maintenance of a certain mindset (stability), it can be adaptive in tasks that require goal maintenance (Altamirano et al, 2010). The capacity to focus attention on one goal, and employ goalrelated transdiagnostic processes, can be beneficial in some circumstances (e.g., Brands et al, 2015;Dunne, Coffey, Gallagher, & Desmond, 2014); however, not when this is at the ongoing expense of another important goal (Henselmans et al, 2011). This supports the suggestion that employment of transdiagnostic processes can be described as rigid when it impedes goal progress, as the same process can both facilitate and impede goal progress depending on the context.…”

Section: An Integrative Pct Frameworkmentioning

confidence: 99%

A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology

Morris

Mansell

2018

Journal of Experimental Psychopathology

121

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An ever-growing number of transdiagnostic processes that maintain psychopathology across disorders have been identified. However, such processes are not consistently associated with psychological distress and symptoms. An understanding of what makes such processes pathological is required. One possibility is that individual differences in rigidity in the implementation of these processes determine the degree of psychopathology. The aim of this article is to examine the relationship between rigidity/flexibility and transdiagnostic maintenance processes. Initial searches were made for research examining relationships between 18 transdiagnostic processes and rigidity/flexibility. Relationships between rumination, perfectionism, impulsivity and compulsivity, and rigidity/flexibility were systemically reviewed; 50 studies met inclusion criteria. The majority of studies indicated that transdiagnostic cognitive and behavioral maintenance processes and rigidity were correlated, co-occurring, or predictive of each other. Findings are consistent with the hypothesis that it is inflexibility in the manner in which processes are employed that makes them pathologically problematic. However, further research is required to test and establish this.

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Section: An Integrative Pct Frameworkmentioning

confidence: 99%

A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology

Morris

Mansell

2018

Journal of Experimental Psychopathology

121

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“…It is essential to understand the experiences and perceptions of patients and carers during the transitional phase to inform improvements to service delivery to meet their needs [10]. Although there is some relevant literature [9,10,[32][33][34][35] studies often conflate mild, moderate and severe TBI [6,17,[35][36][37], use a sample with mixed brain injury diagnoses [11,17], adhere to quantitative measures [16,36,37] or do 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 not focus solely on the transition period [6,15,16,36]. Thus there appears to be a gap in understanding what is important and beneficial to patients with severe TBI, and their and carers, in the context of UK healthcare in this transitional phase, and how best to meet these needs.…”

Section: Current Practicementioning

confidence: 99%

“…We considered the ethics of dyad versus individual interviews. We anticipated that most participants would be married/inter-dependent couples and it would be artificial to isolate patient from carer when the effects of brain injury, acquired or traumatic, so clearly affect the carer and family [11,36]. We followed the Ethics Committee's recommendation of giving respondents the choice to be interviewed separately or together and seven out of nine dyads opted for the latter.…”

Section: Ethics and Research Governancementioning

confidence: 99%

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Abrahamson

Jensen

Springett

et al. 2016

Disability and Rehabilitation

124

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Most patients and carers struggled to identify a cohesive plan that supported their transition to living in the community. Access to services required much persistence on the part of carers and tended to be short-term, and therefore did not meet their long-term needs. We propose the need for a case manager to be involved at an early stage of their rehabilitation and act as a key point for information and access to on-going rehabilitation and other support services. Implications for Rehabilitation Traumatic Brain Injury (TBI) is a major cause of long-term disability. It can affect all areas of daily life and significantly reduce quality of life for both patient and carer. Professionals appear to underestimate the change in abilities and impact on daily life once patients return home. Community services maintain a short-term focus, whereas patients and carers want to look further ahead - this dissonance adds to anxiety. The study's findings on service fragmentation indicate an urgent need for better integration within health services and across health, social care and voluntary sectors. A link person/case manager who oversees the patient journey from admission onwards would help improve integrated care and ensure the patient, and carer, are at the center of service provision.

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“…As the “broaden-and-build theory” postulates, positive affect broadens attention to other stimuli, thoughts, and opportunities and facilitates the ability to think creatively and flexibly [ 33 ]. This may explain the finding that, in contrast to negative affect, positive affect is related to a more diverse array of goal management strategies [ 12 , 29 , 31 , 32 , 34 , 35 ]. Thus, the “broaden-and-build theory” could complement goal regulation models: given that optimism and pessimism are related to positive and negative affect, respectively, it could be postulated that affect mediates the relationship between optimism and pessimism and goal management strategies.…”

Section: Introductionmentioning

confidence: 99%

Optimism, Positive and Negative Affect, and Goal Adjustment Strategies: Their Relationship to Activity Patterns in Patients with Chronic Musculoskeletal Pain

Esteve

López‐Martínez

Peters

et al. 2018

Pain Research and Management

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Objective Activity patterns are the product of pain and of the self-regulation of current goals in the context of pain. The aim of this study was to investigate the association between goal management strategies and activity patterns while taking into account the role of optimism/pessimism and positive/negative affect. Methods Two hundred and thirty-seven patients with chronic musculoskeletal pain filled out questionnaires on optimism, positive and negative affect, pain intensity, and the activity patterns they employed in dealing with their pain. Questionnaires were also administered to assess their general goal management strategies: goal persistence, flexible goal adjustment, and disengagement and reengagement with goals. Results Structural equation modelling showed that higher levels of optimism were related to persistence, flexible goal management, and commitment to new goals. These strategies were associated with higher positive affect, persistence in finishing tasks despite pain, and infrequent avoidance behaviour in the presence or anticipation of pain. Conclusions The strategies used by the patients with chronic musculoskeletal pain to manage their life goals are related to their activity patterns.

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Life goal attainment in the adaptation process after acquired brain injury: the influence of self-efficacy and of flexibility and tenacity in goal pursuit

Abstract: To optimise adaptation it seems appropriate to promote self-efficacy and both tenacity and flexibility during rehabilitation treatment.

Cited by 38 publications

References 44 publications

A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology

A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Optimism, Positive and Negative Affect, and Goal Adjustment Strategies: Their Relationship to Activity Patterns in Patients with Chronic Musculoskeletal Pain

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