a Department of Clinical Psychology and Psychotherapy , Philipps-University Marburg , Germany.
Neuropsychol Rehabil. 2013;23(5):678-97. doi: 10.1080/09602011.2013.801779. Epub 2013 May 29.
Acquired brain injury (ABI) confronts patients with sudden and possibly permanent functional impairments which disrupt or block the attainment of important life goals and reduce subjective well-being (SWB). This longitudinal study aimed at investigating changes in the importance and the attainability of communion and agency life goals and their impact on SWB. Self-report measures of life goals, functional status and SWB were assessed in 42 patients during acute rehabilitation two months following ABI (baseline) and reassessed 19 months following discharge (follow up). Results indicate a significant longitudinal decrease of the general attainability of life goals and of the present success in achieving communal and agentic life goals. Life goal importance remained stable. After controlling for baseline SWB and follow up functional status the attainability of communal life goals significantly predicted SWB at follow up whereas agentic life goals failed to predict SWB. The present findings show long-term deterioration of life goal attainability. They highlight that more emphasis should be given to realistic attainability attributions during rehabilitation processes. Moreover, the results stress the need for outpatient treatment to promote disengagement from unobtainable life goals and to offer means for the engagement in alternative life goals in order to maintain or regain SWB.
获得性脑损伤（ABI）使患者突然面临可能永久性的功能障碍，这些障碍会干扰或阻碍重要生活目标的实现，并降低主观幸福感（SWB）。这项纵向研究旨在调查交往和能动性生活目标的重要性和可实现性的变化及其对 SWB 的影响。在 ABI 后两个月的急性康复期间（基线）和出院后 19 个月（随访），对 42 名患者进行了生活目标、功能状态和 SWB 的自我报告测量。结果表明，生活目标的总体可实现性以及实现交往和能动性生活目标的当前成功率呈显著纵向下降。生活目标的重要性保持稳定。在控制基线 SWB 和随访功能状态后，交往生活目标的可实现性显著预测了随访时的 SWB，而能动性生活目标未能预测 SWB。目前的研究结果表明，生活目标的可实现性长期恶化。它们强调，在康复过程中，应该更加重视现实的可实现性归因。此外，研究结果强调了门诊治疗的必要性，以促进从无法实现的生活目标中解脱出来，并提供替代生活目标的途径，以维持或恢复 SWB。
