Curvis William, Simpson Jane, Hampson Natalie
a Division of Health Research , Furness College, Lancaster University , Lancaster , UK.
b Department of Neuropsychology, Salford Royal NHS Foundation Trust , Salford , UK.
Neuropsychol Rehabil. 2018 Jan;28(1):142-183. doi: 10.1080/09602011.2016.1144515. Epub 2016 Mar 3.
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.
自尊可能是后天脑损伤（ABI）后心理和社会心理健康的关键因素。当前的综述旨在识别、综合和评估所有关于成年后ABI患者自尊的预测因素或相关因素的现有定量实证研究。共有27篇论文符合纳入标准。一系列临床因素与ABI后的自尊相关，包括身体和功能损伤程度。尚不清楚认知障碍与高自尊还是低自尊相关。此外，应对方式、适应以及对问题或康复的认知等心理变量与ABI后的自尊相关。抑郁与低自尊密切相关，焦虑、心理困扰和生活质量也与之相关。讨论了现有研究的局限性以及对临床实践和进一步研究的建议。特别是，需要结合对自尊的当代理论理解，这种理解应与ABI人群中自尊概念化和测量方式随时间的发展相结合并得到其支持。综述结果表明，自尊是ABI后需要考虑的一个重要因素，尤其是在制定考虑生物、社会和心理因素的个性化、基于评估的康复干预措施时。
