TY  - JOUR
PY  - 2015//
TI  - A transdiagnostic investigation of emotional distress after traumatic brain injury
JO  - Neuropsychological rehabilitation
A1  - Shields, Cassandra
A1  - Ownsworth, Tamara
A1  - O'Donovan, Analise
A1  - Fleming, Jennifer
SP  - 410
EP  - 445
VL  - 26
IS  - 3
N2  - Emotional distress after traumatic brain injury (TBI) often presents as a range of neurobehavioural and emotional reactions rather than distinct disorders. This study adopted a transdiagnostic approach with the aim of identifying psychological processes common to depression, anxiety and global distress after TBI. Fifty participants with TBI (aged 19-66 years, 12-65 months post-injury) completed measures of threat appraisals and avoidance behaviour (Appraisal of Threat and Avoidance Questionnaire), self-discrepancy (Head Injury Semantic Differential Scale III), emotion dysregulation (Difficulties in Emotion Regulation Scale), worry (Penn State Worry Questionnaire), negative self-focused attention (Self-Focus Sentence Completion) and emotional distress (Depression Anxiety Stress Scales and Brief Symptom Inventory). Significant correlations were found among the proposed transdiagnostic variables (rs = .29-.82, p < .05). A principal components analysis revealed two underlying factors: (1) Threats to Self, and (2) Emotion Dysregulation. Only the Emotion Dysregulation factor accounted for significant unique variance in levels of depression, anxiety and global distress (sr(2)  = .12-.17). Such findings indicate the need for interventions to target difficulties in identifying and regulating emotions after TBI to facilitate emotional adjustment.<p />  <p>Language: en</p>
LA  - en
SN  - 0960-2011
UR  - http://dx.doi.org/10.1080/09602011.2015.1037772
ID  - ref1
ER  -