Article

This study examined the relationship between the nature of feedback provided by
close-others and self-awareness in individuals with traumatic brain injury (TBI).
Using a cross-sectional design, 69 individuals with mild-to-severe TBI and their
close-others completed the Awareness Questionnaire, Hospital Anxiety and
Depression Scale, Trail Making Test-Part B and Feedback about Cognitive
Difficulties Questionnaire, between 3 months and 20 years post-injury. Results
showed cognitive and/or behavioural issues post-injury were identified in 97% of
individuals with TBI and over 80% of these were provided with feedback by
close-others at least sometimes after making errors. Close-others reported two
main reasons for not providing feedback about problems: (1) not wanting to hurt
the feelings of the injured individual and (2) pointing out errors would be
detrimental to the injured individual's rehabilitation. Whilst nearly 60% of the
individuals with TBI were reported to detect an error once they received
feedback, they showed low levels of acceptance/acknowledgement in response to
feedback. Analyses including injury-related and emotional variables failed to
identify any mediated or moderated relations between frequency of feedback and
self-awareness. The high rates of feedback by close-others but low
acceptance/acknowledgement of that feedback by individuals with TBI suggests that
clinicians may need to work in partnership with close-others to facilitate
supportive relationships for effective delivery of feedback.

Langue : ANGLAIS