Investigating the discrepancy between subjective and objective cognitive impairment following acquired brain injury: The role of psychological affect

Byrne, Christopher; Coetzer, Rudi; Addy, Karen

doi:10.3233/nre-162015

Cited by 14 publications

(11 citation statements)

References 43 publications

(38 reference statements)

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“…This idea is consistent with previous findings (Evans et al, 2008), and qualitative evidence, which suggests that 'emotional difficulties' are often a challenge to developing an alliance (Judd & Wilson, 2005). It is widely acknowledged that emotional distress can impact on processes important in rehabilitation (Coetzer et al, 2018), such as motivation (Siegert & Taylor, 2004) and appraisals of impairment (Byrne, Coetzer, & Addy, 2017). The present study's findings extend this idea, by providing direct evidence that depression also negatively impacts the development of the TA.…”

Section: Depression Is a Significant Predictor But Not In All Casessupporting

confidence: 88%

Building the bond: Predictors of the alliance in neurorehabilitation

Rowlands

Coetzer

Turnbull

2020

NRE

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Neurorehabilitation services are often delivered through group psycho-education programmes. However, little is known about the therapeutic process at work during such sessions. The present study is the first to gain insight into the therapeutic alliance, during a seven session group programme. In addition, cognitive, emotional, and demographic predictors of the alliance, and participants' feelings towards their group members, were investigated, together with predictors of patient engagement. Forty-five participants with an acquired brain injury completed a series of questionnaires, and neuropsychological assessment, following group psycho-education. The group Facilitator completed a parallel therapeutic alliance questionnaire, and rated participants' engagement. Results demonstrated that a strong alliance can be formed in seven group sessions. Notably, no demographic or cognitive factors appear to pose a barrier to developing a therapeutic alliance, nor to group attraction. High levels of depression, however, may be a challenge, and clinicians may need to tailor their clinical skills to ensure a good therapeutic relationship with such patients. To promote engagement, clinicians may also need to provide additional support to patients with lower levels of education, working memory, and episodic memory impairment.

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Section: Depression Is a Significant Predictor But Not In All Casessupporting

confidence: 88%

Building the bond: Predictors of the alliance in neurorehabilitation

Rowlands

Coetzer

Turnbull

2020

NRE

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“…In a more recent assessment-based study, ABI participants' subjective reports of cognitive impairment were found to be unrelated to objective cognitive measures. However, their subjective impairments were closely related to self-reported depression and anxiety, suggesting that emotion, rather than objective impairment, may be an important influence on patients' appraisals of their cognitive impairments (Byrne, Coetzer & Addy, 2017). However, with time, and with the NWBIS becoming more active in delivering an assessment and rehabilitation service to increasing numbers of patients with acquired brain injury, more novel research questions started to emerge from our daily clinical practice.…”

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confidence: 99%

Neuropsychoanalytically informed psychotherapy approaches to rehabilitation: The North Wales Brain Injury Service – Bangor University experience 1998–2018

Coetzer

Roberts

Turnbull

et al. 2018

Neuropsychoanalysis

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The North Wales Brain Injury Service was developed 20 years ago, to provide multidisciplinary community-based neuropsychological rehabilitation to the residents of North Wales. The theoretical underpinning of clinical service delivery is an adapted, slow-stream Holistic Neuropsychological Rehabilitation model. Some of its key aspects include the provision of long-term psychotherapeutic follow-up, to facilitate psychological adjustment, self-awareness, and encourage self-management over time. While financial realities undeniably influenced the way this model was developed (the North Wales Brain Injury Service is a publically funded NHS service), an equally influential factor was a recognition of the central role that neuropsychoanalytically informed psychotherapy can play in post-acute neuro-rehabilitation. In post-acute rehabilitation settings, where working psychotherapeutically with problems of selfawareness towards psychological adjustment is central to the clinical model, the relevance of time over intensity of intervention is very important. Over the past two decades the service has evolved in several areas. While the service is multiprofessional, this paper mainly reports on the nature of programme developments as regards psychotherapy, resulting from the close collaboration of the North Wales Brain Injury Service with its local academic partner, Bangor University. In this context, five distinctive but interrelated themes of neuropsychoanalytically-informed approaches used in the service are discussed.

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“…Note that this pattern of results was as well replicated in people across various conditions other than psychosis. For instance, elder adults with mild cognitive decline (Lehrner et al, 2016), people with chronic fatigue syndrome (Cockshell & Mathias, 2014) and individuals following acquired brain injury (Byrne, Coetzer, & Addy, 2017) were found to have minimal associations between subjective cognitive ability and object performances on neurocognitive tests.…”

Section: Discussionmentioning

confidence: 99%

“…Besides, depression as a predictor of SCI was also reported in other conditions. For instance, Byrne et al () has recently demonstrated that depression is positively correlated with SCI domains in people following acquired brain injury.…”

Section: Discussionmentioning

confidence: 99%

Objective and subjective cognitive functioning in relation to psychopathology among women with early psychosis

Tong

Chang

Chan

et al. 2018

Early Intervention Psych

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Background: Subjective cognitive impairment (SCI) among early psychosis is under-recognized and under-studied. However, SCI is as important as objective impairment to be understood, since it assesses cognitive difficulties in real-life situations from a personal perspective and is therefore an essence of individualized medicine. This study aims to explore the associations between the objective and subjective measures of cognitive impairments and to identify factors contributing to SCI among people with early psychosis.Methods: Participants were 60 females (mean age 24.57 AE 8.28) who had a diagnosis of psychotic-spectrum disorder within 5 years. They completed a battery of neuropsychological tests assessing a range of cognitive functions including verbal learning, memory, attention, and executive functions. The Subjective Cognitive Impairment Scale (SCIS) was used to assess their perceived cognitive decline. Psychotic symptoms and depression were also assessed.Results: SCIS was not correlated with any of the objective cognitive tests results. It was positively correlated with depression and positive symptoms. A hierarchical multiple regression model revealed that positive symptoms and depression together explained 31.9% of the total variance in SCIS and only depression significantly predicted SCI. Performances on the memory tests were correlated with, and predicted by negative symptoms.Conclusions: There was no correlation between SCI and objective cognitive performances in patients with early psychosis. Treatments should not only focus on symptomatic remission and performance of cognitive tests, but also place emphasis on improving moods and subjective cognitive functions of individuals with early psychosis. K E Y W O R D Sdepression, early psychosis, objective cognitive functioning, psychopathology, subjective cognitive impairments

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Investigating the discrepancy between subjective and objective cognitive impairment following acquired brain injury: The role of psychological affect

Cited by 14 publications

References 43 publications

Building the bond: Predictors of the alliance in neurorehabilitation

Building the bond: Predictors of the alliance in neurorehabilitation

Neuropsychoanalytically informed psychotherapy approaches to rehabilitation: The North Wales Brain Injury Service – Bangor University experience 1998–2018

Objective and subjective cognitive functioning in relation to psychopathology among women with early psychosis

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