Psychological outcomes following moderate-to-severe acquired brain injury: A longitudinal study

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dc.check.date2026-06-16en
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisheren
dc.contributor.authorIgoe, Annaen
dc.contributor.authorTwomey, Deirdre M.en
dc.contributor.authorAllen, Niamhen
dc.contributor.authorAgan, Maria L. F.en
dc.contributor.authorHayes, Aoifeen
dc.contributor.authorHiggins, Andreaen
dc.contributor.authorCarton, Simoneen
dc.contributor.authorRoche, Richarden
dc.contributor.authorHevey, Daviden
dc.contributor.authorBramham, Jessicaen
dc.contributor.authorBrady, Nualaen
dc.contributor.authorO’Keeffe, Fiadhnaiten
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2025-07-10T14:48:36Z
dc.date.available2025-07-10T14:48:36Z
dc.date.issued2025-06-16en
dc.description.abstractEmotional distress is highly prevalent in the years following an acquired brain injury (ABI). Yet, there is a lack of research examining the long-term psychological outcomes and potential influencing factors, among individuals with ABIs. In this study, we trace longitudinal changes in neuropsychological outcomes in 32 individuals with moderate-to-severe ABI who engaged in neurorehabilitation in a post-acute hospital. Outcomes assessed at one- and eight-years post-ABI include emotional distress, coping, subjective experience of injury-related difficulties, and quality of life (QOL). Almost half of all participants reported clinically elevated symptoms of anxiety and depression at eight-years post-ABI (t2). There was minimal variation in neuropsychological outcomes between one- and eight-years post-ABI. Greater use of maladaptive coping responses was associated with greater symptoms of anxiety and depression at t1. As the subjective experiences of injury-related difficulties increased, so too did the symptoms of anxiety and depression at both timepoints. Higher levels of depression were associated with lower psychological and social QOL at t1 and lower levels of psychological, physical, social, and environmental QOL at t2. This study offers a unique insight into the intricate links that exist longitudinally between coping responses, subjective experiences of injury-related difficulties, QOL, and emotional distress following an ABI. It also highlights the need to conceptualize ABI as a chronic health condition that requires long term psychological support.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationIgoe, A., Twomey, D. M., Allen, N., Agan, M. L., Hayes, A., Higgins, A., Carton, S., Roche, R., Hevey, D., Bramham, J., Brady, N. and O'Keeffe, F. (2025) 'Psychological outcomes following moderate-to-severe acquired brain injury: A longitudinal study', Applied Neuropsychology: Adult, pp.1-10. https://doi.org/10.1080/23279095.2025.2513620en
dc.identifier.doi10.1080/23279095.2025.2513620en
dc.identifier.eissn2327-9109en
dc.identifier.endpage10en
dc.identifier.issn2327-9095en
dc.identifier.journaltitleApplied Neuropsychology: Adulten
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/17693
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.ispartofApplied Neuropsychology: Adulten
dc.relation.projectHealth Research Board (Summer Scheme Scholarshipen
dc.rights© 2025, Taylor & Francis Group, LLC. This is an Accepted Manuscript of an item published by Taylor & Francis in Applied Neuropsychology: Adult, on 16 June 2025, available online: https://doi.org/10.1080/23279095.2025.2513620en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectAcquired brain injuryen
dc.subjectAnxietyen
dc.subjectCopingen
dc.subjectDepressionen
dc.subjectLongitudinal outcomesen
dc.subjectQuality of lifeen
dc.titlePsychological outcomes following moderate-to-severe acquired brain injury: A longitudinal studyen
dc.typeArticle (peer-reviewed)en
dc.typejournal-articleen
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