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Published in: Journal of Clinical Psychology in Medical Settings 4/2020

01-12-2020 | Central Nervous System Trauma

Spiritual Well-Being as a Predictor of Emotional Impairment Following Mild Traumatic Brain Injury

Authors: Angela Sekely, Yimin Xie, Aalim Makani, Tyler Brown, Konstantine K. Zakzanis

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2020

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Abstract

Traumatic brain injury (TBI) is a leading cause of death and disability, with injuries classified as mild in severity being the most frequently sustained. While the majority of patients recover within 3 months post-injury, many individuals continue to experience debilitating emotional sequelae several months after the injury. While spiritual well-being has been shown to carry protective benefits against both depression and anxiety in the general population, it has not been investigated as a protective factor in this population. The aim of this study was to investigate whether spiritual well-being leads to a reduction in anxious and depressive symptomatology following mild TBI (mTBI). The Beck Anxiety Inventory, Beck Depression Inventory-II, and Spiritual Well-Being Scale were administered to a sample of 83 litigating examinees who had undergone neuropsychological testing to assess their present functioning secondary to mTBI. The existential well-being (EWB) subscale significantly predicted depressive symptomatology. These findings support the role of EWB as contributory factor related to depressive symptomatology following mTBI. Rehabilitation practitioners should consider treatment paradigms that address EWB as a primary contributor to reduce depressive symptomatology, which may ultimately lead to improved functional ability.
Literature
go back to reference Army Individual Test Battery. (1944). Manual of directions and scoring. Washington, DC: War Department, Adjutant General’s Office. Army Individual Test Battery. (1944). Manual of directions and scoring. Washington, DC: War Department, Adjutant General’s Office.
go back to reference Beck, A., Steer, R. A., & Brown, G. K. (1993). Beck anxiety inventory manual. San Antonio, TX: Psychological Corporation. Beck, A., Steer, R. A., & Brown, G. K. (1993). Beck anxiety inventory manual. San Antonio, TX: Psychological Corporation.
go back to reference Beck, A., Steer, R., & Brown, G. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corportation. Beck, A., Steer, R., & Brown, G. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corportation.
go back to reference Cohen, D., Yoon, D. P., & Johnstone, B. (2009). Differentiating the impact of spiritual experiences, religious practices, and congregational support on the mental health of individuals with heterogeneous medical disorders. International Journal for the Psychology of Religion, 19, 121–138. https://doi.org/10.1080/10508610802711335.CrossRef Cohen, D., Yoon, D. P., & Johnstone, B. (2009). Differentiating the impact of spiritual experiences, religious practices, and congregational support on the mental health of individuals with heterogeneous medical disorders. International Journal for the Psychology of Religion, 19, 121–138. https://​doi.​org/​10.​1080/​1050861080271133​5.CrossRef
go back to reference Corporation, I. B. M. (2016). IBM SPSS statistics for windows version 24.0. Armonk, NY: IBM Corporation. Corporation, I. B. M. (2016). IBM SPSS statistics for windows version 24.0. Armonk, NY: IBM Corporation.
go back to reference Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology & Theology, 11, 330–340.CrossRef Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology & Theology, 11, 330–340.CrossRef
go back to reference Feinstein, A., Ouchterlony, D., Somerville, J., & Jardine, A. (2001). The effects of litigation on symptom expression: A prospective study following mild traumatic brain injury. Medicine, Science and the Law, 41, 116–121.CrossRef Feinstein, A., Ouchterlony, D., Somerville, J., & Jardine, A. (2001). The effects of litigation on symptom expression: A prospective study following mild traumatic brain injury. Medicine, Science and the Law, 41, 116–121.CrossRef
go back to reference Frankl, V. (1992). Teoria y terapia de las neurosis. Iniciacion a la logoterapia y el analisis existencial. Barcelona: Herder. Frankl, V. (1992). Teoria y terapia de las neurosis. Iniciacion a la logoterapia y el analisis existencial. Barcelona: Herder.
go back to reference Greiffenstein, M. F., Baker, W. J., & Gola, T. (1994). Validation of malingered amnesic measures with a large clinical sample. Psychological Assessment, 6, 218–224.CrossRef Greiffenstein, M. F., Baker, W. J., & Gola, T. (1994). Validation of malingered amnesic measures with a large clinical sample. Psychological Assessment, 6, 218–224.CrossRef
go back to reference Hill, P., & Edwards, E. (2013). Measurement in the psychology of religiousness and spirituality: Existing measures and new frontiers. In K. I. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA Handbook of psychology, religion, and spirituality (Volume 1): Context, theory, and research (pp. 51–77). Washington, DC: American Psychological Association.CrossRef Hill, P., & Edwards, E. (2013). Measurement in the psychology of religiousness and spirituality: Existing measures and new frontiers. In K. I. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA Handbook of psychology, religion, and spirituality (Volume 1): Context, theory, and research (pp. 51–77). Washington, DC: American Psychological Association.CrossRef
go back to reference Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.CrossRef Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.CrossRef
go back to reference Langlois, J. A., Kegler, S. R., Butler, J. A., Gotsch, K. E., Johnson, R. L., Reichard, A. A., … Thurman, D. J. (2003). Traumatic brain injury-related hospital discharges. Morbidity and Mortality Weekly Report, 52, 1–20. Langlois, J. A., Kegler, S. R., Butler, J. A., Gotsch, K. E., Johnson, R. L., Reichard, A. A., … Thurman, D. J. (2003). Traumatic brain injury-related hospital discharges. Morbidity and Mortality Weekly Report, 52, 1–20.
go back to reference Mathias, J. L., & Coats, J. L. (1999). Emotional and cognitive sequelae to mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 21, 200–215.CrossRefPubMed Mathias, J. L., & Coats, J. L. (1999). Emotional and cognitive sequelae to mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 21, 200–215.CrossRefPubMed
go back to reference McClain, C. S., Rosenfeld, B., & Brierbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet, 361, 1603–1607.CrossRefPubMed McClain, C. S., Rosenfeld, B., & Brierbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet, 361, 1603–1607.CrossRefPubMed
go back to reference National Center for Injury Prevention and Control. (2003). Report to congress on mild traumatic brain injury in the United States: Steps to prevent a serious public health problem. Atlanta, GA: Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. (2003). Report to congress on mild traumatic brain injury in the United States: Steps to prevent a serious public health problem. Atlanta, GA: Centers for Disease Control and Prevention.
go back to reference Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and quality of life. In L. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy. New York: Wiley. Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and quality of life. In L. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy. New York: Wiley.
go back to reference Reitan, R. M. (1955). An investigation of the validity of Halstead’s measures of biological intelligence. Archives of Neurology & Psychiatry, 73, 28–35.CrossRef Reitan, R. M. (1955). An investigation of the validity of Halstead’s measures of biological intelligence. Archives of Neurology & Psychiatry, 73, 28–35.CrossRef
go back to reference Reitan, R. M. (1958). Validity of the trail making test as an indicator of organic brain damage. Perceptual and Motor Skills, 8, 271–276.CrossRef Reitan, R. M. (1958). Validity of the trail making test as an indicator of organic brain damage. Perceptual and Motor Skills, 8, 271–276.CrossRef
go back to reference Reitan, R. M., & Wofson, D. (1993). The Halstead-Reitan Neuropsychological Test Battery: Theory and clinical interpretation. Tucson, AZ: Neuropsychology Press. Reitan, R. M., & Wofson, D. (1993). The Halstead-Reitan Neuropsychological Test Battery: Theory and clinical interpretation. Tucson, AZ: Neuropsychology Press.
go back to reference Rey, A. (1964). L’examen clinique en psychologie [The clinical examination in psychology]. Paris: Presses Universitaires de France. Rey, A. (1964). L’examen clinique en psychologie [The clinical examination in psychology]. Paris: Presses Universitaires de France.
go back to reference Tombaugh, T. N. (1996). Test of memory malingering (TOMM). New York: Multi-Health Systems. Tombaugh, T. N. (1996). Test of memory malingering (TOMM). New York: Multi-Health Systems.
Metadata
Title
Spiritual Well-Being as a Predictor of Emotional Impairment Following Mild Traumatic Brain Injury
Authors
Angela Sekely
Yimin Xie
Aalim Makani
Tyler Brown
Konstantine K. Zakzanis
Publication date
01-12-2020
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2020
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-019-09687-3

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