%0 Journal Article
%T A study of the influence of cognitive complaints, cognitive performance and symptoms of anxiety and depression on self
%A Gerard M Ribbers
%A Inge Verlinden
%A Ingrid MH Brands
%J Clinical Rehabilitation
%@ 1477-0873
%D 2019
%R 10.1177/0269215518795249
%X To examine the relationship between self-efficacy for managing brain injury¨Cspecific symptoms and cognitive performance, subjective cognitive complaints and anxiety and depression symptoms in patients with acquired brain injury (ABI). Clinical cohort study. General hospitals, rehabilitation centres. A total of 122 patients with newly ABI (mean age£¿=£¿54.4£¿years (SD, 12.2)) were assessed at discharge home from inpatient neurorehabilitation or at start of outpatient neurorehabilitation after discharge home from acute hospital. Mean time since injury was 14.1£¿weeks (SD, 8.6). Self-efficacy was measured using the Traumatic Brain Injury (TBI) Self-Efficacy Questionnaire (SEsx), mean score£¿=£¿82.9 (SD, 21.8). Objective cognitive performance was measured with the Symbol Digit Modalities Test (SDMT), mean z-score£¿=£¿£¿1.36 (SD, 1.31). Anxiety and depression symptoms were measured with the Hospital Anxiety and Depression Scale (HADS), cognitive complaints with the self-rating form of the Dysexecutive Questionnaire (DEX-P). Higher levels of subjective cognitive complaints and higher levels of anxiety and depression symptoms were significantly associated with lower self-efficacy (¦Â£¿=£¿£¿0.35; P£¿=£¿.001 and ¦Â£¿=£¿0.43; P < .001, respectively). Objective cognitive performance was not significantly associated with self-efficacy (¦Â£¿=£¿0.04, P£¿=£¿.53). DEX-P scores accounted for 42% and HADS scores for 7% of the total 57% variance explained. Objective cognitive performance did not correlate significantly with subjective cognitive complaints (r£¿=£¿£¿.13, P£¿=£¿.16). Control over interfering emotions and mastery over brain injury¨Cassociated symptoms seems important in the development of self-efficacy for managing brain injury¨Cspecific symptoms
%K Self-efficacy
%K neuropsychological rehabilitation
%K cognitive impairment
%K emotional distress
%K brain injury
%U https://journals.sagepub.com/doi/full/10.1177/0269215518795249