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Perceptions of self are lowered after a traumatic brain injury.

tbi self identityA strong sense of identity and well-being is important for self-confidence and self-esteem. People who have endured a traumatic brain injury (TBI) are often faced with changes in the way they perceive themselves and may struggle to adapt to a new identity, or self-concept.


A recent study found that people who have had a TBI had significantly lower scores in tests of self-esteem and self-concept and rated the perception of their abilities with family, social gatherings, and work much lower than those who have not had a TBI. In addition, their lower self-esteem and self-concept scores were significantly associated with depression and anxiety.


Clinicians should consider the adjustments that TBI survivors may experience with regard to their abilities and self-worth, and therefore work towards tasks and goals that help improve their confidence and sense of identity.


Ponsford J, Kelly A, & Couchman G. Self-concept and self-esteem after acquired brain injury: A control group comparison. Brain Injury. (February 2014).


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