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Self-awareness and quality of relationships after acquired brain injury: Systematic review without meta-analysis (SWiM).

Authors
  • McCabe, Corinne1
  • Sica, Andrea2
  • Doody, Niamh1
  • Fortune, Donal G1, 3, 4
  • 1 Department of Psychology, University of Limerick, Co Limerick, Limerick, Ireland. , (Ireland)
  • 2 Acquired Brain Injury Ireland, Dublin, Ireland. , (Ireland)
  • 3 HSE CHO 3 Mid West, Limerick, Ireland. , (Ireland)
  • 4 Health Research Institute, University of Limerick, Limerick, Ireland. , (Ireland)
Type
Published Article
Journal
Neuropsychological Rehabilitation
Publisher
Informa UK (Taylor & Francis)
Publication Date
Apr 01, 2024
Volume
34
Issue
3
Pages
335–361
Identifiers
DOI: 10.1080/09602011.2023.2186437
PMID: 36908086
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Relational aspects of self-awareness following Acquired Brain Injury (ABI) are increasingly being recognized. However, research underpinning the nature of the association between self-awareness and quality of relationships has yet to be synthesized. Searches, which were completed between February 2022 and February 2023, consisted of combining terms related to ABI, self-awareness, and quality of relationships. Data were analyzed using the Synthesis Without Meta-Analysis (SWiM) approach. Associations between self-awareness and relationship quality across eight studies identified for this review differed in direction and significance. A more consistent pattern emerged, however, when studies assessing the quality of specific types of relationships i.e., spousal (N = 1) and therapeutic (N = 3), were compared to studies assessing the quality of a person's broader network of relationships (N = 4). In particular, good awareness was positively associated with the quality of specific relationships (r = 0.66) whereas it was negatively associated with the quality of a person's broader network of relationships (r = -0.35). Results are discussed with consideration given to measures assessing the quality of specific relationships. In particular, such measures may tap into important patterns of interaction between two individuals, such as those related to attunement or communication, which may be valuable preconditions for improving awareness.

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