Primary objective

The purpose of this study was to investigate the influence of perceived personal responsibility for an acquired ABI (ABI) on shame, and whether self-compassion moderates this relationship. We hypothesized that people who perceived themselves to be responsible for their injury would have high levels of shame and poorer recovery outcomes.

Research design

A mixed-methods design was employed using both standardized measures and a series of open questions.

Methods and procedures

66 participants with ABI were included in the analysis. Data were analyzed using descriptive statistics, correlations, multiple regression, and thematic analysis.

Main outcomes and results

Significant relationships were found between self-compassion, shame, anxiety, and depression, but perceived responsibility for ABI was not correlated with any examined variables. Due to issues with the measurement of responsibility, it was not possible to complete all proposed forms of analysis. The thematic analysis revealed the ways participants’ injuries affected their perceived level of functioning, its consequences for sense of self, shame, and self-compassion.

Conclusions

This study concluded that people with ABI might experience shame with respect to the injury’s impact on functioning. Study limitations and implications for providing therapeutic interventions such as Compassion Focused Therapy and Acceptance and Commitment Therapy are discussed.

中文翻译：

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自我同情对获得性脑损伤后感知的责任感和羞耻感的影响。

主要目标

这项研究的目的是调查对获得的ABI（ABI）的个人责任感对羞耻感的影响，以及自我同情是否会缓和这种关系。我们假设那些认为自己对自己的伤害负责的人会感到很高的耻辱感，而且恢复效果较差。

研究设计

使用标准化方法和一系列公开问题采用了混合方法设计。

方法与程序

分析包括66名ABI参与者。使用描述性统计，相关性，多元回归和主题分析对数据进行分析。

主要成果和结果

在自我同情，羞耻，焦虑和抑郁之间发现了重要的关系，但是对ABI的责任感与任何检查的变量均无关。由于责任度量存在问题，因此无法完成所有建议的分析形式。专题分析揭示了参与者的伤害如何影响他们的感知功能水平，其对自我意识，羞耻感和同情心的影响。

结论

这项研究得出的结论是，对于受伤对功能的影响，ABI患者可能会感到羞耻。讨论了研究的局限性和对提供治疗干预措施的意义，例如以同情心疗法和接受与承诺疗法。