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Shame, self-discrepancies, and adjustment after acquired brain injury

Hughes, Rachel; Fleming, Pete; Henshall, Lauren


Rachel Hughes

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Dr Peter Fleming
Clinical Tutor and Consultant Clinical Neuropsychologist

Lauren Henshall



Objectives: To explore the relationship between shame and self-discrepancies and the extent that these
factors predict adjustment after an acquired brain injury (ABI).
Method: 62 participants with an ABI completed the following self-report qualitative questionnaires: the
Hospital Anxiety and Depression Scale, the Quality of Life after Brain Injury Scale, the Internalized Shame
Scale, and the Head Injury Semantic Differential Scale – III. Data was analyzed using correlations, repeated
ANOVA, and multiple regression models.
Results: A significant self-discrepancy was found between the present self and the pre-injury self, with the
present self-being rated more negatively. This self-discrepancy was found to be positively correlated to
shame, and these two variables were found to predict adjustment (emotional distress and quality of life).
Conclusions: Shame and self-discrepancies both appear to play a crucial role in adjustment following an
ABI. However, the relationship between shame and self-discrepancies needs more consideration to
understand how these variables may interact to predict adjustment


Hughes, R., Fleming, P., & Henshall, L. (in press). Shame, self-discrepancies, and adjustment after acquired brain injury. Brain Injury, 1-7.

Journal Article Type Article
Acceptance Date May 27, 2020
Online Publication Date Jul 2, 2020
Deposit Date Jul 8, 2020
Publicly Available Date Jul 3, 2021
Journal Brain Injury
Print ISSN 0269-9052
Electronic ISSN 1362-301X
Publisher Taylor & Francis
Peer Reviewed Peer Reviewed
Pages 1-7
Keywords brain injury; shame; self-discrepancies; adjustment
Public URL
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope:; Received: 2019-10-10; Revised: 2020-05-22; Accepted: 2020-05-27; Published: 2020-07-02


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