Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review
Journal article
Whiting, Diane L., Deane, Frank P., Simpson, Grahame K., McLeod, Hamish J. and Ciarrochi, Joseph. (2017). Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review. Neuropsychological Rehabilitation. 27(2), pp. 263 - 299. https://doi.org/10.1080/09602011.2015.1062115
Authors | Whiting, Diane L., Deane, Frank P., Simpson, Grahame K., McLeod, Hamish J. and Ciarrochi, Joseph |
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Abstract | This paper provides a selective review of cognitive and psychological flexibility in the context of treatment for psychological distress after traumatic brain injury, with a focus on acceptance-based therapies. Cognitive flexibility is a component of executive function that is referred to mostly in the context of neuropsychological research and practice. Psychological flexibility, from a clinical psychology perspective, is linked to health and well-being and is an identified treatment outcome for therapies such as acceptance and commitment therapy (ACT). There are a number of overlaps between the constructs. They both manifest in the ability to change behaviour (either a thought or an action) in response to environmental change, with similarities in neural substrate and mental processes. Impairments in both show a strong association with psychopathology. People with a traumatic brain injury (TBI) often suffer impairments in their cognitive flexibility as a result of damage to areas controlling executive processes but have a positive response to therapies that promote psychological flexibility. Overall, psychological flexibility appears a more overarching construct and cognitive flexibility may be a subcomponent of it but not necessarily a pre-requisite. Further research into therapies which claim to improve psychological flexibility, such as ACT, needs to be undertaken in TBI populations in order to clarify its utility in this group. |
Keywords | psychological flexibility; Cognitive flexibility; Acceptance and commitment therapy (ACT); Traumatic brain injury; Conceptual review |
Year | 2017 |
Journal | Neuropsychological Rehabilitation |
Journal citation | 27 (2), pp. 263 - 299 |
Publisher | Routledge |
ISSN | 0960-2011 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/09602011.2015.1062115 |
Scopus EID | 2-s2.0-84936970950 |
Page range | 263 - 299 |
Research Group | Institute for Positive Psychology and Education |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/855w2/cognitive-and-psychological-flexibility-after-a-traumatic-brain-injury-and-the-implications-for-treatment-in-acceptance-based-therapies-a-conceptual-review
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