The Journal of head trauma rehabilitation · 2016
A Conceptual Model of Irritability Following Traumatic Brain Injury: A Qualitative, Participatory Research Study.
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Hammond Flora M, Davis Christine, Cook James R, Philbrick Peggy, Hirsch Mark A
Аннотация
BACKGROUND: Individuals with a history of traumatic brain injury (TBI) may have chronic problems with irritability, which can negatively affect their lives.
OBJECTIVES: (1) To describe the experience (thoughts and feelings) of irritability from the perspectives of multiple people living with or affected by the problem, and (2) to develop a conceptual model of irritability.
DESIGN: Qualitative, participatory research.
PARTICIPANTS: Forty-four stakeholders (individuals with a history of TBI, family members, community professionals, healthcare providers, and researchers) divided into 5 focus groups.
PROCEDURES: Each group met 10 times to discuss the experience of irritability following TBI. Data were coded using grounded theory to develop themes, metacodes, and theories.
MEASURES: Not applicable.
RESULTS: A conceptual model emerged in which irritability has 5 dimensions: affective (related to moods and feelings); behavioral (especially in areas of self-regulation, impulse control, and time management); cognitive-perceptual (self-talk and ways of seeing the world); relational issues (interpersonal and family dynamics); and environmental (including environmental stimuli, change, disruptions in routine, and cultural expectations).
CONCLUSIONS: This multidimensional model provides a framework for assessment, treatment, and future research aimed at better understanding irritability, as well as the development of assessment tools and treatment interventions.
OBJECTIVES: (1) To describe the experience (thoughts and feelings) of irritability from the perspectives of multiple people living with or affected by the problem, and (2) to develop a conceptual model of irritability.
DESIGN: Qualitative, participatory research.
PARTICIPANTS: Forty-four stakeholders (individuals with a history of TBI, family members, community professionals, healthcare providers, and researchers) divided into 5 focus groups.
PROCEDURES: Each group met 10 times to discuss the experience of irritability following TBI. Data were coded using grounded theory to develop themes, metacodes, and theories.
MEASURES: Not applicable.
RESULTS: A conceptual model emerged in which irritability has 5 dimensions: affective (related to moods and feelings); behavioral (especially in areas of self-regulation, impulse control, and time management); cognitive-perceptual (self-talk and ways of seeing the world); relational issues (interpersonal and family dynamics); and environmental (including environmental stimuli, change, disruptions in routine, and cultural expectations).
CONCLUSIONS: This multidimensional model provides a framework for assessment, treatment, and future research aimed at better understanding irritability, as well as the development of assessment tools and treatment interventions.